Xiao Q M, Qi H N, Wang W Z, Gao X, Zhu B Y, Liu Y J, Li W, Ma G Y, Wang P, Meng F Z, Gao X F
Emergency Department of Harrison International Peace Hospital Affiliated to Hebei Medical University, Hengshui 053000, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2017 Feb 20;35(2):145-147. doi: 10.3760/cma.j.issn.1001-9391.2017.02.017.
To observe the effects of extract of Ginkgo biloba (Ginaton) on magnetic resonance imaging (MRI) and electroencephalography (EEG) in patients with delayed encephalopathy after acute carbon monoxide poisoning. The 84 patients with delayed encephalopathy after acute carbon monoxide poisoning treated in our hospital from Jan. 2011 to Apr. 2016 were randomly divied into therapy group and observation group. The therapy group received routine treatments of hyperbaric oxygen, cure cerebral edema and promote brain cell metabolism, and observation group was given intravenous injection (intravenous drip) Ginaton 70 mg (adding 0.9% sodium chloride injection 250 ml) , once a day, 2 weeks for one therapeutic course. The changes of MRI and EEG before and after treatment between therapy group and observation group were observed. In the observation group, the white matter and globus pallidus lesions of 14 d after treatment were smaller than those in the treatment group, and the abnormal signal intensity was decreased. At 14 days after treatment the improvement of EEG in observation group were better than therapy group (<0.05) . Early treatment of extract of Ginkgo biloba (Ginaton) in delayed encephalopathy after acute carbon monoxide poisoning can effectively improve lesion and signal on MRI and abnormal rate on EEG. It has a certain therapeutic effect in clinical.
观察银杏叶提取物(金纳多)对急性一氧化碳中毒后迟发性脑病患者磁共振成像(MRI)及脑电图(EEG)的影响。选取2011年1月至2016年4月在我院治疗的84例急性一氧化碳中毒后迟发性脑病患者,随机分为治疗组和观察组。治疗组给予高压氧、治疗脑水肿及促进脑细胞代谢等常规治疗,观察组给予静脉注射(静脉滴注)金纳多70mg(加入0.9%氯化钠注射液250ml),每日1次,2周为1个疗程。观察治疗组和观察组治疗前后MRI及EEG的变化。观察组治疗后14d白质及苍白球病灶较治疗组小,异常信号强度降低。治疗后14d观察组EEG改善情况优于治疗组(P<0.05)。急性一氧化碳中毒后迟发性脑病早期应用银杏叶提取物(金纳多)可有效改善MRI上的病灶及信号、EEG异常率,临床有一定治疗作用。