交感神经节与椎旁阻滞联合运用于改善脑中风预后的研究.docVIP

　　交感神经节与椎旁阻滞联合运用于改善脑中风预后的研究 【摘要】 目的 评价交感神经节与椎旁阻滞联合运用在脑中风康复 治疗 中的效果。 　　 方法 150例中风患者随机分为交感神经节与椎旁阻滞联合运用组(SGB组)和康复训练组(H组)。分别在治疗前、治疗后及随访期间，记录患者的体征、实验室检查及特殊检测结果。使用临床神经功能缺损程度评分标准及修订的巴氏指数(modified Barthel index,MBI)评测。采用t检验和卡方检验 分析 组间差异。 　　结果 治疗1、3、6个月后，SGB组与H组总疗效均有改善，分别为H组：50%、60%、70%；SGB组：90%、95%、100%， SGB组疗效优于H组。两组比较，自觉症状、神经功能缺损改善程度有明显差异，生活活动能力改善程度差别不大。治疗前、后相比，SGB组收缩压、舒张压、局部皮温、血高切黏度、血低切黏度、PGA有改善，H组改变不明显；两组患者血浆黏度无明显改善。TCD显示，SGB组脑血流改善占85.3%，H组占14.3%。SGB组住院时间短于H组，住院费用不增加。 　　结论 在脑中风康复治疗中，联合运用交感神经节与椎旁阻滞，疗效明显优于常规康复训练。 　　【关键词】 临床流行病学；康复理疗；交感神经节与椎旁阻滞；脑中风；预后 　　A study of the effect of sympathetic ganglion and paraspinal block on the stroke prognosis 　　　【Abstract】 Objective To investigate the effect of the bination of physical treatment and sympathetic ganglion plus paraspinal block on patients . 　　Methods 150 patients ly:SGB group (general healing and sympathetic ganglion plus paraspinal block ) and H group (general healing only). The symptoms,laboratory tests and some special examinations onths after treatment.And patients in the tent and modified Bathel index (MBI).T-test and chi-square test onths ent and MBI tests demonstrated that there ent,the scores increased significantly after treatment in both groups,but the improvement in SGB group ore apparent than that in H group,judged especially by the symptoms and the clinical neural function-defect assessment.The ADL treatment seemed has no effect.The systolic blood pressure(BP),diastolic BP,body temperature,high blood viscosity,loproved obviously in post-treatment patients in the SGB groups,but not in H group,and there a viscosities betproved 83.5% in SGB group and 16.3% in H group,the improvement in the SGB group ore apparent than that in H group.The patients spent less days in hospital in the SGB group ilar expenditure. 　　Conclusion bination of general healing treatment and sympathetic ganglion plus paraspinal block is more effective in improving the prognosis of stroke pared to physical treatment along,as judged by the im