综合康复措施在脑血管病后继发癫痫患者中的应用效果

发布时间：2018-01-20 07:30

本文关键词： 脑血管病癫痫康复　出处：《中国疗养医学》2016年12期 　论文类型：期刊论文

【摘要】：目的探讨综合康复措施在脑血管病后继发癫痫患者中的应用效果。方法选取2012-11—2015-01沈阳242医院治疗的65例脑血管病后继发癫痫患者,对所有患者均实施针对性的心理康复、功能康复、社会康复,功能恢复及高压氧。观察患者康复效果,并与康复前进行对比。结果综合康复干预后,单线部分发作患者总有效率100.0%,复杂部分发作患者总有效率75.0%,全面性发作患者总有效率100.0%,全身强直阵挛性发作患者总有效率96.3%。65例患者显效38例,有效25例,总有效率96.9%。患者康复治疗后自我管理、生活习惯以及监控症状评分上均明显提高,康复前后的生活质量评分差异有统计学意义(P0.05);患者在乏力肢倦、语言障碍的评分上均比康复前明显下降,康复前后的临床症状评分差异有统计学意义(P0.05);康复治疗后癫痫发作频率和持续时间均有所好转,较康复前明显改善,差异有统计学意义,P0.05。结论综合康复干预措施可以改善脑血管病后继发癫痫患者的生活质量,改善临床症状。
[Abstract]:Objective to explore the effect of comprehensive rehabilitation in patients with secondary epilepsy after cerebrovascular disease. Methods 65 cases of secondary epilepsy after cerebrovascular disease were selected from Shenyang 242 Hospital from 2012-11-2015-01. Patient. All patients were given psychological rehabilitation, functional rehabilitation, social rehabilitation, functional recovery and hyperbaric oxygen. The total effective rate of single-line partial attack patients was 100.0%, the total effective rate of complex part attack patients was 75.0%, and the total effective rate of comprehensive attack patients was 100.0%. The total effective rate of patients with generalized tonic-clonic seizure was 96.3.65 cases. 38 cases were effective, 25 cases were effective, and the total effective rate was 96.9.The patients were self-managed after rehabilitation treatment. The scores of life habits and monitoring symptoms were significantly improved, and the difference of quality of life scores before and after rehabilitation was statistically significant (P 0.05). The scores of fatigue and language disorder were significantly lower than those before rehabilitation, and the difference of clinical symptoms before and after rehabilitation was statistically significant (P 0.05). After rehabilitation treatment, the frequency and duration of epileptic seizures were improved, which was significantly improved compared with that before rehabilitation, and the difference was statistically significant. Conclusion Comprehensive rehabilitation intervention can improve the quality of life and clinical symptoms of patients with secondary epilepsy after cerebrovascular disease.
【作者单位】：沈阳242医院神经外科;
【分类号】：R743.3;R742.1
【正文快照】： 癫痫是神经内科常见疾病,又称羊癫疯、羊角风,是因大脑神经元突发性异常放电,引起的短暂性大脑功能障碍,属于慢性疾病。癫痫患者常反复发作,且可合并多种神经内科疾病,加重患者病情,影响患者治疗效果。脑血管病可以分为出血性和缺血性脑血管病两大类,均可引起癫痫发作,是症状

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