Discussion of the effect of the medicine treatment of Hepatic Myelopathy.
-
摘要: 通过临床病例分析了解内科综合治疗对肝性脊髓病 (HM)的疗效。回顾性分析了 2 9例HM患者的临床表现及治疗效果。全组共缓解 11例 ,无效 18例 ,缓解率 37 93%。A组 (肌力≤ 2级 ) 11例 ,缓解 1例 (缓解率9 0 9% ) ;B组 (肌力≥ 3级 ) 18例 ,缓解 10例 (缓解率 5 5 5 6 % )。B组的缓解率明显高于A组 (P <0 0 5 )。HM早期进行内科治疗 ,效果较佳。Abstract: To discuss the effect of the medicine treatment of Hepatic Myelopathy (HM) , a retrospective study was made on the clinical progress and therapy results of 29 patients with HM, and compared the curative effect of medicine treatment. Of 29 cases, 11 cases were catabatic (37.93%) , including 1 case catabatic (9.09%) in A group in which patients' muscularity are no less than 3 degree, 10 cases catabatic (55.56%) in B group in which patients' muscularity are no more than 2 degree. The catabatic ratio of B group is superior to A group significantly (P<0.05) . Medicine treatment is an efficient method to the earlier stage of HM.
-
Key words:
- Hepatic Myelopathy /
- spastic paraplegia
-
[1] LeighAD , CardWI.Hepato-lenticulardegeneration:Acaseassociatedwithpostero-lateralcolumndegeneration[J].NeuropathExpNeurol, 1949, 8∶338-346. [2] JosephCampellone, DavidLacomis, MichaelHiuliani, etal.Hepaticmyelopathy:Casereportwithreviewoftheliterature[J].ClinicalNeurol ogyandNeurosurgery, 1996, 98∶242-6. [3]王昊, 王瑞雪.四物汤加减治疗肝性脊髓病15例临床观察[J].国医论坛, 2001, 7 (16) ∶21. [4]杨任民.肝性脊髓病的诊断与鉴别诊断[J].实用内科杂志, 1990, 10 (6) ∶294-6. [5] 曾桂荃.消化系统疾病引起的脊髓病[M].见:高绪文, 郑明新.临床脊髓病学, 北京:人民卫生出版社, 1997.466-8. [6]杨福堂, 张明生.肝性脊髓病[J].临床荟萃, 1996, 11 (23) ∶1058-1059. [7]朱权, 李章婉, 顾岫云.肝性脊髓病———附2例报告[J].哈尔滨医药, 1985, 5 (3) ∶11-13. [8] RobertoT , JanD , BernardDH , etal.ImprovementofHepaticMyelopa thyafterLiverTransplantation[J].NEnglJMed, 1999, 340 (2) ∶151. [9]许洪伟, 朱菊人, 孙成刚, 等.肝硬化患者门静脉系统血流动力学研究的临床价值[J].中华肝脏病杂志, 2000, 8 (1) ∶55-57. [10] 张书香.肝性脊髓病[J].国外医学 (神经病学, 神经外科学) 分册, 1983, 10 (6) ∶3.
本文二维码
计量
- 文章访问数: 2222
- HTML全文浏览量: 12
- PDF下载量: 725
- 被引次数: 0