中国全科医学2013，Vol.16Issue(17)：1956-1958,3.DOI:10.3969/j.issn.1007-9572.2013.06.044
急性一氧化碳中毒后迟发性脑病患者假愈期与病情严重程度和预后的关系研究
Relationship of Latent Phase to Severity and Prognosis in Patients with Delayed Encephalopathy after Acute Carbon Monoxide Poisoning
摘要
Abstract
Objective To explore the relationship of latent phase ( LP ) to severity and prognosis in patients with delayed encephalopathy after acute carbon monoxide poisoning ( DEACMP ). Methods A total of 327 DEACMP patients were divided, according to LP length, into groups Short LP ( LP ≤20 d, n = 174), Long LP ( LP≥21 d, n = 153 ). Patients' severity and prognosis were evaluated with ADL, IMCT, HDS to determine efficacy after 30 d, 180 d of onset. Results No significant difference was noted in ADL, IMCT and HDS between 2 groups in most severe period ( P > 0. 05 ). There was significant difference in ADL, IMCT and HDS between 2 groups in recovery period ( P <0. 01 ). The cure rate was 71. 26% ( 124/174 ) in Short LP group, 88. 89% ( 136/153 ) in Long LP group, the difference was significant ( x2 = 15. 52, P =0. 01 ). Conclusion The length of LP is not so related to severity of patients' disease, but it may be an indicator for prognostic judgment, namely, the longer LP is, the better the prognosis is.关键词
一氧化碳中毒/迟发性脑病/假愈期/预后Key words
Carbon monoxide poisoning/ Delayed encephalopathy/ Latent phase/ Prognosis分类
医药卫生引用本文复制引用
王传升,张萍,韩永凯,赵国有,顾家鹏,时婷婷,顾仁骏..急性一氧化碳中毒后迟发性脑病患者假愈期与病情严重程度和预后的关系研究[J].中国全科医学,2013,16(17):1956-1958,3.基金项目
河南省教育厅自然科学研究计划项目(2011B320011) （2011B320011）
河南省卫生科技创新人才资助项目 (3052) （3052）
