【摘 要】目的：探讨左乙拉西坦治疗老年癫痫部分性发作或继发全面性发作患者的疗效。方法：选取2016年5月～2018年1月本院收治的老年癫痫部分性发作或继发全面性发作患者共93例，采用随机数表法分为两组，实验组46例，对照组47例，所有患者均接受常规对症处理，对照组使用丙戊酸鈉治疗，实验组采用丙戊酸钠联合左乙拉西坦治疗，观察和比较两组疗效。结果：治疗总有效率比较差异显著，实验组明显高于对照组(P<0.05)。结论：左乙拉西坦联合丙戊酸钠治疗老年癫痫部分性发作或继发全面性发作效果显著，能快速缓解患者临床症状，值得推广。

    【关键词】左乙拉西坦;癫痫;部分性发作;全面性发作

    Abstract Objective： To investigate the efficacy of levetiracetam in the treatment of partial seizures or secondary generalized seizures in elderly patients with epilepsy. METHODS： A total of 93 patients with partial seizures or secondary generalized seizures in the elderly from May 2016 to January 2018 were enrolled in the hospital. They were randomly divided into two groups ......