中西醫(yī)結(jié)合防治急性一氧化碳中毒后遲發(fā)性腦病臨床觀察
發(fā)布時(shí)間:2018-06-07 06:13
本文選題:一氧化碳中毒 + 遲發(fā)性腦病; 參考:《山東醫(yī)藥》2010年21期
【摘要】:目的探討中西醫(yī)結(jié)合防治急性一氧化碳中毒后遲發(fā)性腦病(DEACMP)的臨床療效。方法將92例急性一氧化碳(CO)中毒患者隨機(jī)分為治療組和對(duì)照組,兩組均行高壓氧和激素等常規(guī)治療;治療組加用中藥治療。治療前后觀察遲發(fā)性腦病發(fā)生情況,比較改良長(zhǎng)谷川癡呆量表(HDS-R)評(píng)分、頭顱MRI和腦電圖變化。結(jié)果治療2個(gè)月后,遲發(fā)性腦病發(fā)生率治療組13.33%、對(duì)照組31.11%,HDS-R評(píng)分≤20分者分別為5、12例,腦電圖改善率分別為89.7%、69.5%,兩組比較均有統(tǒng)計(jì)學(xué)差異(P均0.05)。結(jié)論中西醫(yī)結(jié)合防治急性CO中毒療效顯著,可明顯降低遲發(fā)性腦病發(fā)生率。
[Abstract]:Objective to investigate the clinical efficacy of integrated traditional Chinese and western medicine in the prevention and treatment of delayed encephalopathy (DEACMP) after acute carbon monoxide poisoning. Methods 92 patients with acute CO poisoning were randomly divided into two groups: treatment group and control group. Both groups were treated with routine therapy such as hyperbaric oxygen and hormone, and the treatment group was treated with traditional Chinese medicine. The incidence of delayed encephalopathy was observed before and after treatment, and the changes of head MRI and EEG were compared with the modified Hasegawa dementia scale. Results after 2 months of treatment, the incidence of delayed encephalopathy was 13.33 in the treatment group, and 50.12 in the control group with HDS-R score 鈮,
本文編號(hào):1990135
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