脊髓毁伤的并发症及处理(国外英文资料).docVIP

脊髓损伤的并发症及处理 Prevention and treatment of complications of spinal cord injury Wang jiacong of the China rehabilitation research center A, cramps The injury of the spinal cord, which usually occurs after the spinal cord injury, has a positive and negative effect on the patient. The treatment and prevention of spasms will be explained in detail below. Spasticity is an increase in muscle tone caused by the hyperactivity of the upper motor neurons, and is clinically shown as the involuntary contraction of skeletal muscle. After the period of shock of the spinal cord injury, the flexor spasm usually develops first, and after about half a year, the extensor spasm begins. The effect of spasm on the patient The effect of spasm on the patient is divided into two parts. Downside is: the heavier spasm may affect the patients respiratory function, sitting balance, is not conducive to transfer action completion, affect sleep and sex, pain, etc. The benefits are included It can slow down the muscle atrophy. Because the muscle atrophy is not obvious because of the spasm, the bone is not obvious, thus reducing the chance of the sores. Because of the presence of paroxysmal convulsions, the purpose of muscle contractions to promote blood circulation may prevent deep vein thrombosis; Some patients can use spasms for standing, metastasis, or even walking. Therefore, only severe convulsions that affect Peoples Daily life need to be dealt with. The treatment of spastic Drug treatment Clinical commonly used chlorobenzene ammonia butyric acid (baclofen), trade name powerful Mr To element, ridge shu, chlorophenol, etc, it is a strong blocker of synaptic transmission in the spinal cord, and ACTS on the single synapses and synaptic reflection and to relieve spasm effect. The application was increased from 5mg per day, from 2 to 3 times per week, and 5mg per day for every 1 week, until the spasm was relieved. It will take a long time to take the medicine. The maximum daily dose is 120 ~ 140mg,