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《神經(jīng)節(jié)苷脂治療椎管內(nèi)麻醉后外周神經(jīng)損傷的臨床研究》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在行業(yè)資料-天天文庫(kù)。
1、神經(jīng)節(jié)苷脂治療椎管內(nèi)麻醉后外周神經(jīng)損傷的臨床研究?196?參考文獻(xiàn)JournalofMinimallyInvasiveMedicine,Jun,2011,Vo1.6,No.3張之南.血液病診斷及療效標(biāo)準(zhǔn)[M].第2版.北京:科學(xué)出版社.1998:43—48.HughesWT,ArmstrongD,BodeyGP,eta1.2002Guidelinesfortheuseofantimierobialagentsinneutropeuicpatientswithcancer[J].clinInfectDis,2002,
2、34(6):730—751.黎陽(yáng),黃紹良,方建培,等.造血干細(xì)胞移植早期感染29例臨床分析[J].中華兒科雜志,2003,41(7):520—524.KrugerW,RussmannB,KrogerN,eta1.Earlyinfectionsinpatientsundergoingbonemarroworbloodstemcelltransplantation:a7-yearsiIlshcentreinvestigationof409cases[J].BoneMarrowTransplant-at,1999,23(
3、6):589—597.WilliamsonEC,MillarMR,StewardCG,eta1.Infectionsinadultsundergoingunrelateddonorbonelnan~wtransplantation[J].BrJHaematol,1999,104(3):560～568.徐志松,周建英,黃河.異基因骨髓移植后不同時(shí)期感染并發(fā)癥的臨床研究[J].中華血液學(xué)雜志,2004,25(8):496—498.MitsuiH,KarasunoT,SantoT,eta1.Analysisofsepsi
4、sinallogeneicbonenlal'l~wtransplantrecipients:asinglecenterstray[J].JInfectChemother,2003,9(3):238—242.YuenKY,WooPCY,HuiCH,eta1.Uniqueriskfactorsforbacterae-miainallogeneiebonemarrowtransplantrecipientsbeforeandafterengraftment[J].BoneMarrowTransplant,1998,21(
5、11):1137—1143.RubinRH.MarryFM.Phneipl∞ofanfimicrobialtherapyinthetransplantpatient[J].TransplInfectDis,2004,6(3):97—100.(收稿日期:2011-02-18修回日期:2011-03-27)神經(jīng)節(jié)苷脂治療椎管內(nèi)麻醉后外周神經(jīng)損傷的臨床研究李愛(ài)國(guó)馮梅蔣宗濱(廣西醫(yī)科大學(xué)第一附屬醫(yī)院西院麻醉科,南寧市530021)【摘要】目的觀察單唾液酸四己神經(jīng)節(jié)苷脂對(duì)椎管內(nèi)麻醉所致外周神經(jīng)損傷的治療效果.方法選擇骨科住院
6、行下肢手術(shù)穿刺時(shí)出現(xiàn)神經(jīng)癥狀患者75例,隨機(jī)采用神經(jīng)節(jié)苷脂治療(A組),甲鈷胺注射液(彌可保)治療(B組)及生理鹽水對(duì)照(C組),觀察術(shù)后6h,12h,48h和72h時(shí)點(diǎn)疼痛,麻木和感覺(jué)異常評(píng)分.結(jié)果疼痛及麻木評(píng)分:A組術(shù)后12h起評(píng)分低于B,c兩組(P<0.05或0.O1);B組疼痛評(píng)分術(shù)后72h低于c組(P<0.01).感覺(jué)異常評(píng)分:A組術(shù)后24h起低于B組,48h起低于c組(P<0.05或0.O1);B組術(shù)后72h低于c組(P<0.01).三組在四個(gè)時(shí)段間的MAP,HR和spO:值比較
7、差異均無(wú)統(tǒng)計(jì)學(xué)意義(>0.05).結(jié)論神經(jīng)節(jié)苷脂能有效地促進(jìn)椎管內(nèi)麻醉引起外周神經(jīng)損傷的恢復(fù),優(yōu)于單純使用甲鈷胺.【關(guān)鍵詞】神經(jīng)節(jié)苷脂;椎管內(nèi)麻醉穿刺;外周神經(jīng)損傷【中圖分類號(hào)】R614【文獻(xiàn)標(biāo)識(shí)碼】A【文章編號(hào)】1673-6575(2011)03-0196-03CUniealstudyongangliosideinthetreatmentofperipheralnerveinjuryafterspinalanesthesiaLIAi-guo,FENGMei,JIANGzong-bin(Departmento
8、fAnesthesiology,FirstAffiliatedHospitalofGuangxiMedicalUniversity,Nanning530021,China)【Abstract】ObjectiveToobservethetherapeuticeffectsofgangliosideinthetreatmentofperipheraln~rvei
