首页|高压氧联合奥拉西坦+胞磷胆碱对一氧化碳中毒患者认知功能、血流变及血清Tau蛋白水平的影响

高压氧联合奥拉西坦+胞磷胆碱对一氧化碳中毒患者认知功能、血流变及血清Tau蛋白水平的影响

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目的 分析高压氧联合奥拉西坦+胞磷胆碱对一氧化碳中毒患者认知功能、血流变及血清Tau蛋白水平的影响。方法 选取2021年6月至2022年10月在该院进行治疗的94例一氧化碳中毒患者作为研究对象,按照随机数字表法分为观察组和对照组,每组47例。对照组采用高压氧治疗,观察组在对照组基础上采用奥拉西坦+胞磷胆碱治疗。比较两组的疗效及治疗前后蒙特利尔认知评估量表(MoCA)评分、简易精神状态评价量表(MMSE)评分、Barthel指数(BI)、血浆黏度、血小板聚集率、全血低切黏度、全血高切黏度、血清Tau蛋白水平。结果 观察组总有效率高于对照组(P<0。05)。治疗后两组MoCA、MMSE评分及BI高于治疗前,且观察组高于对照组,差异均有统计学意义(P<0。05)。治疗后两组血浆黏度、血小板聚集率、全血低切黏度、全血高切黏度低于治疗前,且观察组低于对照组,差异均有统计学意义(P<0。05)。治疗后两组Tau蛋白水平低于治疗前,且观察组低于对照组,差异均有统计学意义(P<0。05)。结论 高压氧联合奥拉西坦+胞磷胆碱治疗一氧化碳中毒患者的效果显著,可有效改善患者的认知功能和血流变指标,降低血清Tau蛋白水平。
Effects of hyperbaric oxygen combined with oxiracetam+citicoline on cognitive function,hemorheology,and serum Tau protein level in patients with carbon monoxide poisoning
Objective To analyze the effects of hyperbaric oxygen combined with olanzapine+cytarabine on cognitive function,haemodynamics and serum Tau protein level in patients with carbon monoxide poison-ing.Methods Ninety-four carbon monoxide poisoning patients who were treated in this hospital from June 2021 to October 2022 were selected as study subjects,and they were divided into the observation group and the control group according to the random number table method,with 47 cases in each group.The control group was treated with hyperbaric oxygen,and the observation group was treated with olaxetan+cytarabine on the basis of the control group.The efficacy of the two groups and the Montreal Cognitive Assessment Scale(Mo-CA)score,the Brief Mental State Evaluation Scale(MMSE)score,the Barthel Index(BI),plasma viscosity,platelet aggregation rate,whole blood low-cut viscosity,whole blood high-cut viscosity and serum Tau protein level before and after treatment were compared.Results The total effective rate in the observation group was higher than that in the control group(P<0.05).The MoCA,MMSE score and BI in two groups after treat-ment were higher than before treatment,and those in the observation group were higher than those in the con-trol group,and the differences were statistically significant(P<0.05).Plasma viscosity,platelet aggregation rate,whole blood low-cut viscosity and whole blood high-cut viscosity were lower than before treatment in two groups after treatment,and those in the observation group were lower than those in the control group,and the differences were statistically significant(P<0.05).The Tau protein level of two groups after treatment was lower than that before treatment,and that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).Conclusion Hyperbaric oxygen combined with oxiracetam+citicoline is effective in the treatment of patients with carbon monoxide poisoning,which can ef-fectively improve the patients'cognitive function and hemorheological indicators and reduce the level of serum Tau protein.

hyperbaric oxygenoxiracetamciticolinecarbon monoxide poisoningcognitive func-tionhemorheologyTau protein

徐震林、李奕鑫、赵国平

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中国人民解放军联勤保障部队第九一○医院 急诊医学科,福建泉州 362000

中国人民解放军联勤保障部队第九一○医院 重症医学科,福建泉州 362000

高压氧 奥拉西坦 胞磷胆碱 一氧化碳中毒 认知功能 血流变 Tau蛋白

2025

检验医学与临床
重庆市卫生信息中心 重庆市临床检验中心

检验医学与临床

影响因子:1.096
ISSN:1672-9455
年,卷(期):2025.22(1)