心理测量评分对轻微型肝性脑病的诊断分析
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摘要
目的:探究心理测量评分对轻微型肝性脑病的诊断价值。方法:选取肝硬化患者100例分别采用心理测量评分(PHES)和神经电生理方法进行检查,分析两种方法对轻微型肝性脑病诊断符合率,从而判断心理测量评分在轻微型肝性脑病中的诊断价值。结果:PHES对MHE诊断更敏感,与神经电生理检查比较P<0.05。年龄和受教育时间是影响PHES系统测试得分的主要因素,年龄越大、受教育时间越短PHES得分就越低。结论:心理测量评分系统敏感性高,有利于轻微型肝性脑病的早期诊断,年龄和受教育程度对其评分有影响。
Objective: To explore the value of psychometric scores for diagnosis of mild hepatic encephalopathy. Methods: 100 patients with cirrhosis were selected and PHES systems and neural electrophysiological examination were performed. The coincidence rate of diagnosis for mild hepatic encephalopathy in the two methods were analyzed in order to determine the value of psychometric score in the diagnosis of mild hepatic encephalopathy. Results: Compared to neural electrophysiological examination,PHES was more sensitive for the diagnosis of mild hepatic encephalopathy with P < 0.05.Age and education time were the main influencing factors that affected the PHES system test score, the greater the age, the shorter the education time, lower PHES score. Conclusion:Psychometric scoring system has the high sensity and is conducive to the early diagnosis of mild hepatic encephalopathy.The age and education degree may affect PHES score.
Objective: To explore the value of psychometric scores for diagnosis of mild hepatic encephalopathy. Methods: 100 patients with cirrhosis were selected and PHES systems and neural electrophysiological examination were performed. The coincidence rate of diagnosis for mild hepatic encephalopathy in the two methods were analyzed in order to determine the value of psychometric score in the diagnosis of mild hepatic encephalopathy. Results: Compared to neural electrophysiological examination,PHES was more sensitive for the diagnosis of mild hepatic encephalopathy with P < 0.05.Age and education time were the main influencing factors that affected the PHES system test score, the greater the age, the shorter the education time, lower PHES score. Conclusion:Psychometric scoring system has the high sensity and is conducive to the early diagnosis of mild hepatic encephalopathy.The age and education degree may affect PHES score.
引文
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[10]Chritopher Randolph,Karch Weissenborn.Neuropsydogical assessment of hepatic encephalopathy 1 SHEN practice guiderlines[J].Liver International,2009,29(57):629-635.
[11]林言,范燕萍.肝硬化患者的神经心理测试及轻微肝性脑病调查[J].中华肝病杂志,2011,30(1):65-66.
[2]王忠,王茂林.乳果糖与微生态制剂联合治疗亚临床肝性脑病疗效观察[J].疾病监测与控制,2011,5(1):28-29.
[3]金真,陈杏梅,黄晴茵,等.肠易激综合征患者的心理测评及其中医护理方案研究[J].广州中医药大学学报,2012,29(2):136-138,141.
[4]杜阳春,廖新红,杨红,等.实时超声弹性成像评价肝纤维化程度的初步探讨[J].中国超声医学杂志,2012,28(2):154-156.
[5]姜浩,谢青.肝性脑病临床诊治的进展[J].临床肝胆病杂志,2011,27(10):1027-1031.
[6]翟慧勤,范红,寻琳婷,等.轻微肝性脑病的研究进展[J].胃肠病学和肝病学杂志,2012,21(12):1158-1162.
[7]习玥玥,许东.肝性脑病发病机制的研究进展[J].中国中西医结合消化杂志,2014,22(4):226-229.
[8]Saha S,Smith Meb,Totten A,et al.Pressure ulcer treatment strategies:comparative effectiveness[D].Rockville(D):Agency for Healthcare Research and Quality(US),2013.
[9]高红艳,郭本玉,陈祥春,等.焦虑症患者的视觉事件相关电位P300的观察[J].神经病学与神经康复学杂志,2012,9(3):109-111.
[10]Chritopher Randolph,Karch Weissenborn.Neuropsydogical assessment of hepatic encephalopathy 1 SHEN practice guiderlines[J].Liver International,2009,29(57):629-635.
[11]林言,范燕萍.肝硬化患者的神经心理测试及轻微肝性脑病调查[J].中华肝病杂志,2011,30(1):65-66.