鼠神經(jīng)生長因子修復(fù)老年電燒傷患者神經(jīng)損傷的臨床觀察
本文選題:鼠神經(jīng)生長因子 切入點:電燒傷 出處:《中國藥房》2016年11期 論文類型:期刊論文
【摘要】:目的:探討鼠神經(jīng)生長因子修復(fù)老年電燒傷患者神經(jīng)損傷的臨床療效。方法:78例老年電燒傷患者按照隨機數(shù)字表法分為試驗組(40例)和對照組(38例)。兩組患者均給予抗感染、改善微循環(huán)等常規(guī)治療,在此基礎(chǔ)上對照組患者肌內(nèi)注射維生素B12,每次500μg,qd;試驗組患者肌內(nèi)注射鼠神經(jīng)生長因子,每次18μg,qd,兩組均4周為1個療程,共治療2個療程。比較兩組患者治療前后神經(jīng)功能評分、神經(jīng)傳導(dǎo)速度的差異;觀察兩組患者的臨床療效及不良反應(yīng)發(fā)生情況。結(jié)果:治療前,兩組患者的針刺覺評分、輕觸覺評分、運動評分、感覺神經(jīng)傳導(dǎo)速度與運動神經(jīng)傳導(dǎo)速度比較,差異均無統(tǒng)計學(xué)意義(P0.05)。治療后,試驗組患者的針刺覺、輕觸覺與運動評分均較治療前及對照組顯著提高,感覺神經(jīng)傳導(dǎo)速度與運動神經(jīng)傳導(dǎo)速度均較治療前及對照組顯著加快,差異具有統(tǒng)計學(xué)意義(P0.05)。試驗組患者的總有效率為92.5%,顯著高于對照組(63.2%),差異具有統(tǒng)計學(xué)意義(P0.05)。兩組患者均未見明顯不良反應(yīng)發(fā)生。結(jié)論:肌內(nèi)注射鼠神經(jīng)生長因子修復(fù)老年電燒傷患者的神經(jīng)損傷,不僅能夠提高其神經(jīng)功能評分,加快其神經(jīng)傳導(dǎo)速度,還能夠提高整體臨床療效。
[Abstract]:Objective: to investigate the clinical efficacy of nerve growth factor (NGF) in repairing nerve injury in elderly patients with electrical burn. Methods: 78 cases of senile electric burn patients were divided into two groups according to random number table: the experimental group (n = 40) and the control group (n = 38). On the basis of improving microcirculation and other routine treatments, the patients in the control group received intramuscular injection of vitamin B12 at 500 渭 g / kg QD, and the patients in the test group received intramuscular injection of nerve growth factor (NGF) at a dose of 18 渭 g QD for 4 weeks as a course of treatment. To compare the difference of nerve function score and nerve conduction velocity between the two groups before and after treatment, to observe the clinical curative effect and adverse reaction of the two groups. Results: before the treatment, the acupuncture sensation score of the two groups was compared. The scores of light tactile sensation, motor score, sensory nerve conduction velocity and motor nerve conduction velocity had no significant difference (P 0.05). After treatment, the acupuncture sensation, light tactile sensation and motor score of the patients in the experimental group were significantly higher than those before treatment and in the control group. Sensory nerve conduction velocity and motor nerve conduction velocity were significantly faster than those before treatment and control group. The total effective rate of the patients in the test group was 92.5, which was significantly higher than that in the control group (63.2%), and the difference was statistically significant (P 0.05). There was no significant adverse reaction in the two groups. Conclusion: nerve growth factor in intramuscular injection rats. To repair nerve damage in elderly patients with electrical burns, It can not only improve the neurological function score, accelerate the nerve conduction velocity, but also improve the overall clinical efficacy.
【作者單位】: 河北醫(yī)科大學(xué)第一醫(yī)院燒傷整形科;
【基金】:河北省醫(yī)學(xué)科學(xué)研究重點課題(No.20130273)
【分類號】:R647
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