在过量服用镇静剂后的认知障碍
Patrick T Stewart1,2, Md Bayzidur Rahman3,4, Angela L Chiew1,5
1Prince of Wales Hospital Clinical Toxicology Unit, Sydney, NSW, Australia.
Clinical toxicology (Philadelphia, Pa.)
|April 29, 2024
概括
过量服用镇静剂的患者在医疗清除后表现出认知障碍,影响高风险活动. 道制作测试揭示了缺陷,建议在释放前谨慎使用.
科学领域:
- 神经科学是一个神经科学.
- 毒理学 毒理学 毒理学
- 紧急医疗 紧急医疗
背景情况:
- 过量服用镇静剂可能导致残留的认知障碍,可能会影响出院后的患者安全.
- 驾驶等高风险活动可能会因未被发现的认知缺陷而受到损害.
- 步道测试 (TMT) 是一种用于评估认知功能的床边工具.
研究的目的:
- 为了研究在服用镇静剂后医疗清除的患者的认知功能差异,与非镇静剂药物过量相比.
- 评估Trail Making测试在识别过量后认知障碍方面的有用性.
主要方法:
- 2018年至2021年期间进行的一项前性观察性研究.
- 171名药物过量患者 (≥16岁) 在医疗许可后完成了Trail Making测试.
- 统计分析包括t测试,曼-惠特尼U测试和后勤回归.
主要成果:
- 与非镇静剂过量患者相比,服用镇静剂过量患者 (n=111) 在TMT A 部分和 B 部分的表现明显差.
- 年龄较大和感知恢复较低与缓慢的TMT Part B表现有关.
- 过量服用镇静剂的患者入住重症监护室的几率更高.
结论:
- 过量服用镇静剂与显著的认知缺陷有关,即使在医疗许可后.
- 高级思维障碍可能比基本认知功能更明显.
- 建议患者在出院后避免高风险活动至关重要,以尽量减少伤害.
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