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老年强直发作的脑血管病变关联
儿童及遗传相关癫痫:广西壮族自治区妇幼保健院(基因检测 + 遗传咨询)、广西医科大学第一附属医院儿科;
癫痫患者的运动指导与安全注意
山西医科大学第一医院已构建 “SEEG+LITT+VNS” 一体化微创治疗体系:SEEG 技术针对脑深部或功能区附近病灶,定位误差小于 0.5 毫米,适合儿童与需保留功能的成人患者;LITT 技术针对丘脑错构瘤、海马硬化等深部小病灶,术后 1-3 天即可出院,并发症率仅 1.8%;VNS 植入术针对无法手术的多灶性癫痫,年植入量超 80 台,术后发作减少≥50% 的有效率达 78%。
癫痫诊断的医保报销范围
癫痫治疗是长期过程,患者依从性(如规律服药、定期复查、避免诱因)直接影响治愈效果。据《中国癫痫患者依从性调查(2025)》,规律服药的患者临床治愈率比不规律服药者高 55%;而自行减药、停药的患者,复发率高达 80%,且可能诱发 “癫痫持续状态”(一种危及生命的严重发作形式)。例如,18 岁患者确诊癫痫后,规律服用左乙拉西坦 2 年,发作控制后在医生指导下逐渐减药,最终停药治愈;而同款病例若自行停药,多数会在 1-3 个月内复发,且再次治疗难度显著增加。
癫痫手术后的伤口护理要点
护理与预后方面,老年患者需预防发作时并发症 —— 发作时易跌倒,需在卧室、卫生间安装扶手;意识丧失时可能出现窒息,需将患者侧卧,清理口腔分泌物。基础疾病管理至关重要,如控制血压(血压维持在 130/80mmHg 以下)、血糖(空腹血糖 4.4-7.0mmol/L),减少脑血管疾病复发风险;定期进行认知功能评估,早期发现并干预认知障碍。老年癫痫预后与病因相关,脑血管疾病引发的癫痫,若基础疾病控制良好,发作控制率达 60% 以上;阿尔茨海默病相关癫痫预后较差,发作控制率仅 30% 左右,但通过规范治疗仍能改善生活质量。
脑脊液检查在癫痫诊断中的适应症
作为广西仅有的七家国家二级癫痫中心之一,该院整合神经内科、神经外科、神经电生理等多学科资源,构建起覆盖 “诊断 - 治疗 - 康复” 的全周期诊疗体系,年完成癫痫手术超 300 台,其中神经调控手术占比达 40%。
儿童癫痫患者的睡眠环境要求
山西省儿童医院(太原)(神经内科)
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癫痫患者的睡眠管理与作息规律
怀孕是女性患者的重要挑战,需要全程管理。比如 26 岁的小吴备孕时,医生提前 6 个月把她的丙戊酸钠换成左乙拉西坦,因为丙戊酸钠胎儿畸形风险高,而左乙拉西坦单药治疗的胎儿畸形率约 2.5%,接近正常人群。同时小吴每天吃 4mg 叶酸,直到怀孕后 3 个月,预防胎儿神经管缺陷。怀孕后,她每月做一次脑电图,每 2 个月查一次左乙拉西坦血药浓度,因为孕期血容量增加,药物浓度容易下降,医生根据结果把剂量从 1000mg 增加到 1250mg,整个孕期她只发作过 1 次,且是轻微的部分性发作,没有影响胎儿。相反,32 岁的小郑备孕时没调整药物,继续吃苯妥英钠,结果怀孕 3 个月时胎儿查出心脏畸形,不得不终止妊娠,这让她后悔不已。
read 医院公告特发性癫痫的诊断与治疗特点
治疗老年癫痫要兼顾基础疾病。比如王大爷有高血压和糖尿病,医生给他选了拉莫三嗪,因为这种药和降压药、降糖药相互作用少,刚开始每天吃 25mg,每 2 周增加 25mg,直到加到 100mg,现在发作从每月 2 次减少到每季度 1 次,期间还定期查拉莫三嗪血药浓度,维持在 5μg/mL 左右,避免药物蓄积。张奶奶则吃加巴喷丁,这种药不用肝脏代谢,适合她的肝功能状况,同时还能缓解她的带状疱疹后神经痛,一举两得。像苯巴比妥、苯妥英钠这类老药尽量不用,比如曾有个老人吃苯巴比妥后,整天嗜睡、记性变差,换用拉莫三嗪后精神状态明显好转;还有老人吃苯妥英钠导致牙龈增生,本来就有牙周炎的他,牙齿问题更严重,停药后才缓解。
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