| Influence of anxiety on delayed encephalopathy after acute carbon monoxide poisoning and effects of comprehensive rehabilitation training |
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| EN KeyWords: carbon monoxide poisoning anxiety delayed encephalopathy hyperbaric oxygen activity of daily living cognitive training |
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| EN Abstract: |
| Objective:To investigate the influence of anxiety on delayed encephalopathy after carbon monoxide poisoning (DEACMP) and the therapeutic effect of hyperbaric oxygen (HBO) combined with rehabilitation training.Methods:Four hundred and seventy-two patients diagnosed as CMP were divided into the anxiety group and non-anxiety group according to their Hamilton rating scale for anxiety (HAMA) scores.The cognitive functions were evaluated with Mini Mental State Examination (MMSE). Barthel index was used to evaluate the ADL.The incidence of DEACMP was observed.Forty-three of them diagnosed as DEACMP were randomly divided into group A(n=22) and group B(n=21).The subjects in both group were given medication and HBO treatment,and those in group A received cognitive training,functional training and psychotherapy.Results:There were 137 anxiety cases in 472 patients,and the scores of MMSE,and Barthel index of them were obviously lower than in non-anxiety group(P<0.05),and the incidence of DEACMP was obviously higher than in non-anxiety group(P<0.01).Forty-three DEACMP patients were subdivided into group A and B.After 50 days of treatment,the scores of BI and MMSE in both two groups were increased(all P<0.01),and those in group A were higher than in group B(P<0.05).The cure rate and total effective rate in group A were higher than those in group B(P<0.01,0.05).Conclusion:Anxiety status has a negative influence on the patients with DEACMP.HBO treatment combined with rehabilitation training facilitates the recovery of patients with DEACMP. |
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