宁夏农村地区惊厥性癫痫患者死亡原因分析

发布时间：2018-10-29 19:51

【摘要】：目的分析宁夏农村地区惊厥性癫痫患者可能的死亡原因,为预防癫痫患者死亡及降低癫痫死亡率提供依据。方法收集2012年1月1日~2014年12月31日宁夏农村地区癫痫示范项目区内死亡癫痫患者的临床资料,并进行回顾性分析,用Excel表格建立数据库,SPSS17.0软件统计分析,计数资料比较采用χ2检验,P0.05为差异有统计学意义。结果 3 y间,宁夏农村地区癫痫示范项目区内死亡患者共计137例。癫痫发作在死因构成中居于首位(32.8%),其次为意外死亡(26.9%)、脑血管病(11.0%)、不明原因死亡(8.0%)、呼吸系统疾病(6.5%)、循环系统疾病(5.1%)、消化系统疾病(4.3%)及自杀(2.9%);癫痫患者的死亡年龄主要分布在30~39岁之间(21.9%);以脑血管病为主要死亡原因者主要分布在60~69岁之间;以癫痫发作为死亡原因者20~69岁年龄组占86.7%;意外死亡的患者年龄分布在10~79岁之间,其中,40~59岁者占37.9%。宁夏农村地区癫痫患者年平均死亡率为1.4/10万,男性死亡率为1.7/10万,女性为1.1/10万,男、女性死亡率有显著性差异(P0.05);在神经系统疾病死因统计中,癫痫死亡率仅次于脑血管病。结论癫痫发作、意外(溺水及车祸为主)、脑血管病、不明原因死亡是宁夏农村地区癫痫示范项目区内癫痫患者死亡的主要原因。宁夏农村地区癫痫示范项目区内癫痫患者的死亡率为1.4/10万。男性癫痫患者的死亡率(1.7/10万)高于女性(1.1/10万)。
[Abstract]:Objective to analyze the possible causes of death in patients with convulsive epilepsy in rural areas of Ningxia, and to provide evidence for preventing death and reducing death rate of epilepsy. Methods from January 1, 2012 to December 31, 2014, the clinical data of patients with epilepsy died in Ningxia rural area were collected and analyzed retrospectively. The database was established with Excel table and the statistical analysis was made by SPSS17.0 software. The count data were compared by 蠂 2 test, P0.05 as the difference was statistically significant. Results in 3 years, 137 patients died in Ningxia rural area epilepsy demonstration project. Seizure was the leading cause of death (32.8%), followed by accidental death (26.9%), cerebrovascular disease (11.0%), unexplained death (8.0%), respiratory diseases (6.5%). Diseases of circulatory system (5.1%), diseases of digestive system (4.3%) and suicide (2.9%); The age of death of epileptic patients was mainly between 30 and 39 years (21.9%), cerebrovascular disease was the main cause of death, and the age group of 20 to 69 years old with epileptic seizure as the cause of death accounted for 86.7%. The age of accidental deaths ranged from 10 to 79 years old, of which 37.9 were 40 to 59 years old. The average annual mortality rate of epilepsy patients in rural areas of Ningxia was 1.4 / 100 thousand, the mortality rate of male was 1.7 / 100,000,000, and that of female was 1.1 / 100,000.There was significant difference between male and female (P0.05). Among the causes of death of nervous system diseases, the death rate of epilepsy is second only to cerebrovascular disease. Conclusion seizures, accidents (drowning and car accidents), cerebrovascular diseases and unknown causes of death are the main causes of death of epilepsy patients in rural areas of Ningxia. The mortality rate of epilepsy patients in rural areas of Ningxia was 1.4% -100 000. The mortality rate in men with epilepsy (17.7 / 100,000) was higher than that in women (11.1 / 100,000).
【作者单位】：宁夏医科大学;宁夏自治区疾病预防控制中心;宁夏医科大学总医院神经内科宁夏颅脑疾病重点实验室;
【基金】：国家自然科学基金(81271443) 宁夏自然科学基金(NZ13133) 宁夏颅脑疾病重点实验室开放课题资助(XY201513)
【分类号】：R742.1

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