卒中后癫痫发作点的中西医结合临床研究.pdfVIP

Clinical Study on Characteristics of Post-Stroke Epileptic Seizures with Combination of Traditional Chinese and Western Medicine Speciality: Nervous system disease, Internal Medicine of TCM Author: Zhang Yanliu S Tutor: Prof. Yu Ming.G Abstract Objective: To investigate the clinical characteristics of post-stroke epileptic seizures from the traditional Chinese medicine and western medicine angles respectively. Methods: We chose 1936 patients of stroke treated in the second affiliated hospital of Shandong University of Traditional Chinese Medicine from January 1,2006 to December 1,2010 and collected their related clinical information. The data of 104 patients with secondary epileptic seizure were retrospectively analyzed to find out the clinical characteristics of post-stroke epileptic seizures. Results: The incidence of post-stroke epileptic seizures is 5.41%(104/1921). The incidence of epileptic seizures after Hemorrhagic Stroke and Ischemic stroke is respectively 10.72%(37/345) and 4.25%(67/1576). The incidence of epileptic seizures with the involving location of cortex and subcortex is respectively 7.98%(55/689) and 4.63% (70/1511). Among 104 patients of post-stroke epileptic seizures, 59.68%(37/62) had early-onset in 2 weeks and 40.32%(25/62) had late-onset after 2 weeks. 62.46%(66/104) of the 104 cases were generalized seizures. The incidence of epileptic seizures after zhong jing luo Stroke and zhong zang fu str oke is respectively 3.81%(63/1655) and 15.41%(67/1655). The incidence of epileptic seizures after yuan qi bai tuo stroke,tan meng qing qiao stroke, tan re nei bi stroke and yin xu feng dong stroke is