63例急性脊髓炎临床特征与激素治疗疗效分析  

Clinical characteristics and steroids therapeutic efficacy of acute myelitis in 63 cases

作　　者：杜磊[1] 郭雪冰[1] 张小宁[1] 

机构地区：[1]新疆医科大学第一附属医院神经内科,新疆乌鲁木齐830011

出　　处：《新疆医科大学学报》2010年第7期806-808,共3页Journal of Xinjiang Medical University

摘　　要：目的探讨急性脊髓炎的临床特征以及激素治疗效果。方法对63例急性脊髓炎患者的临床资料进行回顾性分析。对应用甲基强的松龙治疗的32例(治疗组)急性脊髓炎患者,与31例应用地塞米松(对照组)治疗的患者进行疗效比较。结果 63例患者的主要临床表现:感觉障碍63例(100%),双下肢截瘫37例(58.7%),四肢瘫16例(25.4%),括约肌功能障碍56例(88.9%)。神经影像学异常63例。甲强组和地米组疗效分析比较,两者之间差别有统计学意义(χ2=13.416,P<0.05)。结论甲基强地松龙是治疗急性脊髓炎快速、有效、安全的方法。Objective To explore the clinical features of acute myelitis and therapeutic efficacy by steroids.Methods The date of 63 patients with acute myelitis were reviewed retrospectively.To compared therapeutic efficacy between methylprednisone treated group（32 cases） and the dexamethasone treated group（31 cases）.Results The main clinical symptoms included： 63 cases（100%） of sensory disturbance,in which,there were 37 cases of paralysis with two lower limbs,16 cases of paralysis,and 56 cases（88.9%） with sphincter dysfuctiong.Neuroimaging abnomality of 63 cases.There were significant difference between methylprednisolone groups and dexasone groups（χ2=13.416 1,P0.05）.Conclusion Methylprednisone is a safe and effective method to treat acute myelitis.

关 键 词：急性脊髓炎 临床特征 激素疗效 

分 类 号：R651.2[医药卫生—外科学]