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使用甲基强的松龙补充直流电场以促进脊髓再生。

Using methylprednisolone to supplement direct current electrical field in promoting spinal-cord regeneration.

作者信息

Shen Ning-jiang, Wang Yu-tian, Lin Qin-biao, Cai Ji

机构信息

Department of Orthopedics, People's Hospital of Hainan Province, Haikou, Hainan, China.

出版信息

J Reconstr Microsurg. 2005 May;21(4):251-5. doi: 10.1055/s-2005-871752.

Abstract

In order to compensate for the fact that direct current electrical fields could not reduce or correct spinal-cord edema after trauma, methylprednisolone was used 2 hr after spinal-cord injury to promote the efficacy of the direct current electrical field. Thirty-three dogs were randomly divided into three groups and their spinal cords were injured with the Allen method (weight-dropping technique). Group A, a control group; Group B, implantation of an electrical stimulator 6 hr after spinal-cord injury; and Group C, given an injection of a large dose of methylprednisolone 2 hr after injury. Electric stimulators were implanted into the dogs' bodies 6 hr post-injury. The nerve functions, evoked potential cortical somatosensory and three kinds of nerve morphometric changes, were observed 1 to 3 months after injury. The indexes of Groups B and C were much better than Group A (p<0.05). The results in Group C were better than in Group B. Differences were statistically significant. The combination of direct current electrical field and an injection of a large dose of methylpredwisolone could effectively treat spinal cord injury, promoting earlier recovery of nerve function.

摘要

为了弥补直流电电场在创伤后无法减轻或纠正脊髓水肿这一事实,在脊髓损伤后2小时使用甲基强的松龙以提高直流电电场的疗效。33只犬随机分为三组,采用艾伦法(重物坠落技术)损伤其脊髓。A组为对照组;B组在脊髓损伤后6小时植入电刺激器;C组在损伤后2小时注射大剂量甲基强的松龙。在损伤后6小时将电刺激器植入犬体内。在损伤后1至3个月观察神经功能、皮层体感诱发电位和三种神经形态计量学变化。B组和C组的指标均明显优于A组(p<0.05)。C组的结果优于B组。差异具有统计学意义。直流电电场与注射大剂量甲基强的松龙联合应用可有效治疗脊髓损伤,促进神经功能更早恢复。

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