中国实用神经疾病杂志2024，Vol.27Issue(7)：874-877,4.DOI:10.12083/SYSJ.240482
急性缺血性脑卒中患者早发型癫痫发作的危险因素分析
Analysis of related risk factors for early-onset epilepsy of patients with acute ischemic stroke
摘要
Abstract
Objective To analyze the related risk factors for early-onset epilepsy of patients with acute ischemic stroke,and provide information for clinical prevention and treatment.Methods Eighty patients with early-onset epilepsy after acute ischemic stroke who were hospitalized from September 2019 to September 2023 were selected as the observation group,and 80 acute ischemic stroke patients without epilepsy who were hospitalized at the same time were randomly selected as the control group.The general data,bad habit,basic diseases,serum electrolyte,homocysteine,neuron-specific enolase,location of infarction,the number of infarcts,the cause of infarction,and the NIHSS score at admission were compared between the two groups.Results There were statistically significant differences in infarct location,infarct number,infarct etiology,homocysteine,neuronal enolase and NIHSS scores between the two groups(P<0.05).Multivariate Logistic regression analysis showed that cerebral cortical infarction(OR=7.924,P<0.001),cardiogenic cerebral infarction(OR=11.763,P<0.001),serum homocysteine(OR=4.980,P<0.001)and neuronal enolase(OR=4.674,P<0.001)were associated with early-onset epilepsy in CIS patients.Conclusion The cerebral cortical infarction,cardiogenic cerebral infarction,high levels of serum homocysteine and neuron-specific enolase are independent risk factors for early-onset epilepsy after acute ischemic stroke.关键词
急性缺血性脑卒中/早发型癫痫发作/危险因素/梗死部位/梗死病因/同型半胱氨酸/神经元烯醇化酶/血清Key words
Acute ischemic stroke/Early-onset epilepsy/Risk factor/Infarct site/Infarction etiology/Homocysteine/Neuron enolase/Serum分类
医药卫生引用本文复制引用
顾浩,赵变歌,李艺果,李世学..急性缺血性脑卒中患者早发型癫痫发作的危险因素分析[J].中国实用神经疾病杂志,2024,27(7):874-877,4.基金项目
漯河医专科技创新项目(编号:2023ZD45) （编号:2023ZD45）
