脑电图联合核磁共振在急性一氧化碳中毒后迟发性脑病诊断中的应用及临床价值研究

The application and clinical value of EEG combined with MR in the diagnosis of delayed encephalopathy after acute carbon monoxide poisoning

目的:探究脑电图(EEG)联合核磁共振(MRI)在急性一氧化碳中毒后迟发性脑病(DEACMP)诊断中的应用及临床价值研究。方法:选取2009年8月至2018年8月在我院住院的一氧化碳中毒患者60例,其中出现DEACMP者30例。将发生DEACMP的患者假愈期的EEG、头部MRI与未出现DEACMP的一氧化碳中毒患者的资料进行对比分析。结果:DEACMP组中毒急性期EEG和头颅MRI异常的例数均显著高于对照组(P<0.05);EEG和头颅MRI异常均与DEACMP的发生呈正相关;结论:EEG的改变与DEACMP的发生有关,EEG和头颅MRI的异常可预测DEACMP的发生。

Objective: To explore the application and clinical value of electroencephalogram (EEG) EEG combined with magnetic resonance imaging ( MRI) in the diagnosis of delayed encephalopathy after acute carbon monoxide poisoning. Methods: From August 2009 to August 2018, 60 patients with carb on monoxide poisoning in our hospital were selected. including 30 patients with delayed encephalopathy. Analysis and comparison of EEG and MRI were performed between the patients with delayed encephalopathy in the latent phase and the patients without it. Results: More cases of abnormal EEG and MR] in the delayed encephalopathy group were found than in the control group'(P<0. 05). Both EEG and MRI were positively correlated with the occurrence of delayed encephalopathy (P<0. 05). Conclusion : The abmomality of EEG and MRI can forecast the occurrence of delayed encephalopathy .