CAJ | 학술논문

女性癫痫患者具有特殊的生理心理特点及社会角色，需要临床医生特别关注。女性癫痫患者心理承受能力较男性弱，易并发抑郁焦虑。由于雌激素及孕激素对癫痫发作有不同影响，可导致癫痫发作在生理周期及妊娠期的变化，抗癫痫药物与女性激素也存在相互作用。女性癫痫患者存在结婚率低、婚姻中隐瞒病史、婚姻满意度差、离婚率高等婚姻问题。女性癫痫患者妊娠、生产及产后这一过程中，需注意孕前补充叶酸，制定合理的用药方案，监测发作情况及血药浓度，生产时作好应对发作准备，产后鼓励母乳喂养。
녀성전간환자구유특수적생리심리특점급사회각색，수요림상의생특별관주。녀성전간환자심리승수능력교남성약，역병발억욱초필。유우자격소급잉격소대전간발작유불동영향，가도치전간발작재생리주기급임신기적변화，항전간약물여녀성격소야존재상호작용。녀성전간환자존재결혼솔저、혼인중은만병사、혼인만의도차、리혼솔고등혼인문제。녀성전간환자임신、생산급산후저일과정중，수주의잉전보충협산，제정합리적용약방안，감측발작정황급혈약농도，생산시작호응대발작준비，산후고려모유위양。
Because of the special physiological and psychological characteristics and social roles, female patients with epilepsy need clinicians’ special attention. Psychological endurance of female patients with epilepsy is weaker than that of men, so they are prone to be complicated with depression and anxiety. Since estrogen and progesterone have different effects on seizures, it can lead to the change of seizure frequency in menstrual cycles and pregnancy, and there are also interactions between antiepileptic drugs and female hormones. Female patients with epilepsy have some problems of marriage such as low marriage rate, concealing the history of epilepsy, poor marital satisfaction and high divorce rate. In the process of pregnancy, delivery and postpartum of female patients with epilepsy, attention should be paid to supplementing folic acid before pregnancy, developing a reasonable therapeutic regimen, monitoring seizure frequency and blood concentration of antiepileptic drugs, making preparations for dealing with seizure during delivery, and encouraging them breastfeeding.