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基于DTI图像分割算法的红景天对一氧化碳中毒迟发性脑病患者的疗效。

The efficacy of Rhodiola Rosea based on DTI image Segmentation Algorithm for patients with delayed Encephalopathy caused by CO poisoning.

作者信息

Gao Yuming, Cui Haitao, Ren Wei, Han Bing

机构信息

Yuming Gao, Bachelor's Degrees. Department of Emergency, Jiaozhou Central Hospital of Qingdao, QingDao, 266300, Shandong, China.

Haitao Cui, Bachelor's Degrees. Clinical Laboratory, Jiaozhou Central Hospital of Qingdao, QingDao, 266300, Shandong, China.

出版信息

Pak J Med Sci. 2021;37(6):1558-1563. doi: 10.12669/pjms.37.6-WIT.4830.

Abstract

OBJECTIVES

By using DTI image segmentation algorithm investigate the effect of large plants Rhodiola injection on myocardial injury in patients with acute severe CO poisoning (ACOP), and to explore the clinical and CT delayed encephalopathy after ACOP.

METHODS

Seventy-two ACOP patients were randomly divided into control and observation group, 36 cases in each group from December 2015 - December 2017. The control group received hyperbaric oxygen, mannitol, dexamethasone, citicoline injection, gangliosides, dracone; observation group were large strain Rhodiola injection treatment group based on the once daily for two weeks of continuous treatment. The head CT, head MRI results were analyzed retrospectively.

RESULTS

(1) hsCRP and ET-1 in the observation group were significantly lower than those in the control group, and VEGF was significantly higher than that in the control group (P<0.01). No, NOS, and iNOS were significantly lower than those of the control group (P<0.01); (2) CT images of 16 cases showed bilateral symmetrical fusion lesions with blurred edges, low density, and oval center around the ventricle; (3) MRI showed that the lesion was located in the cerebral cortex, white matter lateral ventricle and/or basal ganglia in 12 cases.

CONCLUSION

Rhodiola can reduce myocardial vascular endothelial cell injury, improve cardiac function, and protect the damaged myocardium. Meanwhile, after acute CO poisoning delayed encephalopathy early for CT and MRI examination facilitate analysis and prognosis of the disease.

摘要

目的

运用DTI图像分割算法研究大株红景天注射液对急性重度一氧化碳中毒(ACOP)患者心肌损伤的影响,并探讨ACOP后临床及CT迟发性脑病情况。

方法

将72例ACOP患者随机分为对照组和观察组,每组36例,时间为2015年12月至2017年12月。对照组给予高压氧、甘露醇、地塞米松、胞磷胆碱注射液、神经节苷脂、丹参川芎嗪;观察组在对照组基础上给予大株红景天注射液治疗,每日1次,连续治疗2周。对头部CT、头部MRI结果进行回顾性分析。

结果

(1)观察组hsCRP和ET-1显著低于对照组,VEGF显著高于对照组(P<0.01)。NO、NOS和iNOS显著低于对照组(P<0.01);(2)16例CT图像显示双侧对称融合病灶,边缘模糊,密度减低,位于脑室周围呈椭圆形;(3)MRI显示12例病灶位于大脑皮质、白质、侧脑室和/或基底节。

结论

红景天可减轻心肌血管内皮细胞损伤,改善心功能,保护受损心肌。同时,急性CO中毒后早期行CT和MRI检查有助于对迟发性脑病进行病情分析及预后判断。

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本文引用的文献

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Anti-inflammatory effects of Rhodiola rosea L.: A review.红景天的抗炎作用:综述。
Biomed Pharmacother. 2020 Jan;121:109552. doi: 10.1016/j.biopha.2019.109552. Epub 2019 Nov 9.
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Guidelines for evaluating myocardial cell death.评估心肌细胞死亡的指南。
Am J Physiol Heart Circ Physiol. 2019 Nov 1;317(5):H891-H922. doi: 10.1152/ajpheart.00259.2019. Epub 2019 Aug 16.

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