摘要
目的：通过收集一氧化碳中毒迟发脑病（DEACMP）患者的临床资料,分析其预后的影响因素,探讨对DEACMP患者的护理。方法：采用回顾性研究方法,总结我科2004~2009年收治的51例DEACMP患者的资料,分析年龄、性别、吸烟、基础病、并发症、最重时日常生活能力量表（ADL）评分等因素对其预后的影响。结果：年龄、并发症、最重时ADL评分对预后有一定影响,年龄的OR值为2.571,95%CI值为1.274~5.325,P值为0.001;并发症的OR值为3.519,95%CI值为2.473~6.429,P值为0.001;最重时ADL评分的OR值为6.624,95%CI值为4.177~18.365,P值为0.002;而性别、吸烟、基础病对预后影响不明显。结论：年龄越大,病程中出现并发症和最重时ADL评分越低的患者预后越差,疾病治疗期间应加强DEACMP患者的护理,预防或减轻并发症,以改善患者的预后。
Objective： To analyze the prognostic factors and nursing methods on patients with delayed encephalopathy of acute carbon monoxide poisoning（DEACMP） according to collect their clinical data.Methods： A retrospective study was used to sum up the clinical data of 51 patients in 2004 to 2009,and their age,gender,smoking,underlying diseases,complications,the activities of daily living（ADL） score and other factors on the prognosis were analyzed.Results： Age,complications,ADL score had a certain influence on the prognosis.The OR value of age was 2.571,95%CI value was 1.274-5.325,P value was 0.001,the complications was 3.519,2.473-6.429,0.001,and the ADL score was 6.624,4.177-18.365,0.002 respectively.However,gender,smoking,underlying diseases had no obvious effect on prognosis.Conclusion： The older,complications and lower ADL scores patients get,the prognosis is worse.During the treatment of DEACMP patients,enhancing the nursing,preventing or reducing the complications and improving the prognosis is necessary.
出处
《中国医药导报》
CAS
2011年第16期142-144,共3页
China Medical Herald
关键词
急性一氧化碳中毒
迟发脑病
预后
护理
Acute carbon monoxide poisoning
Delayed encephalopathy
Prognosis
Nursing
