江苏省扬州市头桥农村社区癫痫病防治管理状况调查

目的了解扬州市头桥农村社区癫痫病防治管理状况。方法采用随机整群抽样,在头桥镇8个自然村在册户口人群开展入户见面式癫痫普查。结果调查地区癫痫发病率为每年53.40/10万,患病率为7.83‰。57.47%癫痫患者未服用抗癫痫药物治疗,1年内、2年内、5年内活动性癫痫治疗缺口分别为50.57%、58.62%、64.37%。抗癫痫治疗患者中联合用药比例为17.86%,使用频度前几位药物分别为:大仑丁、安定、氯硝安定、鲁米那等。结论调查点为农村癫痫高发地区,多数癫痫患者未接受正规抗癫痫药治疗,治疗缺口较大,抗癫痫药物治疗不规范,说明该地区癫痫防治管理水平较低。

STUDY ON THE MANAGEMENT CURRENT STATUS OF PREVENTION AND TREATMENT FOR EPILEPSY IN TOUQIAO RURAL AREA IN YANGZHOU CITY

Objection To study on the management current status of prevention and treatment for epilepsy in Touqiao rural area in Yangzhou city.Methods Through systematic sampling methods randomly,the population in 8 villages in Touqiao were interviewed on a house-to-house basis by using questionnaire for detecting epilepsy.Results The annual incidence of epilepsy was 53.4 per 100,000.The prevalence of epilepsy was 7.83‰ in the investigated district.57.47% patients with epilepsy did not receive anticonvulsant medication.The therapy nick rate for active epilepsy in one year,two years,five years were 50.57%,58.62%,64.34% respectively.The concomitant administration rate of antiepileptic drugs was 17.86%.The first front leading place antiepileptic drugs were as follows: Phenytoin,Diazepam,Phenobarbital,Chlonazepam ect.Conclusion The prevalence of epilepsy in the investigated rural area was high.Most of epilepsy patients did not receive regular anticonvulsant medication.The therapy nick was bigger.Administration of antiepileptic drugs was not standardization.It suggested that the management of prevention and treatment for epilepsy was at low levels.