Clinical observation of cognitive function training combined with hyperbaric oxygen treatment in delayed encephalopathy after carbon monoxide poisoning
Notice bibliographique
Résumé
Objective To explore the curative effect of cognitive function training combined with hyperbaric oxygen treatment in delayed encephalopathy after carbon monoxide poisoning. Methods Eighty patients with delayed encephalopathy after carbon monoxide poisoning in the emergency department of our hospital between November 2009 and December 2014 were included in the study. The patients were randomly into the combination treatment group (n=20) , cognitive function training group (n=20) , hyperbaric oxygen group (n=20) and control group (n=20). Conventional therapy was given to the patients in the control group and other treatment groups; in addition, the cognitive function training group received cognitive function training, hyperbaric oxygen group was given hyperbaric oxygen, and the combination treatment group received cognitive function training plus hyperbaric oxygen therapy. The outcomes of different therapies were evaluated after 30-day treatment. The general characteristics of the patients, including age, gender, disease duration, underlying diseases and level of education were recorded. At baseline and after the treatment, the patients were evaluated for cognitive function with Mini-Mental State Examimation (MMSE) and Montreal Cognitive Assessment (MoCA) , and active ability of daily life (ADL) with modified Barthel index (MBI). Results The age, gender, diseases duration, underlying diseases and level of education did not differ across the 4 groups (all P>0.05). The rates of effectiveness were 100.0% (20/20) in the combination treatment group, 90.0% (18/20) in the cognitive function training group and 85.0% (17/20) in the hyperbaric oxygen group, which were higher than that in the control group (75.0%, 15/20) (all P 0.05) , but these values were remarkably increased from baseline in all groups after treatments (all P<0.05). After treatment, the combination treatment group and cognitive function training group showed significantly higher MMSE scores, and the combination treatment group, cognitive function training group and hyperbaric oxygen group showed significantly higher MoCA and MBI scores compared with the control group (all P<0.05). The post-treatment MMSE scores were significantly lower in the hyperbaric oxygen group and control group than those in the combination treatment group; the post -treatment MoCA and MBI scores were lower in the cognitive function training group, hyperbaric oxygen group and control group than those in the combination treatment group (all P<0.05). Conclusion Cognitive function training combined with hyperbaric oxygen therapy can significantly improve the therapeutic efficacy of delayed encephalopathy after carbon monoxide poisoning by offering better cognitive function and ADL. Key words: Hyperbaric oxygenation; Carbon monoxide poisoning; Treatment outcome; Cognitive function training
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,000 | 0,001 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,000 | 0,000 |
| Bibliométrie | 0,000 | 0,000 |
| Études des sciences et des technologies | 0,000 | 0,000 |
| Communication savante | 0,000 | 0,000 |
| Science ouverte | 0,000 | 0,000 |
| Intégrité de la recherche | 0,000 | 0,000 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,001 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».