交感神经节与椎旁阻滞联合运用改进脑外伤预后

IMPROVEMENT OF THE PROGNOSIS OF CEREBRAL TRAUMA BY SYMPATHETIC GANGLION AND PARASPINAL BLOCK

摘要:

目的：探讨脑外伤平稳期康复治疗的有效手段。方法：选择脑外伤患者60例，按治疗方案不同分随机为3组，N组：自然回归；H组：康复理疗;H＋B组：康复理疗与交感神经节及椎旁阻滞。以治疗后1、3、6个月偏瘫、感觉障碍、关节强直、疼痛及精神行为退化等症状的改善作为评价标准。结果：6个月后各种症状综合治疗有效率，N组：46％，H组：71％，H＋B组：100％。3组症状改善有明显差别。结论：脑外伤平稳期，在自然回归中，残疾病症有一定程度的改善；康复理疗可使疗效提高；康复理疗与交感神经节及椎旁阻滞联合运用是改进脑外伤预后最有效的手段。

Abstract:

Aim: To investigate the effective method in the convalescent threatment of cerebral trauma. Methods: 60 Patients with cerebral trauma were randomly devided into 3 groups according to their different treatment scheme: N group (natural regression), H group (convalescent physical treatment) and H B group (convalescent physical treatment and sympathetic ganglion and paraspinal block). The improvement with the criterion of hemiplegia, paralysis, arthrocleisis and the psychological and behavioral retrogression were evaluated 1, 3, 6 months after treatment, respectively. Results: The effective rate after 6 months were: N group (46%), H group (71%) and H B group (100%). There is a significant difference among three groups. Conclusion: In the steady period of cerebral trauma, symptoms of disability will be slowly alleviated without any intervention. Physical treatment could improve the convelescence. Combination of physical treatment and sympathetic ganglion and paraspinal block is one of the most effective methods to improve the prognosis of cerebral trauma.