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The Latest Clinical Guidelines for Diagnosis and Treatment of Epilepsy: Coexistence of Opportunities and Challenges
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摘要:
癫痫是常见的中枢神经系统慢性疾病, 因其致残率高、病程长, 是当前世界范围的医疗难题及社会公共卫生问题。在此背景下, 癫痫临床诊疗指南的制定及推广有助于疾病的规范化诊治, 达到控制癫痫发作并改善患者预后的目的。当前不同国家或地区对疾病的认识程度差距较大, 医疗资源分配不均的现像普遍存在, 因而癫痫临床诊疗指南仍存在较大改进空间。本文就目前最新的癫痫临床诊疗指南作一解读和展望。
Abstract:Epilepsy is a common chronic disease of central nervous system with high disability rate and long duration, which is a medical and social public health problem urgently to be solved globally. In this context, the promotion of the clinical guidelines of epilepsy can help standardize the diagnosis and treatment of epilepsy, and to achieve the goal of controlling seizures and improving the prognosis of patients. At present, there is a large gap in the recognition of this disease in different countries and regions, and the uneven distribution of health resources is still quite common. There is still a lot of room for improvement of clinical guidelines of epilepsy. In this paper, we summarize the latest clinical guidelines of epilepsy and provide an outlook of its future.
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Key words:
- epilepsy /
- drug resistant epilepsy /
- epileptic status /
- sudden unexpected death /
- clinical guideline
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表 1 2017国际抗癫痫联盟新版癫痫发作分类
局灶性起源 全面性起源 未知起源 运动性 运动性 运动性 自动症、失张力发作、阵挛发作、癫痫性痉挛、过度运动发作、肌阵挛发作、强直发作 强直-阵挛发作、阵挛发作、强直发作、肌阵挛发作、肌阵挛-强直-阵挛发作、肌阵挛-失张力发作、失张力发作、癫痫性痉挛 运动性强直-阵挛发作、癫痫性痉挛 非运动性 非运动性(失神发作) 非运动性 自主神经发作、行为终止、认知发作、情绪发作、感觉性发作 典型发作、非典型发作、肌阵挛发作、眼睑肌阵挛伴失神 行为终止 局灶性进展为双侧强直-阵挛 其他无法分类 
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