中外医学研究2025，Vol.23Issue(7)：104-107,4.DOI:10.14033/j.cnki.cfmr.2025.07.028
脑卒中后癫痫持续状态复发情况及其危险因素分析
Analysis of Recurrent of Status Epilepticus after Stroke and Its Risk Factors
摘要
Abstract
Objective:To study the recurrence of status epilepticus after stroke and its risk factors.Method:The clinical data of 80 patients with post-stroke epileptic status treated from January 2018 to July 2023 were retrospectively analyzed.Analyze the recurrence of patients,age,sex,course of disease,underlying disease,body mass index(BMI),smoking history,drinking history,modified Rankin scale(mRS)score at admission,periodic epileptoid discharge,pulmonary infection,stroke type(ischemic stroke,hemorrhagic stroke),lesion site(cortical,subcortical),lesion extent(multi-lobe,single-lobe),the National Institutes of Health stroke scale(NIHSS)score at admission and other general data were collected,logistic multivariate regression analysis to analyze the risk factors for recurrent status epilepticus after stroke.Result:Among 80 patients with epileptic status after stroke,14 cases(17.50%)recurrence,and were included in the recurrence group.The other 66 cases(82.50%)did not recurrence,which was included in the non-recurrence group.There were no significant differences in age,gender,course of disease,underlying diseases,BMI,smoking history,drinking history and mRS score at admission between the two groups(P>0.05).The proportion of recurrent epileptiform discharge,pulmonary infection,hemorrhagic stroke,cortex,multiple lobes and NIHSS score in recurrent group were higher than those of non-recurrent group,the differences were statistically significant(P<0.05).logistic regression analysis showed that periodic epileptoid discharge,NIHSS score at admission,stroke type,lesion site and pulmonary infection were independent risk factors for recurrence in patients with epileptic status after stroke(P<0.05).Conclusion:Recurrent epileptic discharge,NIHSS score at admission,type of stroke,location of lesion and pulmonary infection are closely related to the recurrence of epileptic status after stroke.关键词
脑卒中/癫痫持续状态/复发/危险因素Key words
Stroke/Epileptic status/Recurrence/Risk factor引用本文复制引用
鞠强国,张华,周仁华,沈骏,姜宇,徐建红,侍永伟..脑卒中后癫痫持续状态复发情况及其危险因素分析[J].中外医学研究,2025,23(7):104-107,4.基金项目
泰州市科技支撑计划(社会发展)非企立项项目(TN202114) （社会发展）
