首页|大剂量甲强龙冲击治疗急性颈脊髓损伤的观察和护理措施

大剂量甲强龙冲击治疗急性颈脊髓损伤的观察和护理措施

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目的 分析大剂量甲强龙冲击治疗急性颈脊髓损伤的观察和护理措施.方法 选取浙江省中医院下沙院区收治的60例急性颈脊髓损伤患者为研究对象.对照组进行常规治疗,给予地塞米松,静脉滴注.实验组给予大剂量甲强龙冲击治疗并进行相应的护理干预,做好健康教育工作,关注患者用药反应,预防并发症,积极与患者进行沟通与交流.比较分析实验组与对照组患者的感觉及运动功能评分及并发症等临床指标.结果 治疗后,实验组患者感觉及运动功能评分为(1.88±1.02)分,显著低于对照组评分为(2.85±1.21)分,差异具有统计学意义(P<0.05).对照组中,3例出现心率失常,4例出现失眠,1例出现胃肠道反应,1例出现呼吸道感染,1例胃溃疡.可得,对照组并发症发生率为33.3%,显著高于实验组10.0%,差异具有统计学意义(P<0.05).结论 大剂量甲强龙冲击治疗急性颈脊髓损伤并进行合理护理干预措施,临床疗效显著,安全性较高,并发症发生率.
Observation and nursing of large dose methylprednisolone in the treatment of acute cervical spinal cord injury
Objective To investigate and analyze the observation and nursing measures of large dose methylprednisolone in the treatment of acute cervical spinal cord injury. Methods 60 patients with acute cervical spinal cord injury in Xiasha District, Zhejiang traditional chinese medicine hospital were selected as objects of study. The control group was received routine treatment and received dexamethasone and intravenous drip. The experimental group was given a large dose of methylprednisolone for shock treatment, and the corresponding nursing intervention, good health education work, attention to patient medication, prevention of complications, and actively communicate with patients and exchanges. The sensory and motor function scores and complications of the experimental group and the control group were compared and analyzed. Results After the corresponding nursing, the sensory and motor function scores of the experimental group (1.88±1.02) were significantly lower than (2.85±1.21) points of the control group with statistical difference (P<0.05). In the control group, three patients had heart rate disorder, four had insomnia, one had gastrointestinal reactions, one had respiratory tract infections, and one had gastric ulcers. The rate of complications in the control group was 33.3%, which was significantly higher than that (10.0%) in the experimental group, with statistical difference (P<0.05). Conclusion Large dose methylprednisolone in the treatment of acute cervical spinal cord injury and reasonable nursing intervention, the clinical efficacy of which is significant with high safety and low incidence of complications.

large dose methylprednisoloneacute cervical spinal cord injurynursing measures

张驰

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浙江省中医院下沙院区 急诊室,浙江 杭州 310018

大剂量甲强龙 急性颈脊髓损伤 护理措施

2017

中国生化药物杂志
南京生物化学制药研究所,全国生化制药情报中心站,中国生化制药工业协会,中国药品生物制品检定所

中国生化药物杂志

ISSN:1005-1678
年,卷(期):2017.37(11)
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