大剂量甲强龙冲击疗法治疗急性脊髓损伤近期疗效观察及护理研究

Study on the therapeutic effect and nursing on acute spinal cord injury treatment with large-dose of methylprednisolone

目的探讨应用大剂量甲基强的松龙（MP）冲击治疗急性脊髓损伤的近期疗效，观察其并发症，总结护理经验。方法对我院80例急性脊髓损伤患者行大剂量甲基强的松龙（MP）冲击治疗及相应护理。结果治疗前感觉评分为（27．6±11．42），治疗后为（70．8±19．12I治疗前运动评分为（22．4±9．60），治疗后为（56．2±23．46）。治疗过程中出现消化道反应4例、心血管疾患1例、尿路感染5例、肺部感染4例，无一例创口感染。结论对于急性脊髓损伤患者，采用大剂量MP冲击治疗可以有效预防脊髓的继发性损伤，改善脊髓神经功能。治疗中、治疗后的护理和观察是确保治疗成功的关键之一。

ObJective To explore the short-term effect of high dose methylprednisolone （MP） pulse therapy for acute spinal cord inJury,to observe its complications, and to summary nursing experience. Method We retrospectively reviewed nursing process of 80 patients who received high-dose MP pulse therapy with acute spinal cord injury in hospital. Results Patients receiving high-dose MP pulse therapy didn＇t appear any serious complications, at the same time sensory and motor function improved significantly. Conclusions For patients with acute spinal cord injury, the use of high-dose MP pulse therapy can be effective in preventing secondary spinal cord injury and improving spinal function. During the application of MP, close nursing and observation is one of the keys to ensure successful treatment.