具有不同风险因素的第一个未引起的发作后复发的风险:为期10年的前性队列研究
Xin-Yu Chen1, Feng-Huang Zhou2, Ge Tan1
1Department of Neurology, West China Hospital, Sichuan University, 37# Wai Nan Guo Xue Lane, Chengdu 610041, China.
第一次无缘无故的发作后的复发很常见,特别是在前两年内. 发作和先前的脑损伤是关键预测因素,多种风险因素显著增加了发作复发风险.
科学领域:
- 神经学 神经学
- 的研究研究.
- 临床神经科学 临床神经科学
背景情况:
- 第一次无缘无故的发作需要对其复发的风险进行准确的评估.
- 了解发作复发的预测因素对于患者的管理和预后至关重要.
研究的目的:
- 评估第一次未引起的发作后,发作复发的风险.
- 识别与复发相关的单个和多个风险因素.
主要方法:
- 对201个人进行的前性队列研究,他们第一次有未引起的发作.
- 累计复发率的卡普兰-梅尔曲线.
- 考克斯回归和相互作用分析 (AP) 用于风险因素评估.
主要成果:
- 累积复发率在10年内达到57.5%,大多数复发发生在2年内.
- 型排泄 (RR 2.5) 和先前的脑损伤 (RR 2.1) 独立预测复发.
- 风险因素的组合,比如性发作和以前的脑损伤,显示出明显更高的复发风险 (RR 7.0).
结论:
- 在患有形发作,夜间,MRI异常,先前脑损伤或焦点的患者中观察到大量的复发率.
- 形发作和先前的脑损伤是发作复发的独立预测因素.
- 与单个或没有风险因素相比,多个风险因素显著提高了复发风险.
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