期刊文献+

大剂量甲基强的松龙与东莨菪碱治疗急性脊髓损伤的临床观察 被引量:6

Comparison of methylprednisolone and scopolamine in treating acute spinal cord injury
下载PDF
导出
摘要 目的:比较甲基强的松龙(MP)与东莨菪碱(SCP)治疗急性脊髓损伤(ASCI)的治疗效果。方法:将44例ASCI患者随机分为3组,伤后8h以内患者随机分入大剂量MP治疗组及SCP治疗组,受伤时间超过8h的患者分入对照组。分别于入院时、伤后6周和6个月时对脊髓功能进行评分。结果:两治疗组的感觉功能在伤后6周和6个月时均有明显好转,运动功能MP治疗组在伤后6周时即有明显好转,而SCP治疗组在伤后6个月时才有明显好转。对照组患者脊髓功能恢复不明显。结论:MP与SCP均是治疗ASCI有效的药物,MP能够早期促进运动功能的恢复,对ASCI患者的康复有重要意义。 Objective:To compare effect of methylprednisolone and scopolamine in treating acute spinal cord injury.Method:44 cases were randomly divided into three groups.Cases managing in 8 hours post injury were divided into methylprednisolone group and scopolamine group.Cases managing beyond 8 hours post injury were divided into control group.Neurological functions were evaluated at admission,6 weeks and 6 months after injury.Result:Sensation status increased significantly at 6 weeks and 6 months in two experimental groups.Motion status increased at 6 weeks in methylprednisolone group and at 6 months in scopolamine group.Control group had no significant change of neurological function.Condusion:Methylprednisolone and scopolamine are effective in treating spinal cord injury.Methylprednisolone can promote early motion function recovery.
出处 《中国脊柱脊髓杂志》 CAS CSCD 2006年第B07期17-19,共3页 Chinese Journal of Spine and Spinal Cord
关键词 脊髓损伤 甲基强的松龙 东莨菪碱 Spinal cord injury Methylprednisolone Scopolamine
  • 相关文献

参考文献7

  • 1Bracken MB,Holford TR.Effects of timing of methylprednisolone or naloxone administration on recovery of segmental and long tract neurological function in NASCIS Ⅱ[J].J Neurosurg,1993,79(4):500-507.
  • 2胥少汀 谢中先 姜陆林 等.外伤性脊髓损伤早期东莨菪碱治疗的实验研究[J].中华外科杂志,1987,25(1):19-21.
  • 3俞景潮 丘相环.东莨菪碱对脊髓损伤性瘫兔脊髓组织的影响[J].江西中医学院学报,1995,7(3):38-39.
  • 4张仁泉,柴惠平,周久华,石开虎,刘晓,葛建军.东莨菪碱和氯胺酮预防主动脉阻断所致脊髓缺血性损伤[J].安徽医科大学学报,2002,37(5):348-351. 被引量:5
  • 5Haghighi SS,Agrawal SK,Surdell D Jr,et al.Effects of metylprednisolone and MK-801 on functional recovery after experimental chronic spinal cord injury[J].Spinal Cord,2000,38(12):733-740.
  • 6Gerndt SJ,Rodriguez JL,Pawli JW,et al.Consequences of high dose steroid therapy for acute spinal cord injury[J].J Trauma,1997,42(2):2279-2284.
  • 7刘郑生,王俊生,王征,肖嵩华,刘保卫,张永刚,路宁.甲基强的松龙在脊髓型颈椎病外科治疗中的应用价值[J].中国脊柱脊髓杂志,2004,14(5):271-274. 被引量:43

二级参考文献11

共引文献46

同被引文献39

引证文献6

二级引证文献16

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部