大剂量甲基强的松龙在脊柱减压术围术期中的应用  

Application of large doses of methyl prednisolone in perioperative of spinal decompression surgery

作　　者：李天喜[1] 王闯建[2] 

机构地区：[1]河南省辉县市人民医院骨科,453600 [2]郑州大学第一附属医院骨科

出　　处：《中国实用医刊》2015年第22期48-49,共2页Chinese Journal of Practical Medicine

摘　　要：目的：探讨大剂量甲强龙（ MP）在脊柱减压手术中的效果。方法选取2014年脊柱减压手术中应用大剂量甲强龙患者31例，应用地塞米松患者30例。术后随访3个月，通过患者术后感觉运动评分、自主满意度及并发症进行二者效果比较。结果应用大剂量甲强龙的患者术后感觉运动评分及自主满意度优于应用地塞米松者，差异有统计学意义（P＜0.05），二者并发症比较差异未见统计学意义（P＞0.05）。结论围术期大剂量使用甲强龙在伴有严重脊髓压迫的脊柱减压治疗中具有明显改善神经功能的作用，可有效预防由于手术所造成的神经刺激症状，增加手术的安全性。Objective To investigate the effect of large doses of methyl prednisolone （ MP ） on perioperative of spinal decompression surgery.Methods Sixty-one cases acceptted spinal decompression surgery in 2014 were selected, 31 cases had application of methyl prednisolone, the other 30 cases were dexamethasone, both of them were followed-up for 3 months.The effects and complications were com-pared.Results The sensorimotor score and independent satisfaction in application of methyl pred-nisolone superior to dexamethasone,there were significant differences between the two methods （ P〈0.05 ） , the complications had no significant difference between the two methods （ P〉0.05 ） .Con-clusions The application of methyl prednisolone can reduce complications of spinal decompression surgery.

关 键 词：甲强龙 地塞米松 脊柱手术 并发症 

分 类 号：R595.4[医药卫生—内科学]