| Objective: Through a survey of epidemiological of epilepsy in some of the rural areas of Jilin Province,grasp the incidence, prevalence ,mortality and the treatment gap of the epilepsy in rural areas in our province . It has very important social significance and its clinical significance to comprehensive grasp of incidence of epilepsy situation in China's rural areas.Methods:①Select Dongfeng,Yitong,Meihekou in Jilin Province as a targetcounty,the total number is 62.34 million, the survey population are 9-10 million above in each regional,the number of the actual investigation population is 310402;②By the epilepsy research group of the department of neurology in the First Hospital of Jilin University to train and provide knowledge of epilepsy to the related staff who participate in this project in three demonstration areas.③By trained local doctors in county hospitals in this area to census all the patients of epilepsy, and classify the types of the patients of epilepsy though the guidance of a physician at the county hospitals, the patients who to be in line with the treatment phenobarbital, will give the phenobarbital free treatment,follow-up and management,observe the effect and the adverse reactions of the people who application phenobarbital after a year .④statistical analysis.Results: 1. The incidence rate and prevalence rate: The overall prevalence rate in our province is about 3.94‰, the overall annual incidence rate is about 22.55 per 100,000 population, down from foreign and domestic coverage. 2. The gender composition: male patients with a total of 650 and females with a total of 573 , the ratio of male patients and female patients is approximately 1.13:1, the incidence of male is higher than female 3. Constitute of age: the age of patients focus on 10 to 60 ,and the mostly patients are between 20 and 50, the patients of 30 to 40-year-old reach the climax. Incidence of age: the main incidence of age focus on 0 ~ 20-year-old, of which the peak incidence is in the 0 to 10 years old. 4. Attack type: the main type is tonic-clonic seizures. 5. Mortality and the causes of death: The mortality rate is about 0.89%. a total of 11 patients died in the past year, of which 3 patients died of drowning, 3 committed suicide, 3 cerebrovascular disease, 1 person was killed by car accident, 1 person for unknown reason. 6. The treatment gap: 62.7 percent of the patients did not receive reasonable treatment.7.The prominent effect of the patients who take Phenobarbital is about 52.09%, the effective is 30.01% ,patients about the improvement of symptoms,with total 82.10%, and invalid or deterioration of patients is 17.90%.Conclusion: 1, In our province, the incidence of epilepsy is 22.55/10 million people per year, the prevalence rate is about 3.94‰, the results of the survey is lower than the past; 2, The mortality rate is about 0.89 percent, the cause of death : 3 died of drowning, 3 committed suicide, 3 cerebrovascular disease, 1 person was killed by car accident, 1 person for unknown reasons. This shows that strengthen the knowledge of epilepsy is particularly important in rural areas; 3. The survey of the treatment: the treatment gap up to 62.7 percent. At present, in rural areas of Jilin Province, it can not be optimistic about the status of the treatment of epilepsy, government must take reasonable measures to change the situation. as soon as possible.4.The effect of the treatment of Phenobarbital is definite ,and in the application of patients, no significant adverse reaction, it can be used in the rural where the economy relatively backward .
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