硬膜外注射糖皮质激素在临床上广泛应用于治疗颈腰腿痛及术后镇痛等症,但对其全身影响关注较少。现就硬膜外注射此类药物对神经系统、肾上腺皮质系统、呼吸循环系统、周围组织及血糖与视力等的全身作用作一综述,以指导硬膜外注射糖皮质激素在临床的合理应用。 Epidural injection of glucocorticoid is widely used in the clinical treatment of cervical low back pain and postoperative analgesia embolism, but less attention to its systemic effects. Now on the epidural injection of such drugs on the nervous system, adrenal cortex system, respiratory system, peripheral and blood glucose and visual acuity and other systemic effects are reviewed to guide the rational use of epidural corticosteroids in the clinical application.