吴萍

[摘要] 目的 探讨护理干预对新诊断癫痫患者首次药物治疗的影响。 方法 选取本院收治的100例新诊断癫痫患者作为研究对象，随机分为干预组和对照组。对照组仅给予常规药物治疗，干预组在对照组的基础上进行综合护理干预。比较两组的无癫痫复发率和总有效率。 结果 干预组3个月、6个月、1年的无癫痫复发率显著高于对照组，差异有统计学意义（P<0.05）。干预组1年后的总有效率为100%，显著高于对照组的92%，差异有统计学意义（P<0.05）。 结论 护理干预可显著提高新诊断癫痫患者首次药物治疗的效果，降低癫痫复发率，值得临床推广应用。

[关键词] 护理干预；新诊断；癫痫；首次药物治疗

[中图分类号] R742.1 [文献标识码] A [文章编号] 1674-4721（2015）02（b）-0192-03

Influence of nursing intervention on the first drug treatment in patients with new diagnostic epilepsy

WU Ping

Centers for Disease Control and Prevention of Laixi City in Shandong Province，Laixi 266600，China

[Abstract] Objective To explore the influence of nursing intervention on the first drug treatment in patients with new diagnostic epilepsy. Methods 100 patients with new diagnostic epileptic in our hospital were selected and randomly divided into the intervention group and the control group.The control group was given basic treatment of conventional medicine，the intervention group was given comprehensive nursing intervention on the basis of the control group.The recurrence rate of no epileptic，the total effective rate in two groups was compared. Results The recurrence rate of no epileptic in the intervention group for 3 months，6 months，1 years was higher than that in the control group，with significant difference（P<0.05）. The total effective rate of the intervention group after 1 years was 100%，which was higher than 92% of the control group，with significant difference（P<0.05）. Conclusion Nursing intervention can significantly improve effect of the first drug treatment in patients with new diagnostic epilepsy，reduce epilepsy recurrence rate，it is worthy of clinical promotion and application.

[Key words] Nursing intervention；New diagnostic；Epilepsy；The first drug treatment

癫痫是由多种原因导致的脑部神经元高度同步化异常放电所致的临床综合征，为神经系统常见疾病，临床表现具有发作性、短暂性、重复性和刻板性的特点。异常放电神经元的位置不同及异常放电波及的范围差异，导致患者的发病形式不一。本病常反复发作，病程较长，部分患者需要终身服用药物[1-2]。癫痫早期若未得到及时治疗，可出现行为、精神障碍，甚至可发展为难治性癫痫。研究显示，对癫痫患者进行适当的护理干预，在一定程度上可改善患者的生活质量[3-4]。本研究选取本院收治的100例新诊断癫痫患者作为研究对象，探讨护理干预对新诊断癫痫患者的影响。

1 资料与方法

1.1 一般资料

选取2012年8月～2013年8月本院经临床表现和脑电图新诊断的100例门诊和住院癫痫患者作为研究对象，其中男性58例，女性42例；年龄为2～70岁；初次发病年龄为1～67岁，平均（16.3±12.23）岁；根据病因分类：症状性癫痫65例，特发性癫痫15例，隐源性癫痫20例；部分性发作48例，全面性发作52例。……