[1]王 锐△,丁继岩,顾润泽,等.甲强龙治疗急性一氧化碳中毒迟发性脑病前后DTI和EEG的比较[J].郑州大学学报(医学版),2016,(05):664-667.
 WANG Rui,DING Jiyan,GU Runze,et al.Comparative analysis of DTI and EEG results of acute carbon monoxide poisoning delayed encephalopathy before and after methylprednisolone therapy[J].JOURNAL OF ZHENGZHOU UNIVERSITY(MEDICAL SCIENCES),2016,(05):664-667.
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甲强龙治疗急性一氧化碳中毒迟发性脑病前后DTI和EEG的比较()
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《郑州大学学报(医学版)》[ISSN:1671-6825/CN:41-1340/R]

卷:
期数:
2016年05期
页码:
664-667
栏目:
应用研究
出版日期:
2016-08-20

文章信息/Info

Title:
Comparative analysis of DTI and EEG results of acute carbon monoxide poisoning delayed encephalopathy before and after methylprednisolone therapy
作者:
王 锐丁继岩顾润泽谭西英
新乡市第一人民医院神经内三科 新乡 453000
Author(s):
WANG Rui DING Jiyan GU Runze TAN Xiying
Department of Third Neurology, Xinxiang First People's Hospital, Xinxiang 453000
关键词:
急性一氧化碳中毒迟发性脑病 脑电图 弥散张量成像
Keywords:
delayed encephalopathy after acute carbon monoxide poisoning EEG DTI
分类号:
R595.1
摘要:
目的:探讨脑电图(EEG)和弥散张量成像(DTI)在急性一氧化碳中毒迟发性脑病(DEACMP)中的诊断和预后评估价值。方法:选取2010年1月至2014年12月在新乡市第一人民医院住院的DEACMP患者60例,行甲强龙治疗,对其治疗前后分别行MMSE、Barthel功能评分和EEG、DTI成像。结果:治疗后患者MMSE、Barthel评分均有改善(P<0.05),EEG和DTI成像的FA值治疗后也明显改善(P<0.05)。治疗前后MMSE评分均与治疗前后ADC值有关(r=0.465、0.392、0.368、0.345,P<0.05),治疗前Barthel评分与治疗后ADC值有关(r=0.274,P<0.05)。治疗前患者的EEG结果与治疗前后DTI检测的ADC值有关联(P<0.05)。结论:EEG和DTI成像对DEACMP的病情判断、预后评估及临床治疗均具有重要意义。
Abstract:
Aim: To investigate the value of EEG and DTI in the diagnosis and prognosis of delayed encephalopathy after acute carbon monoxide poisoning(DEACMP).Methods: A total of 60 DEACMP inpatients were received from January 2010 to December 2014. MMSE, ADL function evaluation, EEG and DTI were performed before and after treatment with methylprednisolone.Results: The MMSE and ADL scores were obviously improved after treatment(P<0.05), and EEG, FA values of DTI imaging also improved significantly after treatment(P<0.05). MMSE scores before and after treatment were significantly correlated with ADC values(r=0.465,0.392,0.368,0.345,P<0.05). Barthel scores before treatment were significantly correlated with ADC values after treatment(r=0.274,P<0.05). The outcome of EEG before treatment was significantly associated with ADC values of DTI before and after treatment(P<0.05).Conclusion: Both EEG and DTI imaging are of significant value in condition judgment, prognosis and clinical treatment of DEACMP.

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备注/Memo

备注/Memo:
△男,1974年8月生,本科,主治医师,研究方向:神经内科,E-mail:2360062620@qq.com
更新日期/Last Update: 2016-08-20