WHO“癫痫社会控制”方案的扩展性试验研究

本研究对WHO“癫痫的社会控制”提案在山西和宁夏回族自治区农村进行了为期一年的扩展性观察试验。共选定癫痫大发作患者120例作为样本。两地各随机分为二组,一组由经过短期培训的乡村医生治疗,另一组由神经科医生治疗。规定使用同一种药物苯巴比妥。结果表明两组都取得了令人满意的疗效,乡村医生可以按规定方案担当起治疗和管理多数癫痫太发作病人的任务。从而再次证实此方案在我国大部分农村地区是可行的、适用的,值得逐步推广。

An extended test for" community control of epilepsy" proposed by WHO.

An extended test for the proposal" community control of epilepsy" put forward by WHO was conducted in Ningxia Hui Autonomous Region and Shanxi province. 120 patients with generalized ton-ic-clonic seizures-were selected and divided into two groups randomly. The patients in group" community A" treated by primary health care workers with phenobarbital and the patients in another group" community B" were treated by neurologists for 12 months. The result revealed that the two groups in Shanxi and Ningxia had obtained the same satisfac-tory curative effects, and primary health care workers could take the responsibility for treating and managing most of generalized epileptic patients according to the fixed method. This study confirmed that the proposal " community control of epilepsy" would be feasible and suitable in rural areas of China.