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

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

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

脊髓损伤的并发症及处理（Complications and management of spinal cord injury） Prevention and management of complications of spinal cord injury China Rehabilitation Research Center Wang Jiacong I. spasm Introduction: after spinal cord injury, the spasm of the affected limb often occurs, and the spasm has two positive and negative effects on the patient. The treatment and prevention of spasticity will be described in detail below. Spasticity (spasticity) is an increase in muscle tone caused by traction hyperfunction after upper motor neuron injury, which is manifested by involuntary contraction of the affected skeletal muscles. After the shock period of spinal cord injury, flexor spasm usually occurs first. After about half a year, extensor spasm begins. The effect of spasticity on the patient The effect of spasticity on the patient is divided into two areas. The disadvantage is that a heavier spasm may affect the patients breathing function, sitting balance, adverse movement, sleep and sexual life, and pain. Favorable aspects include You can slow down the speed of muscle spasm; * due to spasm makes muscle atrophy is not obvious, so prominent bone is not obvious, thereby reducing the incidence of pressure ulcers; * because of clonic convulsion exists, to muscle contraction to promote blood circulation to prevent deep venous thrombosis; This part of the patient can be standing, transfer, or even walk by spasm. Therefore, only severe convulsions affecting the daily life of the patient need to be addressed. Treatment of spasticity Medication The clinical commonly used baclofen (baclofen), a brand name, spinax, baclofen baclofen, it is a powerful blocker in the spinal cord of synaptic transmission, and effect on monosynaptic and polysynaptic reflex and relieve spasm effect. When applied, from times a day, 1 days, 2~3 times, every 1 weeks, the daily dose increased by 5mg, until the spasm eased. Thereafter, long-term medication is required. Maximum daily amount of 120 to 140mg, usually d