Analysis of death causes of patients with convulsive epilepsy in some rural areas in Gansu province
Objective To analyze the death causes of the patients with convulsive epilepsy in some rural areas in Gansu province,and explore the intervention measures,so as to provide scientific basis for reducing the mortality of epileptics.Methods The data of death patients in some counties with rural epilepsy prevention and management project in Gansu from January 2013 to December 2022 were collected for retrospective analysis.Results There were 261 cases with convulsive epilepsy died in the past ten years in Gansu province,including 74 cases suddenly died of epileptic,accounting for 28.35%,45 cases died of accidents,accounting for 17.24%,33 cases died of cerebrovascular diseases,accounting for 12.64%,32 cases died of epileptic seizure,accounting for 12.26%,20 cases died of suicide,accounting for 7.66%,17 cases died of cardiovascular diseases,accounting for 6.51%,15 cases died of respiratory diseases,accounting for 5.75%,13 cases died of malignant tumors,accounting for 4.99%,and 12 cases died of digestive system diseases,accounting for 4.60%.There was no statistical difference in the proportion of ages in different genders of died cases(t=6.434,P=0.381),but there was statistical difference in the cause of death in different ages of died cases(x2=63.933,P<0.001).Conclusions The sudden unexpected death in epilepsy,accidents,cerebrovascular disease,epileptic seizure and suicide were the main causes of death among the patients with convulsive epilepsy in some rural area of Gansu province.Targeted intervention measures should be taken for reducing mortality of the patients with epilepsy in rural area.