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目的研究甲基强的松龙早期短程冲击治疗小儿重症病毒性脑炎的临床价值。方法选取本院于2011年6月~2013年6月收治的60例小儿重症病毒性脑炎患者,将其随机分成观察组和对照组,各30例;观察组给予大剂量甲基强的松龙冲击治疗;对照组采用地塞米松进行治疗。治疗结束后分析比较两组患者抽搐、发热、脑膜刺激征与意识障碍恢复时间。结果观察组患者症状与体征的恢复正常时间显著比对照组缩短,两组结果比较差异具有统计学意义(P<0.01)。结论甲基强的松龙早期短程冲击治疗小儿重症病毒性脑炎可以快速改善患者症状,疗效确切,缩短治疗时间,后遗症较少,治愈率较高,值得临床推广与应用。
Objective To study the clinical value of early treatment of methylprednisolone in treating infantile severe viral encephalitis. Methods Sixty children with severe viral encephalitis admitted to our hospital from June 2011 to June 2013 were randomly divided into observation group and control group, 30 cases in each. The observation group was given high dose methylprednisolone Dragon shock treatment; control group with dexamethasone for treatment. After treatment, the patients in both groups were analyzed for convulsion, fever, meningeal irritation and recovery time of consciousness. Results The recovery time of symptoms and signs in the observation group was significantly shorter than that of the control group, and the difference between the two groups was statistically significant (P <0.01). Conclusion The treatment of severe thrombosis with methylprednisolone in children with severe viral encephalitis can rapidly improve the symptoms of patients. The curative effect is shortened, the treatment time is shortened, sequelae is less and the cure rate is higher, which is worthy of clinical promotion and application.