分期综合治疗急性CO中毒后迟发性脑病疗效观察  

Investigation of the Clinical Curative Effects for Synthetic Treatment by Stages Patients with Delayed Encephalopathy after Acute CO Poisoning

作　　者：马全有[1] 张留沙[1] 成杰[1] 王路平[1] 

机构地区：[1]河南省精神病医院,河南新乡453002

出　　处：《中国神经免疫学和神经病学杂志》2007年第1期18-19,共2页Chinese Journal of Neuroimmunology and Neurology

摘　　要：目的探讨分期综合治疗急性CO中毒后迟发性脑病（DEACMP）的临床疗效。方法将68例DEACMP患者随机分为观察组（34例）和对照组（34例）。观察组采取脑病加重期和恢复期分期综合治疗，对照组施以高压氧等常规治疗。结果观察组和对照组痊愈率、显效率、有效率分别为61．76％、26．47％、11．77％和23．53％、20．59％、26．47％。观察组疗效明显高于对照组（x^2=17．95，P〈0．01）。观察组病程27～130d，平均64．73d；对照组病程66～290d，平均182．06d。结论分期综合治疗DEACMP疗效较好，病程较短，是临床较理想的治疗方法。Objective To investigate the clinical curative effects of patients with delayed encephalopathy after acute CO poisoning （DEACMP）. Methods Sixty-eight patients with DEACMP were divided at random into research group （34 cases） and control group （34 eases）. The patients with DEACMP in research group were treated synthetically by stages. The patients with DEACMP in control group were treated with routine way, such as hyperbaric oxygen, Results In research group, the cure rate, significant improvement rate and effective rate were 61. 76%, 26.47 % and 11. 77 % respectively. While in control group, the cure rate, significant improvement rate and effective rate were 23. 53%, 20.59% and 26.47% respectively. The comparison of the two groups showed significant difference in clinical curative effect （x^2=17.95, P〈0.01）. Conclusions It is an ideal method that the patients with DEACMP to be treated synthetically by stages.

关 键 词：急性一氧化碳中毒 迟发性脑病 疗效 脑电图 

分 类 号：R595.1[医药卫生—内科学] R742[医药卫生—临床医学]