脊柱微创术后应用甲基强的松龙的疗效分析  

Analysis on the curative effect of applying methylprednisolone after minimally invasive spinal surgery

作　　者：刘志安 邓斌[2] 戈才华 邱忧国 

机构地区：[1]浙江省舟山广安骨伤医院,浙江舟山316000 [2]广东省普宁市中医院,广东普宁515300

出　　处：《中医正骨》2010年第6期14-16,共3页The Journal of Traditional Chinese Orthopedics and Traumatology

摘　　要：目的:观察脊柱微创术后应用甲基强的松龙改善神经功能的疗效。方法:选取颈、腰椎间盘突出症患者共251例,随机分为2组。治疗组143例,微创手术减压后应用甲基强的松龙静脉滴注;对照组108例,微创术后使用地塞米松治疗。治疗1个月后比较两组患者的疗效。结果:治疗组颈、腰椎间盘突出症患者疗效均优于对照组,差异有统计学意义(P<0.05)。结论:脊柱微创术后使用适量的甲基强的松龙,能够改善颈椎间盘突出症及腰椎间盘突出症患者的神经功能。Objective：To observe the curative effect of methylprednisolone（MP） on improving neurologic function after minimally invasive spinal surgery（MISS）.Methods：251 selective patients with cervical disc herniation（CDH）or lumbar disc herniation（LDH） were randomly divided into 2 groups.143 cases in treatment group were administrated with intravenous MP infusion after MISS,while the others in control group were administrated with dexamethasone after MISS.The curative effects were compared between the 2 groups after one month treatment.Results：The curative effect of MP on CDH and LDH patients in treatment group were better than that in control group.There was statistical difference between the two groups（P〈0.05）.Conclusion：After MISS,appropriate applying of MP can improve the neurologic function of CDH patients and LDH patients.

关 键 词：椎间盘移位 脊柱 糖皮质激素类 甲泼尼龙 地塞米松 

分 类 号：R687.3[医药卫生—骨科学]