Wang Wenzhi, Wu Jianzhong, Wang Desheng, Chen Guisheng, Wang Taiping, Yuan Chenglin, Yang Bin, Zhao Donghai
Beijing Neurosurgical Institute, Beijing 100050, China.
Zhonghua Yi Xue Za Zhi. 2002 Apr 10;82(7):449-52.
To investigate the prevalence of epilepsy and its treatment gap in rural areas of China.
A door-to-door epidemiological survey on epilepsy was conducted among 55616 rural residents in 5 counties, each in a province (Heilongjiang, Ningxia, Shanxi, Henan, and Jiangsu) selected by random cluster sampling. All people diagnosed or suspected as epileptic during the screening phase were rechecked by neurologists.
A definite diagnosis of epilepsy was made among 387 people with a prevalence rate 7.0 per thousand (age-adjusted rate 6.8 per thousand). The prevalence of active epilepsy was 4.6 per thousand, and the incidence of epilepsy was 28.8/100 000. Of the people with epilepsy, 40.6% had not been treated, 35.4% were treated irregularly. The treatment gap of active epilepsy was 62.6%.
The prevalence of epilepsy in the rural areas in China was much higher than it was reported previously. About two thirds of the patients with epilepsy has not received regular treatment. A rational intervention strategy should be developed as soon as possible.
调查中国农村地区癫痫的患病率及其治疗缺口。
采用随机整群抽样的方法，对黑龙江、宁夏、山西、河南和江苏5省各1个县的55616名农村居民进行了癫痫的上门流行病学调查。在筛查阶段所有被诊断或疑似患有癫痫的人都由神经科医生进行了复查。
387人被确诊为癫痫，患病率为千分之7.0（年龄调整率为千分之6.8）。活动性癫痫的患病率为千分之4.6，癫痫发病率为28.8/10万。在癫痫患者中，40.6%未接受治疗，35.4%接受不规则治疗。活动性癫痫的治疗缺口为62.6%。
中国农村地区癫痫的患病率远高于先前报道。约三分之二的癫痫患者未接受正规治疗。应尽快制定合理的干预策略。
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