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目的探讨丁苯酞及针刺联合高压氧治疗急性一氧化碳中毒后迟发性脑病(DEACMP)患者的脑电图变化的意义。方法将符合标准的60例患者进行丁苯酞及针刺联合高压氧治疗。治疗前后检查脑电图,并进行简易智能精神量表(MMSE)评分和临床疗效观察。结果治疗后脑电图和痴呆症状与治疗前比较均有明显改善(P<0.01)。治疗后临床症状改善总有效率为86.67%,并且临床症状改善与脑电图改善相平行。结论脑电图异常程度与痴呆程度呈正相关,以丁苯酞及针刺联合高压氧治疗急性一氧化碳中毒后迟发性脑病有明显疗效,可以明显减轻脑电图异常程度,脑电图检查对于患者病情疗效判定有重要价值。
Objective To investigate the significance of butylphthalide and electroacupuncture combined with hyperbaric oxygen on electroencephalogram in patients with delayed encephalopathy (DEACMP) after acute carbon monoxide poisoning. Methods Sixty patients who met the standard were treated with butylphthalide and acupuncture combined with hyperbaric oxygen. Before and after treatment, the EEG was examined and the MMSE score and clinical curative effect were observed. Results After treatment, the symptoms of EEG and dementia were significantly improved compared with those before treatment (P <0.01). After treatment, the total effective rate of clinical symptom improvement was 86.67%, and the clinical symptom improvement was in parallel with the improvement of electroencephalogram. Conclusion The abnormality of EEG is positively correlated with the degree of dementia. Butylphthalide and acupuncture combined with hyperbaric oxygen have significant curative effect on delayed encephalopathy after acute carbon monoxide poisoning, which can significantly reduce the abnormality of electroencephalogram. Electroencephalogram Judgment of the efficacy of the disease has important value.