慢性脊髓功能障碍的管理
Management of chronic spinal cord dysfunction.
作者信息
Abrams Gary M, Ganguly Karunesh
出版信息
Continuum (Minneap Minn). 2015 Feb;21(1 Spinal Cord Disorders):188-200. doi: 10.1212/01.CON.0000461092.86865.a4.
Abstract
PURPOSE OF REVIEW
Both acute and chronic spinal cord disorders present multisystem management problems to the clinician. This article highlights key issues associated with chronic spinal cord dysfunction.
RECENT FINDINGS
Advances in symptomatic management for chronic spinal cord dysfunction include use of botulinum toxin to manage detrusor hyperreflexia, pregabalin for management of neuropathic pain, and intensive locomotor training for improved walking ability in incomplete spinal cord injuries.
SUMMARY
The care of spinal cord dysfunction has advanced significantly over the past 2 decades. Management and treatment of neurologic and non-neurologic complications of chronic myelopathies ensure that each patient will be able to maximize their functional independence and quality of life.
摘要
综述目的
急性和慢性脊髓疾病给临床医生带来了多系统管理问题。本文重点介绍与慢性脊髓功能障碍相关的关键问题。
最新发现
慢性脊髓功能障碍的症状管理进展包括使用肉毒杆菌毒素治疗逼尿肌反射亢进、普瑞巴林治疗神经性疼痛，以及强化运动训练以改善不完全性脊髓损伤患者的步行能力。
总结
在过去20年中，脊髓功能障碍的护理取得了显著进展。慢性脊髓病的神经和非神经并发症的管理与治疗可确保每位患者能够最大限度地提高其功能独立性和生活质量。
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