Correlation between early eeg dual-frequency index monitoring combined with lactic acid clearance rate and delayed encephalopathy with acute severe carbon monoxide poisoning
10.3760/cma.j.cn121094-20200421-00155
- VernacularTitle:早期脑电双频指数监测联合乳酸清除率与急性重度一氧化碳中毒迟发性脑病的相关性研究
- Author:
Yongjian LIU
1
;
Huan LIU
;
Shuangbao WANG
;
Qingmian XIAO
;
Aihui SUN
;
Yaqin LI
;
Weizhan WANG
Author Information
1. 053000 衡水，河北医科大学哈励逊国际和平医院
- Keywords:
Monitoring;
Poisoning;
EEG bispectral index;
Lactate clearance rate;
Severe carbon monoxide poisoning;
Acute;
Delayed encephalopathy
- From:
Chinese Journal of Industrial Hygiene and Occupational Diseases
2021;39(4):258-261
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the correlation and predictive value between early BIS monitoring combined with lactic acid resolution (LCR) and delayed encephalopathy with acute severe carbon monoxide poisoning (ASCMP) .Methods:Select 96 cases of our hospital ASCMP patients were analyzed retrospectively in March 2020, and follow-up of 60 days, according to the outcome in patients with acute carbon monoxide poisoning (DEACMP) delayed encephalopathy group with good prognosis, compare two groups of general information, admission BIS average 24 h and 24 h after treatment the LCR, According to the 24h LCR test results, patients were divided into high LCR group (LCR>15%) and low LCR group (LCR≤15%) , analysis the BIS average, the correlation of the LCR with DEACMP and both individual and joint of DEACMP predictive value, Comparing clinical data of patients with high LCR and low LCR.Results:The mean BIS value of the DEACMP group 24 hours after admission was significantly lower than that of the group with good prognosis ( P< 0.05) . LCR of DEACMP group was significantly lower than that of the group with good prognosis after 24 h treatment ( P<0.05) . The prevalence of DEACMP in patients with high LCR was significantly lower than that with low LCR ( P<0.01) ; In the early stage, BIS mean, LCR and DEACMP were negatively correlated ( P< 0.05) , and the area under the curve predicted by BIS mean, LCR and their combination on DEACMP was 0.799, 0.847 and 0.902, respectively. Conclusion:Early BIS monitoring combined with LCR has a significant correlation with DEACMP, and the combined effect of the two is better. Early BIS combined with LCR detection can provide effective guidance for the prognosis assessment of ASCMP patients.
