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甘肃省部分农村惊厥性癫痫患者死亡原因分析

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目的 分析甘肃省部分农村地区惊厥性癫痫患者的死亡原因,探讨干预措施,为降低癫痫患者死亡率提供科学依据.方法 收集2013年1月—2022年12月甘肃省部分农村癫痫防治管理项目县死亡患者的资料,并进行回顾性分析.结果 甘肃省部分农村地区10年间惊厥性癫痫患者死亡261例,其中癫痫猝死74例、占28.35%,意外事故45例、占17.24%,脑血管疾病33例、占12.64%,癫痫发作32例、占12.26%,自杀20例、占7.66%,心血管系统疾病17例、占6.51%,呼吸系统疾病15例、占5.75%,恶性肿瘤13例、占4.99%,消化系统疾病12例、占4.60%.不同性别死亡患者年龄构成差异无统计学意义(t=6.434,P=0.381),但不同年龄死亡患者死因构成差异有统计学意义(x2=63.933,P<0.001).结论 癫痫猝死、意外事故、脑血管疾病、癫痫发作、自杀是甘肃省部分农村地区惊厥性癫痫患者死亡的主要原因;应采取针对性干预措施,降低农村癫痫患者的死亡率.
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.

EpilepsyCause of deathConvulsibilityRural area

李铿、王斌、潘卫民、徐斐斐、谢璐璐

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甘肃省疾病预防控制中心,兰州 730020

癫痫 死亡原因 惊厥性 农村地区

甘肃省自然科学基金

21JR11RA183

2024

疾病预防控制通报
新疆疾病预防控制中心

疾病预防控制通报

ISSN:1000-3711
年,卷(期):2024.39(1)