Tuan Nguyen Anh, Tomson Torbjörn, Allebeck Peter, Chuc Nguyen Thi Kim, Cuong Le Quang
Department of Neurology, Hanoi Medical University, Hanoi, Vietnam.
Epilepsia. 2009 Oct;50(10):2320-3. doi: 10.1111/j.1528-1167.2009.02298.x. Epub 2009 Sep 10.
We analyzed the treatment gap by interviewing 189 persons previously identified as having active epilepsy in a population-based epidemiological project in a rural district of Vietnam (EPIBAVI). Only 29 persons were on regular treatment with antiepileptic drugs (AEDs) at the time of the survey; treatment gap 84.7% [95% confidence interval (CI) 79.5-89.8%). The treatment gap was not associated with age, gender, education, income, or seizure control status, but was higher among those living single compared to those who were married (p < 0.05). The most common reason for not taking AEDs expressed by patients who never tried, as well as among those who tried but discontinued, AEDs was the perception that their seizures were too few to justify the trouble and costs associated with treatment.
我们通过访谈越南一个农村地区（EPIBAVI）基于人群的流行病学项目中先前确诊患有活动性癫痫的189人，分析了治疗缺口。在调查时，只有29人正在接受抗癫痫药物（AEDs）的常规治疗；治疗缺口为84.7% [95%置信区间（CI）79.5 - 89.8%]。治疗缺口与年龄、性别、教育程度、收入或癫痫发作控制状况无关，但与已婚者相比，单身者的治疗缺口更高（p < 0.05）。从未尝试过AEDs的患者以及那些尝试过但停药的患者表示，不服用AEDs的最常见原因是他们觉得癫痫发作太少，不值得为治疗带来的麻烦和费用付出代价。
