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基于随访研究的癫痫预后

[Prognosis of epilepsy in light of catamnestic studies].

作者信息

Boldyrev A I

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1985;85(6):810-3.

PMID:4024802
Abstract

As a result of a long-term follow-up of 300 epiletic patients the author has determined clinical and social factors of the favourable and unfavourable prognosis in epilepsy. The prognosis is determined by the severity of the organic brain lesion underlying epilepsy, the localization and activity of the epileptic focus, its time-course, the tempo of the increase of psychopathological and paroxysmal disorders, the effect of intercurrent diseases, psychotraumatic situations, as well as by the early and adequate therapeutic and rehabilitation measures. Of a significant role in such prediction is the assessment of the clinical manifestations of the disease during its progression under conditions of drug therapy, as well as a number of social fastors (the capacity to work and learn, marital status, etc.).

摘要

通过对300例癫痫患者的长期随访,作者确定了癫痫预后良好和不良的临床及社会因素。预后取决于癫痫所基于的器质性脑损伤的严重程度、癫痫病灶的定位和活动、其病程、精神病理和发作性障碍的加重速度、并发疾病和精神创伤情况的影响,以及早期和适当的治疗及康复措施。在这种预测中,评估疾病在药物治疗条件下进展过程中的临床表现以及一些社会因素(工作和学习能力、婚姻状况等)起着重要作用。

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