对萨哈共和国(雅库特)儿童癫痫问题的研究

G. M. Pshennikova
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摘要

癫痫是儿童神经系统最常见的疾病之一。据世界卫生组织统计,全世界有 5000 多万人患有癫痫。据估计,目前活动期(即反复发作并需要治疗)癫痫患者在总人口中所占比例为千分之四到十。全球每年有 240 万人被确诊患有这种疾病。在俄罗斯,癫痫患者超过 100 万。我们对萨哈共和国(雅库特)儿童癫痫患病率和发病率的统计数据进行了分析。1985 年,E.A. Krivogornitsyna 在雅库特进行了首次儿童癫痫流行病学研究。作为调查的结果,获得了共和国 32 个区和雅库茨克市的神经科和精神病科医生在诊所登记的 322 名儿童的数据。根据 2004 年儿童癫痫流行病学研究(Baisheva G.M.,2004 年),萨哈共和国(雅库特)每 1 000 名儿童中有 5.2 人患癫痫,每 100 000 名儿童中有 114 人患癫痫。2020 年,14 岁以下儿童的癫痫发病率为每千人 5.4 例,主要发病率为每十万人 50 例。平均而言,从 2010 年到 2020 年,儿童癫痫的主要发病率为每 10 万人 80 例。15-17 岁青少年的癫痫发病率平均为 10.4%。该年龄段儿童的初次发病率平均为每 10 万人 140 例。通过组织全面的医疗护理,可以在市级和共和国一级制定癫痫患者管理战略。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
STUDY OF THE PROBLEM OF CHILDREN’S EPILEPSY IN THE REPUBLIC OF SAKHA (YAKUTIA)
Epilepsy is one of the most common diseases of the nervous system in children. According to WHO, more than 50 million people worldwide suffer from epilepsy. It is estimated that the proportion of the general population with its active form (that is, with recurrent seizures and the need for treatment) currently ranges from 4 to 10 per 1,000 people. Globally, 2.4 million people are diagnosed with this disease every year. In Russia, epilepsy affects more than 1 million people. The analysis of statistical data on the prevalence and incidence of epilepsy in children in the Republic of Sakha (Yakutia) was carried out. In Yakutia, the first epidemiological study of epilepsy in the pediatric population was conducted in 1985 by E.A. Krivogornitsyna. As a result of the survey, data were obtained on 322 children who were registered at the dispensary with neurologists and psychiatrists in 32 districts of the republic and the city of Yakutsk. According to the study of the epidemiology of epilepsy in children in 2004 (Baisheva G.M., 2004), the prevalence of epilepsy was 5.2 per 1,000 children of the Republic of Sakha (Yakutia), and the primary incidence was 114 per 100,000 children. Prevalence of epilepsy in children under 14 years of age in 2020 was 5.4 per 1,000 population, the primary incidence was 50 per 100,000 population. On average, from 2010 to 2020, the primary incidence of epilepsy in children is 80 per 100,000 population. The prevalence of epilepsy in adolescents aged 15 – 17 years averaged 10.4 %. The average value of primary morbidity in this group of children was 140 per 100,000 population. The organization of comprehensive medical care will make it possible to form a strategy for the management of epilepsy patients at the municipal and republic levels.
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