广西壮族癫痫患者婚育情况调查分析

目的:对广西壮族癫痫患者婚姻及生育情况进行调查,并对其影响因素进行分析。方法:选择60例广西壮族癫痫患者为癫痫组,同时随机选取同期60名健康者为对照组;采用问卷调查的方法,重点调查婚姻和生育情况、个人收入、癫痫病情等,并对影响婚姻情况的相关因素进行分析。结果:癫痫组男、女结婚年龄均高于对照组(P<0.05和P<0.01);癫痫组男性已婚率及生育率均低于对照组(P<0.05),但2组女性已婚率及生育率差异均无统计学意义(P>0.05)。对照组子女出现1例先天性房间隔缺损,癫痫组子女有1例先天性唇裂,但2组差异无统计学意义(P>0.05)。癫痫组已婚者为初中及以上文化多于未婚者(P<0.01);已婚者月收入>2 000元也明显多于未婚者(P<0.01);已婚和未婚者医疗费用支付方式差异无统计学意义(P>0.05);已婚者发病年龄高于未婚者(P<0.01),病程明显短于未婚者(P<0.01);癫痫组已婚与未婚者的疾病发作类型及综合征、发作持续时间差异均无统计学意义(P>0.05),但癫痫发作频率差异有统计学意义(P<0.01)。logistic回归分析结果显示,性别、发病年龄、月收入、文化程度、病程、癫痫发作频率均为癫痫患者未婚的影响因素(P<0.01)。结论:广西壮族男性癫痫患者的已婚率及生育率明显低于健康男性,且婚姻状况又与性别、发病年龄、月收入、文化程度、病程、癫痫发作频率密切相关。

Marriage and procreation status of epilepsy patients of Zhuang nationality in Guangxi province

Objective:To investigate the marriage and procreation condition of epilepsy patients of Zhuang nationality in Guangxi and to analyze the influencing factors. Methods:Sixty epilepsy patients of Zhuang nationality in Guangxi province were selected as the epilepsy group and 60 healthy subjects were randomly selected as the control group at the same period. The questionnaire survey method was adopted to investigate the marriage status,family situation,personal income and epilepsy disease of all the subjects;and regression analysis was used to analyze the related factors affecting their marital status. Results:The average marrying age of both the male and female in the epilepsy group was higher than that in the control group(P<0. 05 and P<0. 01);the marriage and fertility rates of the male in the epilepsy group were obviously lower than those in the control group (P<0. 05),but the marriage and fertility rates of the female had no statistical differences between the two groups(P>0. 05). The health situation of the children showed that the control group had 1 case of congenital atrial septal defect and the epilepsy group 1 case of congenital cleft lip, which had no statistical significant difference(P>0. 05). The number of married epilepsy patients who had a junior high school or above education background (P<0. 01) and a monthly income of over 2 000 yuan was higher than that of the unmarried (P<0. 01);the medical expense had no difference between the two groups(P>0. 05). The average onset age of the married people was higher than that of the unmarried (P<0. 01),and the course of the disease was obviously shorter than that of the unmarried (P<0. 01);the epilepsy seizures,syndrome types and duration of the epilepsy seizures of the married and unmarried people had no significant differences (P>0. 05),but the frequency of epileptic seizures had significant differences (P <0. 01). Logistic regression analysis showed that gender,age of onset,income, educational level,course of the disease and frequency of epileptic seizures were all factors affecting the epilepsy patients′ marriage situation(P<0. 01). Conclusions:The marriage rate and fertility rate of the male epilepsy patients of Zhuang nationality in Guangxi province are markedly lower than those of the healthy control;and gender,age of onset,income,education degree,course and frequency of epileptic seizures are all closely related to the marital status of the epilepsy patients.