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目的:观察无骨折脱位的颈髓挫伤患者应用中西医结合方法治疗的临床效果。方法:对我院自2008年11月至2011年11月以来,于我科治疗的22例无骨折脱位的颈髓挫伤患者临床资料进行回顾性分析。结果:依据Frankel的标准,患者治疗前有12例系C级,而治疗后均能够恢复达E级;在治疗前有10例为D级,而治疗后均能够恢复达E级。予以平均约12个月的治疗后,患者感觉与运动以及括约肌的功能均基本恢复达到伤前的水平,另6例出现颈部的屈伸以及旋转活动的轻度受限。予以颈部的MRL检查提示不具有异常信号。结论:患者治疗的适应证需严格的把握,切不可盲目的放宽。同时,患者不具禁忌症的情况下,需尽早的选择大剂量的类固醇以及外固定架(Halo)进行固定,系保证临床疗效最关键的措施。另外,合理的应用针灸理疗与中药治疗,能够明显的缩短其疗程,从而减少临床并发症的发生。
Objective: To observe the clinical effect of treating patients with cervical spinal cord contusion without fracture and dislocation by means of integrated Chinese and western medicine. Methods: The clinical data of 22 patients with cervical spinal cord contusion without fractures and dislocations treated in our department from November 2008 to November 2011 in our hospital were analyzed retrospectively. RESULTS: According to Frankel’s criteria, 12 patients were grade C before treatment, and were able to recover to grade E after treatment. Before treatment, 10 patients were grade D and recovered to grade E after treatment. After an average of about 12 months of treatment, the patient’s sensory and motor functions and sphincter recovery were basically restored to the pre-injury level, and the other 6 patients had slight flexion and extension of the neck and mild rotation. MRL examination of the neck suggests that there is no abnormal signal. Conclusion: The indications for treatment of patients should be strictly controlled, must not be blindly relaxed. In the meantime, if the patient is not contraindicated, the need for early selection of high-dose steroids and Halo fixation is the most important measure to ensure clinical efficacy. In addition, the rational application of acupuncture and traditional Chinese medicine therapy, can significantly shorten the course of its treatment, thereby reducing the incidence of clinical complications.