脊髓损伤的并发症及处理（Complications and treatment of spinal cord injury）.doc

脊髓损伤的并发症及处理（Complications and treatment of spinal cord injury） Prevention and treatment of complications of spinal cord injury Wang ji-cong of China rehabilitation research center A, cramps The injury of the spinal cord is usually followed by a spasm of the affected limb, and the spasm has positive and negative effects on the patient. The treatment and prevention of spasm will be described in detail below. Spasticity (spasticity) is the increase of muscle tension caused by the hyperactivity of the hyperactive neurons after the injury of the upper motor neuron, and the clinical manifestation is the involuntary contraction of the skeletal muscle. After the shock period of spinal cord injury, the flexor muscle spasm usually occurs first, after about half a year, the extensor spasm begins to appear. The effect of spasm on the patient The effect of spasm on patients is divided into two aspects. On the downside: heavier spasms may affect the patients respiratory function, seat balance, the completion of transfer action, the effects of sleep and sex, and pain. The benefits include The spasm can slow down the atrophy of the muscles; The muscle atrophy is not obvious due to spasm, so the bone is not obvious, thus reducing the occurrence of pressure sores. Due to the existence of paroxysmal spasm, the purpose of muscle contractions to promote blood circulation can prevent the formation of deep venous thrombosis. Some patients can use convulsions for standing, metastasis or even walking. Therefore, only severe convulsions that affect patients daily life need to be dealt with. Convulsive therapy 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. From 5mg per day, from 2 to 3 times per day, the dose increased by 5mg per week, until