Department of Epilepsy Centre and Neurology, The Third Xiangya Hospital, Central South University, Changsha, China.
Epilepsia Open. 2023 Jun;8(2):307-312. doi: 10.1002/epi4.12667. Epub 2023 Mar 25.
This study aimed to investigate the safety of coronavirus disease 2019 (COVID-19) vaccination in patients with epilepsy (PWE) and their willingness to undergo vaccination.
This study was a survey the survey questionnaire, which included general, epilepsy-specific, and COVID-specific questions, was completed by patients of the outpatient clinic and hospital ward at The Third Xiangya Hospital in 2021.
A total of 120 valid questionnaires were returned. Eighty-nine of 120 responders (74.2%) were not vaccinated, and 31 (25.8%) were vaccinated against COVID-19. Of the 31 vaccinated PWE, one (3.2%) had worsening of seizures and four (12.9%) had adverse reactions that were characteristic of the COVID-19 vaccine. The other 26 patients (83.9%) reported no adverse reactions, Moreover, there was no significant difference between the 18 PWE with well-controlled seizures and the 13 PWE with poorly-controlled seizures. Of the 89 unvaccinated PWE, 69.7% (62/89) were willing to receive the COVID-19 vaccine, 28.1% (25/89) were unsure, and 2.2% (2/89) declined to be vaccinated.
Among PWE, few adverse reactions occurred following the COVID-19 vaccination. Most PWE were willing to receive the COVID-19 vaccine. COVID-19 vaccination is safe for PWE.
本研究旨在调查新冠肺炎(COVID-19)疫苗接种在癫痫患者(PWE)中的安全性及其接种意愿。
本研究采用问卷调查的方式,调查对象为 2021 年在湘雅三医院门诊和病房的患者。问卷包括一般、癫痫特异性和 COVID-19 特异性问题。
共回收 120 份有效问卷。120 名应答者中,89 人(74.2%)未接种疫苗,31 人(25.8%)接种了 COVID-19 疫苗。31 名接种 COVID-19 疫苗的 PWE 中,1 人(3.2%)癫痫发作恶化,4 人(12.9%)出现与 COVID-19 疫苗相关的不良反应。其余 26 例患者(83.9%)报告无不良反应。此外,癫痫控制良好的 18 例患者与癫痫控制不佳的 13 例患者之间无显著差异。在 89 名未接种疫苗的 PWE 中,69.7%(62/89)愿意接种 COVID-19 疫苗,28.1%(25/89)不确定,2.2%(2/89)拒绝接种。
在 PWE 中,接种 COVID-19 疫苗后很少出现不良反应。大多数 PWE 愿意接种 COVID-19 疫苗。COVID-19 疫苗接种对 PWE 是安全的。