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find Author "陈艳艳" 7 results
  • Investigation on the status of newly diagnosed adult epilepsy in the General Hospitals of Jilin Province

    ObjectiveTo investigate the status of newly diagnosed adult epilepsy in the General Hospital of Jilin Province, in order to improve the prevention and treatment of epilepsy. MethodsTo collect the clinical data of newly diagnosed adult epilepsy from October 2016 to February 2017, and to follow up 6 months. ResultsA total of 81 patients were included. At the last clinic visit, 73 cases origined from focal, 74 cases were positive in EEG examination, 56 cases were unknown etiology, 12 cases had hippocampal sclerosis, 48 cases were mildly declined cognitive function, and 30 cases were poor compliance. ConclusionThe newly diagnosed epilepsy were focal origin, delayed treatment, mildly declined cognitive function and poor compliance.

    Release date:2017-09-26 05:09 Export PDF Favorites Scan
  • 成人癫痫患者共患躯体疾病的抗癫痫药物选择

    癫痫共患躯体疾病现象普遍,在治疗方面尚无指南或专家共识。文章在检索癫痫共患病、各脏器疾病与癫痫发作、癫痫的药物治疗等方面文献之后,对癫痫共患躯体疾病的抗癫痫药物选择进行讨论,并按照躯体疾病的分类进行综述,旨在为解决癫痫共患躯体疾病可能遇到的临床实际问题提供参考,指导临床用药。

    Release date:2018-07-18 02:17 Export PDF Favorites Scan
  • 成人癫痫与抑郁

    癫痫作为神经系统的常见慢性疾病已经成为一个全球健康问题,癫痫共患病的存在进一步恶化了癫痫的结局,加剧了不良社会后果。抑郁障碍是癫痫最常见共患病,并导致癫痫患者对抗癫痫药物的耐受性低、服药依从性低、治疗效果差、生活质量下降、认知障碍增加、其他慢性疾病和自杀的风险增加等一系列不良后果,进一步恶化了癫痫的结局。目前,癫痫共患抑郁存在着高发病率、低诊断率、低治疗率的现状,癫痫共患抑郁的筛查、评估和管理应成为癫痫临床不可或缺的组成部分。

    Release date:2020-03-20 08:06 Export PDF Favorites Scan
  • The clinical characteristics of interictal schizophrenia-like psychosis in epilepsy

    ObjectAimed to describe the clinical characteristics of the patients with interictal schizophrenia-like psychoses of epilepsy (SLPE), so as to improve the identification, diagnosis and treatment.MethodsWe collected the cases from January 2017 to December 2019 that diagnosed as "epileptic psychosis/organic mental disorders/brain damage and functional disorders and somatic diseases caused by other mental disorders/organic delusions (schizophrenia-like) disorders" in the medical record system of the Sixth Hospital of Changchun. The discharge records were re-diagnosed by two experienced epilepsy specialists and psychiatrists respectively. Retrospective statistical analysis was performed on the cases identified as SLPE.ResultsA total of 45 patients were diagnosed as SLPE (male: female=1:1.4). The onset age of epilepsy and mental symptoms was (16.4±12.5) years and (35.3±13.4) years respectively. The duration of mental symptoms after first seizure was (18.9±13.4) years. 7 patients (15.6%) were not treated with AEDs, and 26 patients (57.8%) were treated with first generation AEDs. 8 patients (17.8%) had no seizures within 1 year before the onset of mental symptoms, and 28 patients (62.2%) had frequent seizures, even status epilepticus or clustered seizures. 2 patients (4.4%) had generalized tonic-clonic seizure, only 4 patients (8.9%) showed focal impaired awareness seizure, and 39 patients (86.7%) had focal to bilateral tonic-clonic seizure.The PANSS positive symptom score, PANSS negative symptom score and BPRS score were (15.1±4.4), (17.7±4.6) and (44.7±8.4) respectively.ConclusionThere were some features of epilepsy in SLPE, such as early onset age, frequent seizure (some patients were seizure-free), focal epilepsy, and poor AEDs treatment compliance. The onset age of mental symptoms in SLPE was later than Schizophrenia and long duration after first seizure. The PANSS scale showed that the mental symptoms of patients with SLPE were similar to those of patients with schizophrenia, and both positive and negative symptoms existed.

    Release date:2020-09-04 03:06 Export PDF Favorites Scan
  • 成人癫痫伴焦虑的研究进展

    大量流行病学研究表明焦虑性障碍(Anxiety disorder,AD)在癫痫患者中的患病率高于普通人群,AD 不仅能增加癫痫患者的自杀风险,还可导致疾病进一步恶化。目前,我国对于成人癫痫伴焦虑的研究仍不成熟,临床医生对于癫痫患者共患焦虑仍缺乏进一步的认识,使得临床上误诊率高,患者病情未能得到及时的治疗。文章结合国内外最新研究,对成人癫痫伴焦虑的危险因素、发病机制、分类、诊断、鉴别诊断、筛查、治疗等方面作一综述,为临床诊治提供参考。

    Release date:2020-09-04 03:06 Export PDF Favorites Scan
  • Clinical features and progress of catamenial epilepsy-with 20 cases reported

    ObjectiveTo investigate clinical features and progress in women with catamenial epilepsy. MethodsThe data obtained from retrospective study in 20 patients with catamenial epilepsy and reviewing published study of catamenial epilepsy. ResultsSeizures of all cases were relatived with the menstrual cycle. Seizures that only occured perimenstrually in 7 cases, 13 cases experienced exacerbation during this time. Only 2 of the 20 cases pointed to generalized sizures.12 of 18 cases which were partial seizures identified with complex partial seizures. Of 17 patients who had EEG results, 1 showed mild abnormal waves, 1 showed slow waves, 1 showed sharp waves, 1 showed spike and slow wave complex, 2 showed generalized polyspike and slow wave complex, 11 showed focal sharp waves,spike waves and spike and slow wave complex. All patients accepted 1 or more AEDs treatment.1 patient seizure free for 2 years after menopause, 2 cases of treatment were unclear, 5 cases had positive outcomes(4 cases seizure free for 1 and more years,1 case for 6 months), 12 cases were poorly controlled, especially 9 cases were refractory epilepsy. ConclusionIt is found that catamenial epilepsy more commonly in facal and the rate of refractory epilepsy is higher. Treatment of catamenial epilepsy power with more samples, multi-center clinical trials.

    Release date:2016-11-28 01:27 Export PDF Favorites Scan
  • 广东省部分三级医院早产儿视网膜病变发生率调查

    Release date:2016-09-02 05:41 Export PDF Favorites Scan
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