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数字连接实验和数字符号实验联合应用诊断轻微肝性脑病价值研究

翟慧勤 范红 寻琳婷 王芸

中国实用内科杂志2013,Vol.33Issue(3):217-219,3.
中国实用内科杂志2013,Vol.33Issue(3):217-219,3.

数字连接实验和数字符号实验联合应用诊断轻微肝性脑病价值研究

Significance of number connection test and digit symbol tests for the diagnosis of minimal hepatic encephalopathy

翟慧勤 1范红 1寻琳婷 1王芸1

作者信息

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摘要

Abstract

Objective To explore the significance of number connection test (NCT) and digit symbol test (DST) for the diagnosis of minimal hepatic encephalopathy (MHE). Methods A total of 65 patients with hepatitis B-associated cirrhosis were recruited from the department of gastroenterology, the First People's Hospital of Yunnan Province. We also enrolled ninety healthy volunteers with an educational background for > 12 years as normal controls. The NCT-A and DST were employed for assessment. Results The diagnostic yield for the combination of NCT-A and DST was 46% (30/65). Prolonged duration of NCT-A was linked to the increasing severity of Child-Pugh stages (P < 0. 05), which was associated with progressively reduced DST score (P < 0. 05). Conclusion Featured by high feasibility and convenience, the combination of NCT-A and DST is useful to the diagnosis of MHE and may reduce the rates for misdiagnosis and underdiagnosis. In view of high cost-effectiveness, the combination may be particularly suitable for out-patient screening and long-term follow-up investigation following patients' discharge from the hospital.

关键词

轻微肝性脑病/数字连接实验/数字符号实验

Key words

minimal hepatic encephalopathy/ number connection test/ digit symbol tests

分类

医药卫生

引用本文复制引用

翟慧勤,范红,寻琳婷,王芸..数字连接实验和数字符号实验联合应用诊断轻微肝性脑病价值研究[J].中国实用内科杂志,2013,33(3):217-219,3.

基金项目

国家自然科学基金资助(81260077) (81260077)

中国实用内科杂志

OA北大核心CSCDCSTPCD

1005-2194

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