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1、手術(shù)與非手術(shù)治療中央型頸脊髓損傷的效果分析［摘要］目的對比和分析手術(shù)和非手術(shù)方法治療中央型頸脊髓損傷患者的臨床效果。方法選取本院收治的367例患者分為手術(shù)組與非手術(shù)組，均在受傷6h內(nèi)釆用甲潑尼龍沖擊療法、20%甘露醇脫水、營養(yǎng)神經(jīng)治療。非手術(shù)組在此治療1?2周后即可出院，手術(shù)組在此治療方案實施2?4d后行手術(shù)治療。結(jié)果兩組在手術(shù)、出院、隨診時的ASIA運(yùn)動功能評分均高于入院前，差異有統(tǒng)計學(xué)意義(P<0.01)；兩組在治療12個月時的ASIA運(yùn)動功能評分均顯著高于入院時，差異有統(tǒng)計學(xué)意義(P<0.0
2、5)；手術(shù)組的恢復(fù)率為(67.3土6.8)%,非手術(shù)組的恢復(fù)率為(56.2+7.1)%,兩組比較差異有統(tǒng)計學(xué)意義(P<0.05)；手術(shù)組中無一例出現(xiàn)不良反應(yīng)，非手術(shù)組中有47例患者出現(xiàn)遲發(fā)癥狀，不良反應(yīng)率為25.40%。結(jié)論采用手術(shù)治療中央型頸脊髓損傷患者可以更為有效地提高臨床效果及患者的生活質(zhì)量，值得臨床推廣應(yīng)用。［關(guān)鍵詞］中央型頸脊髓損傷；頸椎；手術(shù)治療；非手術(shù)治療［中圖分類號］R744［文獻(xiàn)標(biāo)識碼］B［文章編號］1674-4721(2014)05(b)-0158-03Effectanalys
3、isofoperationandnon-operationinthetreatmentofcentralcervicalcordinjurySHIMing-huaDepartmentofOrthopaedics,JiangxiPoyanghuHospital,Poyang330025,China[Abstract]ObjectiveTocompareandanalyzeeffectanalysisofoperationandnon-operationinthetreatmentofpatients
4、withcentralcervicalcordinjury.MethodsThreehundredandsixty-sevenpatientsadmittedintoourhospitalweredividedintooperativegroupandnon-operativegroup.Al1injuredparticipantswereprovidedwithmethylprednisoloneshocktherapy,20%mannitolfordehydrationandtrophicne
5、rvetherapy.Patientsinthenon-operativegroupweredischargedfromhospitalafteroneortwoweek-treatment.Intheoperativegroup,operativetreatmentwasperformedafter2to4daysimp!ementationoftherapeuticregimen.ResultsASIAmotorscoresintheoperation,discharge,follow-upt
6、imeoftwogroupswashigherthanthatadmittedtohospitalrespectively,withstatisticaldifference(P<0.01).ASIAmotorscoresaftertreatment12monthsoftwogroupswashigherthanthatadmittedtohospitairespectively,withstatisticaldifference(卩<0.05)?Recoveryrateinoperativegr
7、oupwas(67.3±6.8)%,whilerecoveryrateinnon-operativegroupwas(56.2±7.1)%,withstatisticaldifference(PV0.05).Noadversereactionoccurredinoperativegroup,but47casespresentedwithtardinessaccountingfor25.40%innon-operativegroup.ConclusionOperativetreatmentforpa
8、tientswithcentralcervicalcordinjurycaneffectivelyimproveclinicalefficacyandqualityoflife,whichisworthyofexpansionandapplicationinclinic?[Keywords]Centralcervicalcordinjury;Cervicalvertebra;Operativetreatment;Non-operativetreatment近年來，屮央型頸脊髓損傷患
