大剂量激素冲击治疗重症病毒性脑炎疗效观察  

Curative effect of high dose glucocorticoid therapy severe viral encephalitis

作　　者：王艳[1] 

机构地区：[1]中国医科大学北京顺义医院,北京顺义101300

出　　处：《求医问药（下半月刊）》2012年第8期15-16,共2页Seek Medical and Ask The Medicine

摘　　要：目的探讨大剂量糖皮质激素在治疗重症病毒性脑炎中的作用。方法大剂量糖皮质激素甲基强的松龙+传统疗法(A组)治疗重症病毒性脑炎12例与传统疗法(B组)治疗13例的疗效比较。结果 A组的治愈率为75%,病死率8.3%;B组的治愈率为61.5%,病死率为15.5%。A组与B组在发热,抽搐的疗程天数比较,P<0.05;A组与B组在意识障碍、肢体瘫痪、脑干颅神经损害恢复方面的疗程天数比较,P<0.01。结论大剂量激素在治疗重症病毒性脑炎中作用显著。Objective to explore the glucocorticoids curative effect to severe viral encephalitis.Method 12 cases in group A were treated with glucocorticoids（methylrednsolone） and traditional medicine therapy sametime.13 cases in group B were treated with only traditional medicine therapy,compare curative effective of the two groups by statistics.Result group A had 75% cure rate and 8.3% mortality,group B had 61.5% cure rate and 15.5% mortality.group A compared with group B,for days of fever and tic,p0.05;for days of disorder of consciousness,paralysis,injury of brain stem,p0.01.Conclusion high dose glucocorticoid（methylrednisolone） significantly increase the curative effect to severe viral encephalitis.

关 键 词：大剂量糖皮质激素 冲击治疗 重症病毒性脑炎 

分 类 号：R512.3[医药卫生—内科学]