长期居住患者中有无活动性癫痫的普通外科手术 - 前瞻性对照一年调查。
General surgery among long-term residents with and without active epilepsy at the Kork Epilepsy Centre - a prospective comparative one-year survey.
机构信息
Epilepsiezentrum Kork, Kehl-Kork, Germany.
出版信息
Eur Neurol. 2010;64(3):156-62. doi: 10.1159/000318171. Epub 2010 Aug 3.
BACKGROUND/AIMS: We prospectively assessed the frequency, type, severity and cause of treatment among the long-term residents of the Kork Epilepsy Centre in the year 2005.
METHODS
All long-term residents were exclusively referred to the general surgeon practicing on the campus. Patients were divided into 2 groups comprising 285 patients with active epilepsy and 53 controls who either never had epileptic seizures or have remained seizure free for at least 4 years.
RESULTS
The 1-year incidence of injuries was 54.2% among the active epilepsy group and 36.8% among controls (p = 0.0275). Several admissions due to differing reasons occurred in 16.8% of people with active epilepsy and in 7.5% of the controls (not significant). More than 2 admissions due to various reasons only occurred in patients with active epilepsy (range 3-9). Of all injuries, 41.3% were directly related to seizures. Among patients with active epilepsy, the 3 most frequent injuries were lacerations, bruises and fractures (29.6, 17.0 and 11.7%, respectively).
CONCLUSION
According to this prospective study, active epilepsy turned out to be a significant risk factor for injuries under homogenous patient and observer conditions.
背景/目的：我们前瞻性评估了 2005 年长期居住在科克癫痫中心的患者的治疗频率、类型、严重程度和原因。
方法
所有长期居住的患者都被专门转介给在校园内行医的普外科医生。患者分为两组，285 名患者患有活动性癫痫，53 名对照者从未有过癫痫发作或至少 4 年无癫痫发作。
结果
活动性癫痫组的 1 年损伤发生率为 54.2%，对照组为 36.8%（p = 0.0275）。活动性癫痫组有 16.8%的人因不同原因住院，对照组为 7.5%（无显著性差异）。由于各种原因，有超过 2 次住院的仅发生在活动性癫痫患者中（范围为 3-9）。所有损伤中，有 41.3%与癫痫发作直接相关。在活动性癫痫患者中，最常见的 3 种损伤是裂伤、瘀伤和骨折（分别为 29.6%、17.0%和 11.7%）。
结论
根据这项前瞻性研究，在同质的患者和观察者条件下，活动性癫痫被证明是损伤的一个显著危险因素。
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