病毒性脑炎继发癫痫的临床特征及不同抗癫痫药的干预效果观察
打开文本图片集
[摘要] 目的 研究分析病毒性脑炎继发癫痫的临床特点，并对比不同抗癫痫药物的临床疗效。 方法 方便选取该院病毒性脑炎继发癫痫患者60例，选取时间为2015年8月”2017年10月，观察CT、MRI等影像学检查以及脑电图特点，观察癫痫发作特点，并对比不同药物的临床效果。 结果 癫痫疾病中主要以部分发作与颞叶癫痫为主，出现脑实质损害患者数约占1/3，58例患者在脑电图及影像学检查均是具有明显特征，脑电图多显示为局灶放电。药物治疗中以丙戊酸钠临床疗效最高，拉莫三嗪临床疗效最低，临床疗效依次为丙戊酸钠52.4%，卡马西平44.4%，苯妥英钠40.0%，托吡酯33.3%和左乙拉西坦33.3%，拉莫三嗪28.6%。结论 对病毒性脑炎继发癫痫进行脑电图和影像学检查具有明显特征，通过早期的确诊，结合患者病情，合理的选择药物进行治疗对于预后具有着积极的效果。
[关键词] 病毒性脑炎继发癫痫;影像学检查;脑电图;抗癫痫;丙戊酸钠
[中图分类号] R512 [文献标识码] A [文章编号] 1674-0742（2019）06（a）-0089-03
[Abstract] Objective To study and analyze the clinical characteristics of epilepsy secondary to viral encephalitis and compare the clinical efficacy of different antiepileptic drugs. Methods A total of 60 patients with epilepsy secondary to viral encephalitis in our hospital were convenient selected from August 2015 to October 2017. The characteristics of CT， MRI， EEG， epilepsy were observed， and the clinical effects of different drugs were compared. Results The main epilepsy diseases were partial seizures and temporal lobe epilepsy. The number of patients with brain parenchymal damage accounted for about 1/3. And 58 patients had obvious characteristics in EEG and imaging examination， and most of them showed focal discharge. Sodium valproate had the highest clinical efficacy， while lamotrig...
|
== 试读已结束，如需继续阅读敬请充值会员 ==
|
|
本站文章均为原创投稿，仅供下载参考，付费用户可查看完整且有格式内容！
(费用标准：38元/2月，98元/2年，微信支付秒开通！) |
| 升级为会员即可查阅全文 。如需要查阅全文，请 免费注册 或 登录会员 |
|
