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卒中后癫痫的预后及其影响因素

张燕芳 余年 梁雪 马海燕 狄晴

临床神经病学杂志2019,Vol.32Issue(5):352-355,4.
临床神经病学杂志2019,Vol.32Issue(5):352-355,4.

卒中后癫痫的预后及其影响因素

Prognosis of poststroke epilepsy and its influencing factors

张燕芳 1余年 1梁雪 1马海燕 1狄晴1

作者信息

  • 1. 210029南京医科大学附属脑科医院神经内科
  • 折叠

摘要

Abstract

To explore the prognosis and influencing factors of patients with poststroke epilepsy (PSE). Methods Patients with PSE were collected and followed up for at least 2 years. Whether they have reached at least 1 year without onset was a criterion to determine prognosis. PSE patients were divided into 2 groups with good prognosis and poor prognosis. Through single factor and multi-factor Logitic regression analysis, the clinical characteristics of the two groups were compared. The risk factors for poor prognosis of PSE were analyzed. Results A total of 102 PSE patients were included, of which 59 (57.8% ) had a good prognosis. The single factor Logitic regression analysis showed that patients involved in the cortex in the stroke area had a significant increase in the poor prognosis group. The difference was statistically significant compared with the good prognosis group ( P<0.05 ). Multiple factor Logitic regression analysis showed that cortical involvement in stroke site was an independent risk factor for poor prognosis of PSE (OR=7.72, 95% CI: 3.11-19.13, P<0.001). Conclusion The prognosis of PSE patients is favorable, but a poor control can be seen in the patients with cerebral cortex.

关键词

卒中后癫痫/预后/危险因素

Key words

poststroke epilepsy/prognosis/risk factors

分类

医药卫生

引用本文复制引用

张燕芳,余年,梁雪,马海燕,狄晴..卒中后癫痫的预后及其影响因素[J].临床神经病学杂志,2019,32(5):352-355,4.

临床神经病学杂志

OACSTPCD

1004-1648

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