摘要癫痫是一种常见的神经系统疾病，研究结果表明部分癫痫患者合并认知功能障碍。临床实践中发现，除癫痫本身的病因以及结构性损害以外，抗癫痫发作药物对癫痫患者的认知功能也会造成影响。然而，目前部分抗癫痫发作药物对于癫痫患者认知功能的影响仍无定论，其影响癫痫患者认知功能的机制仍未阐明。近年来，一些研究针对接受抗癫痫发作药物治疗的患者进行认知功能的随访跟踪，并提出了指导意见。文中着重谈谈常用的抗癫痫发作药物对于认知功能影响的研究现状、抗癫痫发作药物影响认知功能的可能机制、不同人群抗癫痫发作药物的合理使用及相关认知功能障碍的预防策略，希望能提高对癫痫患者认知功能的重视，并指导临床实践。

abstractsEpilepsy is a common neurological disease, and studies have shown that some epilepsy patients are combined with cognitive impairment. In clinical practice, it has been found that, in addition to the seizure itself, anti-seizure medications can also have a corresponding impact on the cognitive function of epilepsy patients. However, the effects of some drugs on the cognitive function of epilepsy patients are still inconclusive, and the mechanism of their influence on cognitive function in epilepsy patients is not elucidated. In recent years, some studies followed up the cognitive function of patients receiving anti-seizure medications therapy, and put forward guidance. This article focused on the research of commonly used drugs on cognitive function, the possible mechanism of drugs affecting cognitive function, the rational use of drugs in different groups of people and the prevention strategies of related cognitive dysfunction, hoping to improve emphasis on cognitive function in epilepsy patients and guide clinical practice.