Mollaoğlu Mukadder, Bolayir Ertuğrul
Cumhuriyet University Medical Faculty of Health Sciences, Sivas, Turkey.
Cumhuriyet University Medical Faculty, Department of Neurology, Sivas, Turkey.
Noro Psikiyatr Ars. 2013 Sep;50(3):269-273. doi: 10.4274/npa.y6632. Epub 2013 Sep 1.
The aim of the study was to evaluate injuries in patients with epilepsy and some factors associated with injury.
This study included 126 epileptic patients who attended a neurology outpatient clinic of a hospital between March 2009 and March 2010. Data were collected using a patient information form and an injury evaluation form. The data were evaluated using percentage, mean and the Chi square test.
82.5% of patients have sustained injury due to an epileptic seizure. Soft tissue injuries were the most common (70.2%), followed by head injury (61.5%), dental and tongue injury (%58.6), burns (24%), and orthopaedic injury (21.2%). The most common site of burns were the upper extremities and the face (36% and 24%, respectively). Burns occurred during cooking in 32% of cases. Five patients had upper extremity fractures. Four patients faced the risk of bathtub drowning. The injuries usually occurred at home. The significant risk factors for injury were generalized tonic-clonic seizures and high frequency of seizures. Twenty-six patients were taken to the emergency unit due to an injury.
Injury is a common problem in patients with epilepsy. Dental and tongue injury was the most common seizure-related injury. The risk factors were generalized tonic-clonic seizures, and high frequency of seizures. Patients with epilepsy can lead normal lives but certain precautions are needed to prevent seizure-related injuries.
本研究的目的是评估癫痫患者的损伤情况以及一些与损伤相关的因素。
本研究纳入了2009年3月至2010年3月期间在一家医院神经内科门诊就诊的126例癫痫患者。使用患者信息表和损伤评估表收集数据。采用百分比、均值和卡方检验对数据进行评估。
82.5%的患者因癫痫发作而受伤。软组织损伤最为常见（70.2%），其次是头部损伤（61.5%）、牙齿和舌头损伤（58.6%）、烧伤（24%）以及骨科损伤（21.2%）。烧伤最常见的部位是上肢和面部（分别为36%和24%）。32%的烧伤病例发生在烹饪过程中。5例患者发生上肢骨折。4例患者面临浴缸溺水风险。损伤通常发生在家中。损伤的显著危险因素是全身强直阵挛发作和发作频率高。26例患者因损伤被送往急诊室。
损伤是癫痫患者的常见问题。牙齿和舌头损伤是最常见的与发作相关的损伤。危险因素是全身强直阵挛发作和发作频率高。癫痫患者可以过上正常生活，但需要采取某些预防措施以防止与发作相关的损伤。
