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单唾液酸四己糖神经节苷脂联合高压氧治疗一氧化碳中毒迟发性脑病临床研究
引用本文:司玲珍,职慧苗,付慧丹. 单唾液酸四己糖神经节苷脂联合高压氧治疗一氧化碳中毒迟发性脑病临床研究[J]. 疑难病杂志, 2011, 10(1): 19-20. DOI: 10.3969/j.issn.1671-6450.2011.01.008
作者姓名:司玲珍  职慧苗  付慧丹
作者单位:河南洛阳钢铁集团有限责任公司职工医院,471023
摘    要:
目的探讨单唾液酸四己糖神经节苷脂(GM1)联合高压氧治疗一氧化碳中毒迟发性脑病(DEACMP)的临床疗效。方法将41例DEACMP患者随机分为治疗组21例和对照组20例,2组给予高压氧等常规治疗,治疗组在对照组治疗的基础上加用GM1(100 mg静脉滴注,每天1次,14d;之后40 mg静脉滴注,每天1次,16 d)。治疗前后均用MMSE智力量表进行智能评分及疗效评定。结果 2组治疗后MMSE评分明显好转(均P<0.01),且2组间比较有显著性差异(P<0.01)。治疗组总有效率(90.5%)高于对照组(70.0%),差异有统计学意义(P<0.05)。结论 GM1联合高压氧治疗DEACMP疗效好,值得临床推广。

关 键 词:一氧化碳中毒  脑病,迟发性  高压氧  单唾液酸四己糖神经节苷脂

Clinical study on monosialotetrahexosyl ganglioside combined with hyperbaric oxygen in the treatment of delayed encephalopathy after carbon monoxide poisoning
SI Ling-zhen,ZHI Hui-miao,FU Hui-dan. Clinical study on monosialotetrahexosyl ganglioside combined with hyperbaric oxygen in the treatment of delayed encephalopathy after carbon monoxide poisoning[J]. Journal of Difficult and Complicated Cases, 2011, 10(1): 19-20. DOI: 10.3969/j.issn.1671-6450.2011.01.008
Authors:SI Ling-zhen  ZHI Hui-miao  FU Hui-dan
Affiliation:SI Ling-zhen,ZHI Hui-miao,FU Hui-dan.The Workers' Hospital of Luo yang Steel Co,Ltd,Henan Province,Luoyang 471023,China
Abstract:
Objective To investigate the effect of monosialotetrahexosyl ganglioside(GM1) combined with hyperba ric oxygen in the treatment of delayed encephalopathy after carbon monoxide poisoning(DEACMP).Methods 41 cases with DEACMP were randomly divided into therapy group(21 cases) and control group(20 cases).The basic treatment of two groups was hyperbaric oxygen,and then therapy group was treated with GM1 injection 100 mg/d which lasted 14 days,then 40 mg/d which lasted 16 days.The changes of MMSE were measured in...
Keywords:Carbon monoxide poisoning  Encephalopathy  delayed  Hyperbaric oxygen  Monosialotetrahexosyl ganglioside  
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