摘要
目的 探讨联合应用高压氧（ＨＢＯ）、体外反搏（ＥＣＰ）和颈椎牵引（ＣＶＴ）对颅脑一颈椎损伤后综合征（ＰＴＣＣＳ）患者诱发电位影响。方法选择ＰＴＣＣＳ患者４０例，随机分为综合组（２０例）和对照组（２０例）。两组均予一般性药物治疗。综合组同时采用ＨＢＯ、ＥＣＰ和ＣＶＴ疗法；对照组则加用脑细胞赋活剂。对治疗后视觉诱发电位（ＶＥＰ）和脑干听觉诱发电位（ＢＡＥＰ）的主要指标进行对比分析。结果治疗后，与对照组比较，综合ＶＥＰ的Ｐ１波ＰＬ值（ｍｓ）、ＢＡＥＰ的Ｉ波ＰＬ值（ｍｓ）显著缩短（Ｐ＜０．００１２ Ｐ＜０．０１）；ＢＡＥＰ．１－Ｖ波ＩＰＬ值（ｍｓ）亦见明显缩短（Ｐ＜０．０５）。表明综合组疗效明显优于对照组。结论应用“颅颈兼治”的原则和方法，是使ＰＴＣＣＳ患者进一步获得康复的有效途径。
Objective Introducing the new theory on the post- traumaticerainiccoerebro -ceryical vertebro syndrome (PTCCS), and studing the effect of the evoked potential on the patients with PTCCS afler the hyperbaric oxygen (HBO). external counterattack pulse (ECP) and cervical vertebro-tractor(CVT). Methods 40 patients with the PTCCS were strictly selected, and were divided into two groups at random: the synthetical therapy group (20 cases, S-group) and the control group (20 cases, C-group). All of them were treated by the universul drugs. The S-group were treated by the HBO. ECP and CVT, and the C-group were given the drugs including cerebrolysin or/and cytidine diphosphate choling at the same time. Results Contrasting the S-group with the C-group, the peak latency(PL)of P1 in visual evoked potential(VEP)and the PL of wave I in brainstem auditory evoked potential (BAEP)of the Sf-group reduced remarkably P < 0. 01; P < 0. 01, and the interpeak latency(IPL) of I-V in BAEP as well (P < 0. 05). Conclusion Adopting the principle and methods about crainiocerebro-cervical vertebro trauma, it is an effectly way that the patients with the PTCCS restored to health.
出处
《现代康复》
CSCD
2000年第10期1472-1473,共2页
Modern Rehabilitation
关键词
颅脑-颈椎损伤后
综合征
高压氧
体外反搏
post- traumatic crainiocerebro - cervical vertebro syndrome
hyperbaric oxygen
external couterattack pules
cervical vertebro - tractor
evoked potential
