一氧化碳中毒迟发性脑病临床疗效的影响因素分析  

Prognostic Factors in Delayed Encephalopathy after Acute Carbon Monoxide Poisoning

作　　者：张梅[1] 李旭晨[2] 

机构地区：[1]长治医学院附属和济医院高压氧科,046000 [2]长治医学院附属和济医院骨科

出　　处：《长治医学院学报》2009年第3期192-194,共3页Journal of Changzhi Medical College

摘　　要：目的:探讨急性一氧化碳中毒迟发性脑病(DEACMP)患者疗效的影响因素。方法:对36例DEACMP患者进行回顾性分析,总结出年龄、假愈期、生活自理能力、高压氧治疗次数对此病预后的影响,并对结果进行χ2检验。结果:本组病例中年龄<60岁组治愈率为63.6%,生活自理能力尚可组治愈率为68.4%,高压氧治疗次数>20次组治愈率为52.5%,均明显高于对照组,χ2检验后P值均有统计学意义。结论:年龄大、生活自理能力差的患者预后较差,在治疗过程中一定要加强护理,提高患者抵抗力,并尽可能延长高压氧治疗次数。Objective： To investigate the prognostic factors in the patients with delayed encephalopathy after acute carbon monoxide poisoning（DEACMP）. Methods：Thirty- six patients diagnosed as DEACMP in our hospital were observed. Factors of age, fakecure stage,independent living and hyperbaric oxygenation treatment（HBOT）frequency were analyzed respectively. The Chi- Square test was used to analyse those data with SPSS 11.0 software for windows. Results ： The cure rate of patients younger than 60 years old（63.6% ） ,self- care well（68.4% ）and HBOT more than 20 times（52.5%）are markedly higher than control group（ P 〈0.05）. Conclusion ： The aged patients with bad self - care might result in a poor prognosis, so improving the frequence of nursing and HBOT might be helpful to the patients during the treatment.

关 键 词：急性一氧化碳中毒 迟发性脑病 高压氧 

分 类 号：R595.1[医药卫生—内科学]