脑血管病后继发癫痫康复方法与效果.docVIP

脑血管病后继发癫痫康复方法与效果 　　[摘要] 目的 探讨脑血管病后继发癫痫的康复方法与效果。 方法 选择2013年1 月～2014年1月新乡市中心医院收治的脑血管病后继发癫痫患者36例为研究对象，所有患者均接受功能、心理、社会康复的综合方法，观察并比较康复前后生活质量评分及临床症状评分。 结果 康复后患者的自我管理[（17.34±6.71）分]、生活习惯[（18.22±6.58）分]、监控症状[（21.35±8.87）分]均明显高于康复前[（8.36±3.07）、（7.93±3.15）、（9.02±4.41）分]，差异有统计学意义（P 0.05）。康复后患者的肢倦乏力[（1.48±0.42）分]、语言障碍评分[（0.98±0.03）分]均显著低于康复前评分[（3.26±1.04）、（2.96±0.89）分]，差异有统计学意义（P 0.05）。 结论 积极有效的康复措施有利于提高脑血管病后继发癫痫患者的生活质量，减轻患者临床症状，值得临床推广应用。 　　[关键词] 脑血管病；继发癫痫；康复；效果 　　[中图分类号] R742.1 [文献标识码] A [文章编号] 1673-7210（2014）08（b）-0054-04 　　Rehabilitation method and effect of secondary epilepsy after cerebrovascular disease 　　JI Jingfang 　　The Third Department of Neurology， the Central Hospital of Xinxiang City， Henan Province， Xinxiang 410700， China 　　[Abstract] Objective To investigate the rehabilitation method and effect of secondary epilepsy after cerebrovascular disease. Methods 36 cases with secondary epilepsy after cerebrovascular disease admitted to the Central Hospital of Xinxiang City from January 2013 to January 2014 were chosen as objects， all patients received the comprehensive method of functional， psychological， social rehabilitation， the life quality score and clinical sign score before and after rehabilitation were observed and compared. Results After rehabilitation， the scores of self-management [（17.34±6.71） points]， life habits [（18.22±6.58） points]， monitored symptoms [（21.35±8.87） points] were all higher than those of before rehabilitation [（8.36±3.07）， （7.93±3.15）， （9.02±4.41） points]， the differences were all statistically significant （P 0.05）. After rehabilitation， the scores of lassitude [（1.48±0.42） points]， language barrier [（0.98±0.03） points] were all lower than those of before rehabilitation [（3.26±1.04）， （2.96±0.89） points]， the differences were all statistically significant （P 0.05）. Conclusion Positive and effective rehabilitation method is helpful to improve the quality of life of patients with secondary epilepsy after cerebrovascular disease， re