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公众和医务人员都普遍认为癫痫预后差。产生这种印象有两方面原因:第一,癫痫病人有多发残疾;第二,是人们对癫痫中心慢性癫痫病人进行正规研究的结果。实际上过去十年采用前瞻性,以社区为基本的调查得出的结果表明:80%新诊断的病人缓解期延长,大多数病人在治疗开始后的两年内无癫痫发作。这些研究还说明癫痫发作次数以及癫痫患者在开始治疗前的发病时间对癫痫预后起决定性作用。Gower有句名言:在癫痫发作导致再次出现癫痫的情况下,早期治疗是十分重要的。然而,如果癫痫发作没有明显诱因,复发的危险性增大。早期治疗可以防止癫痫慢性化,则应该持续用药。癫痫首次发作后的再次发作的可能性各不相同,估计为27%至71%,这可能与治疗方案有关:一般情况下,癫痫首次发作后很快又有第二次发作时才给予治疗,若诊断延误的话,只有一次癫痫发作的病人预后较好。
The general public and medical staff are generally considered poor prognosis epilepsy. There are two reasons for this impression: first, how many people with epilepsy are having disability; and second, people are doing regular research on people with epilepsy and chronic epilepsy. In fact, the results of a prospective, community-based survey of the past decade showed that 80% of newly diagnosed patients had an extended remission and most had no seizures within two years of the start of treatment. These studies also show that the number of seizures and onset of epilepsy patients before onset of treatment play a decisive role in the prognosis of epilepsy. Gower has a famous saying: Early treatment is very important in the case of seizures leading to the re-emergence of epilepsy. However, if there is no obvious incentive for seizures, the risk of relapse increases. Early treatment can prevent chronic epilepsy, you should continue medication. The likelihood of a second episode of seizures varies from 27% to 71% after the first episode, which may be related to the regimen: in general, treatment is given only after a second episode of epileptic seizures, If the diagnosis is delayed, only one patient with a seizure has a better prognosis.