CAJ | 학술논문

目的分析一氧化碳中毒迟发性脑病患者预后的相关因素,为临床更好地判断一氧化碳中毒迟发性脑病预后提供依据.方法一氧化碳中毒迟发性脑病患者52例,详细记录预后可能的相关因素,包括性别、年龄、昏迷时间、假愈期、一氧化碳中毒后是否行高压氧治疗,有无高血压、糖尿病病史,并在迟发性脑病高峰期进行生活自理能力评分及脑葡萄糖代谢测定.结果影响一氧化碳中毒迟发性脑病患者临床预后的3个独立因素分别为性别、年龄和迟发性脑病假愈期时间(P＜0.05).结论一氧化碳中毒迟发性脑病的预后与性别、年龄及假愈期时间有关,脑葡萄糖代谢值尚不能作为预测迟发性脑病预后的指标.
목적 분석일양화탄중독지발성뇌병환자예후적상관인소,위림상경호지판단일양화탄중독지발성뇌병예후제공의거.방법 일양화탄중독지발성뇌병환자52례,상세기록예후가능적상관인소,포괄성별、년령、혼미시간、가유기、일양화탄중독후시부행고압양치료,유무고혈압、당뇨병병사,병재지발성뇌병고봉기진행생활자리능력평분급뇌포도당대사측정.결과 영향일양화탄중독지발성뇌병환자림상예후적3개독립인소분별위성별、년령화지발성뇌병가유기시간(P＜0.05).결론 일양화탄중독지발성뇌병적예후여성별、년령급가유기시간유관,뇌포도당대사치상불능작위예측지발성뇌병예후적지표.
Objective To analyze related factors concerning prognosis in patients with delayed encephalopathy after carbon monoxide poisoning,and to provide clinical evidence for better assessment of prognosis of delayed encephalopathy after carbon monoxide poisoning.Methods Fifty-two cases of delayed encephalopathy after carbon monoxide poisoning were enrolled in our study.Such related factors as gender,age,duration of coma,false lucid interval time,HBO therapy,blood pressure and history of diabetes were all recorded in detail.Scores of activities of daily living (ADL) at the peak of delayed encephalopathy were recorded and cerebral glucose metabolism was monitored.Results The 3 independent factors affecting the clinical outcome of patients with delayed encephalopathy after carbon monoxide poisoning were gender,age and false lucid interval time (P ＜ 0.05).Conclusions The prognosis of delayed encephalopathy was associated with gender,age,and false lucid interval time,the value of cerebral glucose metabolism could not be used as an index for predicting the prognosis of delayed encephalopathy.