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目的分析甲基强的松龙冲击治疗急性脊髓炎的临床效果。方法 70例急性脊髓炎患者为研究对象,采用随机分组法将患者分为观察组和对照组,各35例。对照组给予地塞米松及泼尼松治疗,观察组给予甲基强的松龙冲击治疗,对比两组治疗效果与神经功能恢复时间。结果观察组总有效率97.1%明显高于对照组80.0%,差异具有统计学意义(P<0.05)。观察组肌力改善≥2级时间为(10.25±4.28)d、排尿恢复时间为(7.21±3.54)d、自动下地行走时间为(16.28±4.40)d,均短于对照组的(23.54±7.54)、(10.28±3.24)、(22.75±7.35)d,差异均具有统计学意义(P<0.05)。结论甲基强的松龙冲击治疗急性脊髓炎,临床治疗安全可靠,治疗效果明显,值得在临床上进行应用。
Objective To analyze the clinical effect of methylprednisolone in the treatment of acute myelitis. Methods Seventy patients with acute myelitis were selected as the study subjects. The patients were divided into observation group and control group by randomization, 35 cases each. The control group was treated with dexamethasone and prednisone. The observation group was given methylprednisolone impact treatment, and the treatment effect and nerve function recovery time were compared between the two groups. Results The total effective rate was 97.1% in the observation group was significantly higher than 80.0% in the control group, the difference was statistically significant (P <0.05). The improvement of muscle strength in the observation group was (≥2) (10.25 ± 4.28) days, urination recovery time was (7.21 ± 3.54) days and automatic walking time was (16.28 ± 4.40) days, both of which were shorter than that of the control group (23.54 ± 7.54 ), (10.28 ± 3.24) and (22.75 ± 7.35) d, respectively. All the differences were statistically significant (P <0.05). Conclusion Methylprednisolone shock treatment of acute myelitis, safe and reliable clinical treatment, the treatment effect is obvious, it is worth clinical application.