老年与非老年急性一氧化碳中毒后迟发性脑病患者智能状况对照研究  

A control study of intelligence condition of senile and non-se-nile patients with DEACMP

作　　者：张学民[1] 顾欣[1] 顾家鹏 张萍[1] 张帆[1] 衣学伟[2] 魏平[1] 顾仁骏[1] 

机构地区：[1]新乡医学院第二附属医院,河南·新乡453002 [2]新乡市中心医院,河南·新乡453002

出　　处：《临床心身疾病杂志》2014年第1期8-10,25,共4页Journal of Clinical Psychosomatic Diseases

基　　金：河南省科技厅科技攻关计划资助项目（编号0624410035）

摘　　要：目的：探讨老年与非老年期急性一氧化碳中毒后迟发性脑病患者急性期及恢复期的智能、日常生活能力状况。方法对64例老年与63例非老年期急性一氧化碳中毒后迟发性脑病患者急性期和恢复期分别采用日常生活能力量表、常识-记忆-注意测验及长谷川痴呆量表进行测评分析。结果恢复期两组日常生活能力量表评分均较急性期显著下降（P＜0．01），但仍明显高于正常值；常识-记忆-注意测验及长谷川痴呆量表评分均较急性期显著升高（P＜0．01），但仍明显低于正常值；同期两组各量表评分比较差异均无显著性（P＞0．05）。结论老年与非老年期急性一氧化碳中毒后迟发性脑病患者恢复期智能、日常生活能力等均较急性期明显好转，且老年与非老年病情程度、病情变化和治疗效果基本一致，该病的预后与年龄因素无关。Objective To explore intelligence and activity of daily living of senile and non-senile patients with delayed encephalopathy after acute carbon monoxide poisoning （DEACM P） in acute phase and conva-lescent period .Methods Assessments were conducted with the Activity of Daily Living Scale （ADL） ,In-formation-Memory-Concentration Test （IMCT ） and Hasegawa Dementia Scale （HDS ） in 64 senile and non-senile DEACMP patients .Results ADL scores of both groups lowered more significantly in convales-cent period than acute phase （P〈0 .01） ,but were significantly higher than normal value ;IMCT and HDS scores of both groups heightened more significantly in convalescent period than acute phase （P〈0 .01） , but were significantly lower than normal value ;there were no significant group differences in score of each scale in the corresponding period （P〉 0 .05） .Conclusion Convalescent intelligence and activity of daily living of both senile and non-senile DEACM P patients improve notably ,their patient’s condition ,changes of patient’s condition and treatment effectiveness are basically coincident ,DEACM P’s prognosis has noth-ing to do with age factors .

关 键 词：急性一氧化碳中毒 迟发性脑病 老年期 非老年期 智能 日常生活能力量表 常识-记忆-注意测验 长谷川痴呆量表 

分 类 号：R595.1[医药卫生—内科学]