Gromov S A
Zh Nevropatol Psikhiatr Im S S Korsakova. 1984;84(6):875-9.
Using the clinical data on 270 epileptic patients, the author offers the biological validation of occupational treatment, determines the role of the psychological effects in the system of patients' rehabilitation and validates the significance of the EEG as a method for objective assessment of the degree of the regression of the clinical and subclinical manifestations of epilepsy in the process of biological therapy. It has been established that: 1) psychosocial effects, in particular, the patients' occupational activity help to decrease the frequency of attacks and inhibit the paroxysmal activity on the EEG during an experiment simulating a working process; 2) a long-term (up to 8 years) absence of seizures according to the EEG readings is not always attended with the regression of the subclinical manifestations of epilepsy; 3) the realization of rehabilitation programmes should be evaluated, appart from the duration of the attack-free period, by the EEG readings as well.
作者利用270例癫痫患者的临床数据,对职业治疗进行了生物学验证,确定了心理效应在患者康复系统中的作用,并验证了脑电图作为一种客观评估生物治疗过程中癫痫临床和亚临床症状消退程度的方法的重要性。研究确定:1)心理社会效应,特别是患者的职业活动,有助于减少发作频率,并在模拟工作过程的实验中抑制脑电图上的阵发性活动;2)根据脑电图读数,长期(长达8年)无癫痫发作并不总是伴随着癫痫亚临床症状的消退;3)除了无发作期的持续时间外,康复计划的实施还应以脑电图读数进行评估。