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高压氧联合亚低温治疗急性一氧化碳中毒的临床效果

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目的 探讨高压氧联合亚低温治疗急性一氧化碳中毒(ACOP)的临床效果.方法 86例ACOP患者随机分为两组.在常规治疗基础上,对照组给予高压氧治疗,研究组给予高压氧联合亚低温治疗.比较两组的临床疗效、认知功能、抗氧化物水平.结果 研究组的治疗总有效率为93.02%,明显高于对照组的76.74%(P<0.05).治疗后,两组的MoCA评分均明显高于治疗前,且研究组的MoCA评分明显高于对照组(P<0.05).治疗后,两组的CAT、LPO水平均明显低于治疗前,且研究组的CAT、LPO水平均明显低于对照组(P<0.05).结论 高压氧联合亚低温治疗ACOP的效果显著,可改善患者的认知功能,降低抗氧化物水平.
Clinical Effect of Hyperbaric Oxygen Combined with Mild Hypothermia in the Treatment of Acute Carbon Monoxide Poi-soning
Objective To explore the clinical effect of hyperbaric oxygen combined with mild hypothermia in the treatment of acute carbon monoxide poisoning(ACOP).Methods A total of 86 patients with ACOP were randomly divided into two groups.On the basis of conventional treatment,the control group was treated with hyperbaric oxygen,and the study group was treated with hyperbaric oxygen combined with mild hypothermia.The clinical efficacy,cognitive function and antioxidant levels were compared between the two groups.Results The total effective rate of treatment in the study group was 93.02%,significantly higher than 76.74%in the control group(P<0.05).After treatment,the MoCA scores in the two groups were significantly higher than those before treatment,and the MoCA score in the study group was significantly higher than that in the control group(P<0.05).After treatment,the levels of CAT and LPO in both groups were significantly lower than those before treatment,and the levels of CAT and LPO in the study group were significantly lower than those in the control group(P<0.05).Conclusions Hyperbaric oxygen combined with mild hypothermia in the treatment of ACOP has significant effect,which can improve the cognitive function of patients and reduce the levels of antioxidants.

Acute carbon monoxide poisoningHyperbaric oxygenMild hypothermiaClinical efficacyCognitive function

周创宇、李海峰、兰浩云、张增强

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安阳市人民医院急诊医学科,河南安阳 455000

急性一氧化碳中毒 高压氧 亚低温 临床疗效 认知功能

2024

临床医学工程
国家医疗保健器具工程技术研究中心

临床医学工程

影响因子:0.193
ISSN:1674-4659
年,卷(期):2024.31(6)
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