Stanaway L, Johnson R H, Lambie D G
N Z Med J. 1983 Jul 13;96(735):525-8.
A survey was made of driving habits of 103 epileptic patients who, having suffered a seizure, were picked up by the Wellington Free Ambulance Service. It was found that 21 (20%) subjects were driving a motor vehicle--for nine this was necessary for their employment; 57% of drivers with epilepsy reported that the Ministry of Transport had not been informed of their epilepsy. For three subjects a driving accident was a direct result of their seizure. Forty-three percent of subjects in this study claimed never to have had any professional advice about driving. Of the 21 subjects who continued to drive, 13 were receiving inadequate drug therapy at the time of seizure. Advice and drug therapy for epileptic patients therefore required regular review. We consider that the Ministry of Transport should issue a simple statement about epilepsy and driving which should explain the law, risks, precipitating factors for epilepsy, and the need for good drug control. This should be issued to doctors and also be available for those applying for a driving licence.
对103名癫痫患者的驾驶习惯进行了一项调查，这些患者在癫痫发作后被惠灵顿免费救护服务机构接走。结果发现，21名（20%）受试者在驾驶机动车——其中9人因工作需要驾驶；57%的癫痫患者驾驶员报告称，他们未将自己患有癫痫的情况告知运输部。有3名受试者的驾驶事故直接由癫痫发作导致。本研究中43%的受试者声称从未就驾驶问题接受过任何专业建议。在继续开车的21名受试者中，有13人在癫痫发作时药物治疗不足。因此，对癫痫患者的建议和药物治疗需要定期复查。我们认为，运输部应发布一份关于癫痫与驾驶的简单声明，其中应解释法律、风险、癫痫的诱发因素以及良好药物控制的必要性。该声明应发放给医生，也应提供给申请驾驶执照的人。
