CAJ | 학술논문

目的：探讨脑卒中后痫性发作的早期预测因素。方法对脑卒中后痫性发作的脑卒中病例的临床资料进行回顾性分析。结果研究期间1031例连续脑卒中病例中79例出现脑卒中后痫性发作，占7.7%。724例缺血性脑卒中、291例颅内出血及16例蛛网膜下腔出血患者中，分别出现脑卒中后痫性发作44例、30例和5例，各占6.1%、10.3%和31.3%。出现脑卒中后痫性发作的患者入院时美国国立卫生研究院脑卒中量表(NIHSS)评分显著高于无痫性发作的患者[(21.8±8.3)分 VS (13.9±7.6)分， P<0.01]。多元回归分析提示入院时 NIHSS 评分是发生脑卒中后痫性发作的独立预测因素(P<0.05)。结论脑卒中后痫性发作常见于脑卒中患者，脑卒中严重程度是脑卒中后痫性发作的预测因素。
목적：탐토뇌졸중후간성발작적조기예측인소。방법대뇌졸중후간성발작적뇌졸중병례적림상자료진행회고성분석。결과연구기간1031례련속뇌졸중병례중79례출현뇌졸중후간성발작，점7.7%。724례결혈성뇌졸중、291례로내출혈급16례주망막하강출혈환자중，분별출현뇌졸중후간성발작44례、30례화5례，각점6.1%、10.3%화31.3%。출현뇌졸중후간성발작적환자입원시미국국립위생연구원뇌졸중량표(NIHSS)평분현저고우무간성발작적환자[(21.8±8.3)분 VS (13.9±7.6)분， P<0.01]。다원회귀분석제시입원시 NIHSS 평분시발생뇌졸중후간성발작적독립예측인소(P<0.05)。결론뇌졸중후간성발작상견우뇌졸중환자，뇌졸중엄중정도시뇌졸중후간성발작적예측인소。
Objective To investigate early predictive factor for epileptic seizure after stroke. Methods A retrospective analysis was made on clinical data of patients with epileptic seizure after stroke. Results Among 1031 consecutive stroke patients, there were 79 cases of them had epileptic seizure after stroke, accounting for 7.7%. In 724 cases of ischemic stroke, 291 cases of intracranial hemorrhage, and 16 cases of subarachnoid hemorrhage, there were respectively 44 cases, 30 cases, and 5 cases with epileptic seizure after stroke, accounting for 6.1%, 10.3% and 31.3%. Patients with epileptic seizure after stroke had much higher admission national institutes of health stroke scale (NIHSS) score than those without epileptic seizure[(21.8±8.3) points VS (13.9±7.6) points, P<0.01]. Multivariate regression analysis showed that admission NIHSS score was the independent predictive factor for epileptic seizure after stroke (P<0.05). Conclusion Epileptic seizure after stroke mainly occurs stroke patients, and stroke severity is the predictive factor for epileptic seizure after stroke.