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[痉挛性和疼痛综合征患者脊髓和脊神经根的选择性冷却]

[Selective cooling of the spinal cord and spinal nerve roots in patients with spastic and pain syndromes].

作者信息

Malkin V A

出版信息

Zh Vopr Neirokhir Im N N Burdenko. 1978 May-Jun(3):46-50.

PMID:676630
Abstract

Selective cooling of the spinal cord and its roots was applied in 26 patients with a high degree of muscle spasticity of various genesis and in 12 of those with various pain syndromes. Hypothermia was conducted by the open and closed (puncture) methods. The subarachnoid space was cooled to 11--7.5 degrees C. Spasticity diminished to grade I--II in 15 patients and to grade III in 9; in 2 patients it did not change. In 3 of 12 patients the sensation of phantom and pain were completely relieved, marked improvement occurred in 6 patients, while in 3 patients the effect proved short-lived or doubtful.

摘要

对26例不同病因导致的高度肌肉痉挛患者以及12例患有各种疼痛综合征的患者进行了脊髓及其神经根的选择性冷却。采用开放和封闭(穿刺)方法进行低温治疗。蛛网膜下腔冷却至11 - 7.5摄氏度。15例患者的痉挛程度减轻至I - II级,9例减轻至III级;2例患者的痉挛程度未改变。12例患者中有3例的幻肢感和疼痛完全缓解,6例有明显改善,而3例患者的效果证明是短暂的或不确定的。

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