《中国康复理论与实践》

《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (09): 733-734.

• 临床研究 • 上一篇    下一篇

创伤性颅脑损伤后并发癫痫患者的长期预后研究

张小年; 张皓; 芦海涛; 山磊   

  1. 北京博爱医院神经康复科 北京市 100068
  • 收稿日期:2005-06-08 出版日期:2005-09-25 发布日期:2005-09-25

Long-term outcome of patients with epilepsy after traumatic brain injury

ZHANG Xiao-nian, ZHANG Hao, LU Hai-tao, et al   

  1. Department of Neurological Rehabilitation, Beijing Charity Hospital, Beijing 100068, China
  • Received:2005-06-08 Published:2005-09-25 Online:2005-09-25

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被引次数

37

摘要： 目的探讨脑外伤后合并癫痫的预后及对生活质量的影响。方法对1993年9月～2004年9月住院康复治疗的225例脑外伤患者,进行回顾性分析和随访研究。结果合并有癫痫31例(13.8%)。在伤后2～5年,合并癫痫者19.4%预后不良,不合并癫痫者预后不良发生率为12.5%。平均生活质量指数得分为(5.23±2.25),不合并癫痫者为(7.05±2.28)。两者在生活质量指数得分上有显著性差异。结论癫痫对脑外伤患者的远期预后和生活质量都可能造成非常不利的影响。

关键词: 脑外伤, 癫痫, 预后, 生活质量

Abstract: ObjectiveTo investigate long-term outcome after severe traumatic brain injury (TBI) with or without posttraumatic seizure (PTS). Methods225 inpatients of severe TBI were analyzed retrospectively, with parts of them followed up for 2～5 years after injury.Results31 cases (13.8%) were diagnosed as PTS. All the PTS patients and 66 TBI patients without PTS were followed up. There were lower scores of quality of life index (QLI) in PTS patients (5.23±2.25) than those without PTS (7.05±2.28).ConclusionThere was a worse long-term outcome in TBI patients with PTS.

Key words: traumatic brain injury, epilepsy, outcome, the quality of life