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癫痫患者的求学与教育支持
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癫痫患者的日常护理核心要点

(一)核心诊疗机构及特色优势

更年期女性患者也面临挑战,比如 48 岁的刘女士,更年期后雌激素水平下降,发作频率从每月 1 次增加到 2-3 次,还伴有潮热、失眠,而失眠又会诱发癫痫。医生给她用了雌孕激素联合的激素替代治疗,缓解了潮热、失眠,同时把她的抗癫痫药换成拉莫三嗪,因为拉莫三嗪对睡眠影响小,现在刘女士的发作减少到每月 1 次,睡眠质量也改善了。女性患者还要注意骨健康,比如刘女士长期吃抗癫痫药,医生让她每天补充 800IU 维生素 D 和 1000mg 钙,每 2 年做一次骨密度检查,预防骨质疏松,去年她的骨密度检查显示正常,没有出现缺钙问题。

颞叶癫痫:最常见的成人癫痫综合征,多由颞叶海马硬化导致,发作类型为复杂部分性发作(伴有自动症),常伴有记忆障碍,手术治疗(颞叶切除术)效果好,术后无发作率达 70% 以上。

复旦大学附属华山医院(神经内科 / 神经外科)

结合国内外临床实践,实现癫痫临床治愈需遵循 “精准诊断 - 规范治疗 - 长期管理” 的三步路径,每一步均需专业医疗团队与患者家属的密切配合。

癫痫种类多,发作表现、治疗、预后都不一样,2017 年国际抗癫痫联盟(ILAE)从 “发作形式”“病因”“综合征” 分类,精准分型才能对症治疗。

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癫痫与智力低下的关系真相

部分性复杂发作的记忆障碍表现

儿童癫痫患者的学习与教育指导

抗癫痫药物与其他药物的相互作用

(三)就医实用指南

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癫痫合并高血压的综合治疗

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