相关实验视频
Updated: Jul 9, 2025

10:10
Quantifying Cognitive Decrements Caused by Cranial Radiotherapy
Published on: October 18, 2011
12.7K
一个专门的HE测试诊所改善了治疗肝硬化的理性决策
Mahum Nadeem1, Asiya Tafader1, Dan Park2
1Division of Gastroenterology, Hepatology, and Nutrition, Virginia Commonwealth University and Richmond VA Medical Center, Richmond, Virginia, USA.
Hepatology communications
|November 28, 2023
概括
一家专门的诊所改善了对有认知问题的肝硬化患者的管理. 它准确地确定了肝脑病变 (HE) 和其他原因,指导了向治疗,改善了患者的治疗结果.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 神经学 神经学
- 临床医学 临床医学
背景情况:
- 肝硬化中的认知投诉通常被错误地归因于肝脏脑病变 (HE).
- 缺乏专门的测试可以导致不适当的反射治疗HE.
- 一个专门的诊所旨在提高诊断准确性和管理决策.
研究的目的:
- 评估专门诊所对治疗肝硬化患者认知问题的有用性.
- 区分HE与其他导致认知障碍的原因.
- 为了指导适当的治疗干预.
主要方法:
- 肝硬化患者有认知投诉被转介到一个专门的诊所.
- 评估包括详细的病史,药物审查,标准化认知测试 (MMSE,心理测量HE得分) 和睡眠呼吸暂停查.
- 管理层的决策是基于全面的评估,并向患者和提供者传达.
主要成果:
- 在286名患者中,39%的认知能力正常;61%的认知能力受损.
- 在84名患者中启动了HE治疗;37人因其他原因 (例如,睡眠呼吸暂停,情绪障碍) 被转诊.
- 重新测试显示,心理测量HE评分有所改善;在没有损伤的患者中没有发现明显的HE.
结论:
- 一个专门的HE诊所有效地识别了肝硬化患者的认知障碍.
- 该诊所促进了量身定制的管理策略,解决了HE和非HE相关的原因.
- 这种方法优化了患者的护理,避免了不必要的治疗.
相关概念视频
Ultrasound II: Endoscopic Ultrasound and FibroScan
113
Endoscopic Ultrasound (EUS) and FibroScan are valuable diagnostic tools in gastroenterology and hepatology, each with specific applications and techniques.
Endoscopic Ultrasound (EUS):
Endoscopic Ultrasound (EUS):
113
Esophageal Varices-II: Clinical Features and Management
72
Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
72
Rational Emotive Behavior Therapy
54
Cognitive-behavioral therapies (CBTs) are grounded in the belief that our thoughts profoundly influence our emotions and actions. Advocates of CBT emphasize three core assumptions: first, that cognitions are identifiable and measurable; second, that they are central to psychological functioning; and third, that irrational or maladaptive beliefs can be replaced with rational and adaptive ones. This transformative approach to therapy has paved the way for specific models such as Albert...
54
Chronic Pancreatitis II: Collaborative Care
92
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
92
Specialized Care Centers and Settings-II
729
Rural Health Centers
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
Rural health centers are specialized care facilities in remote locations with very few medical personnel. The primary care providers who run the centers are mostly Registered Nurse Practitioners. Here, emergency treatment is provided to critically ill or injured patients before they are transferred to the closest hospital. Fortunately, due to advancement in technology, many rural healthcare facilities and professionals have easy access to diagnostic and treatment...
729

