精神测量肝脏脑病症测试和脑电图在肝硬化患者中的结果
Alaa Aboud Mohamed1, Mostafa M Elkholy2, Ola O Mangoud3
1Department of Tropical Medicine, Faculty of Medicine, Beni-Suef University, Beni-Suef 62521, Egypt.
Medicina (Kaunas, Lithuania)
|November 27, 2024
概括
在肝硬化患者中,使用脑电图 (EEG) 和神经心理测试可以检测到最小的肝脑病变. 这些测试甚至在看起来健康的患者身上也会发现异常,特别是在晚期肝硬化阶段.
科学领域:
- 肝病学 肝病学是一种肝病学.
- 神经学 神经学
- 精神病学是一个精神病学.
背景情况:
- 肝硬化患者可能有亚临床神经学缺陷.
- 最小的肝脑病变 (MHE) 影响生活质量和日常功能.
研究的目的:
- 在肝硬化患者中调查MHE进展.
- 评估MHE对生活质量和日常功能的影响.
- 为了评估MHE的预后价值.
主要方法:
- 50名肝硬化患者 (儿童A,B,C) 接受了心理评估.
- 测试包括最小心理状态检查 (MMSE),字母取消测试 (LCT),数字符号编码测试和电脑图 (EEG).
主要成果:
- 48%的患者通过MMSE表现出认知障碍.
- 80%的人在LCT上有机障碍;28%的人在数字符号编码测试上有机障碍.
- 显著的EEG变化和心理异常与儿童C肝硬化,门高血压,肝细胞衰竭,吸烟,肥胖和高脂血症有关.
结论:
- 心理测试和EEG可以有效地检测MHE.
- 与儿童A和B相比,MHE在儿童C肝硬化患者中更为普遍.
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