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不同剂量甲基泼尼松龙在自身免疫性脑炎患者中的应用

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目的 探究不同剂量甲基泼尼松龙在自身免疫性脑炎患者中的应用效果。方法 选取2021年1月—2022年7月本院神经内科治疗的自身免疫性脑炎患者86例为研究对象,按入院顺序将其分为对照组和观察组,每组43例。其中对照组给予甲基泼尼松龙小剂量10mg/(kg/d)治疗,观察组给予甲基泼尼松龙大剂量30mg/(kg/d)治疗,观察并比较两组患者的认知功能情况、细胞免疫水平情况、发生并发症的数量情况、治疗效果情况。结果 治疗后,观察组与对照组相比,其认知功能障碍评分更低(P<0。05);两组患者的CD3+、CD4+水平较治疗前有明显提升,而CD8+水平较治疗前有明显降低,且观察组患者的细胞免疫水平得到更明显的改善(P<0。05);与对照组相比,观察组患者发生水钠潴留、消化系统异常、皮肤异常、精神紊乱等并发症的数量更少(P<0。05);与对照组相比,观察组患者的治疗效果更好,有显著性差异(P<0。05)。结论 不同剂量甲基泼尼松龙在自身免疫性脑炎患者中的应用效果各不相同,均可改善患者的认知功能障碍和细胞免疫水平,以及减少发生并发症的数量,提高患者的治疗效果,但大剂量(30mg/d)甲基泼尼松龙治疗自身免疫性脑炎患者的效果比小剂量(10mg/d)的效果更好,对各方面的改善和提高均好于小剂量(10mg/d)甲基泼尼松龙的治疗。
Application of Different Doses of Methylprednisolone for Patients with Autoimmune Encephalitis
Objective To explore application effect of different doses of methylprednisolone for patients with autoimmune encephalitis.Methods The paper chose 86 patients with autoimmune encephalitis in neurology department of our hospital from January 2021 to July 2022,and divided them into control group and observation group according to admission time,with 43 cases in each group.Control group was treated with small dose of 10mg/(kg/d)of methylprednisolone,while observation group with large dose of 30mg/(kg/d)of methylprednisolone.Cognitive function and cellular immune level between two groups was observed,number of complications and treatment effect was compared.Results After drug treatment,observation group had lower cognitive impairment scores than control group(P<0.05).Levels of CD3+and CD4+in two groups were significantly higher than before,while levels of CD8+were significantly lower.Moreover,cellular immune level of observation group was significantly higher(P<0.05).Number of complications including water sodium retention,digestive system abnormalities,skin abnormalities,and mental disorders in observation group was less than control group(P<0.05).Treatment effect of observation group was better than control group,with significant difference(P<0.05).Conclusion Different doses of methylprednisolone can achieve varied application effect for patients with autoimmune encephalitis,can improve cognitive dysfunction and cellular immune levels,reduce number of complications,and improve treatment effect of patients.However,dose(30mg/d)methylprednisolone is more effective than low-dose(10mg/d)for autoimmune encephalitis patients,with better improvement in all aspects than small dose(10mg/d)of methylprednisolone.

MethylprednisoloneAutoimmune encephalitisDifferent doses

赵晶、李梅、张骐

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江苏省南通瑞慈医院 神经内科,江苏 南通 226000

甲基泼尼松龙 自身免疫性脑炎 不同剂量

2024

智慧健康

智慧健康

ISSN:
年,卷(期):2024.10(6)
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