CAJ | 학술논문

目的：探讨大剂量甲强龙（ MP）在脊柱减压手术中的效果。方法选取2014年脊柱减压手术中应用大剂量甲强龙患者31例，应用地塞米松患者30例。术后随访3个月，通过患者术后感觉运动评分、自主满意度及并发症进行二者效果比较。结果应用大剂量甲强龙的患者术后感觉运动评分及自主满意度优于应用地塞米松者，差异有统计学意义（P＜0.05），二者并发症比较差异未见统计学意义（P＞0.05）。结论围术期大剂量使用甲强龙在伴有严重脊髓压迫的脊柱减压治疗中具有明显改善神经功能的作用，可有效预防由于手术所造成的神经刺激症状，增加手术的安全性。
목적：탐토대제량갑강룡（ MP）재척주감압수술중적효과。방법선취2014년척주감압수술중응용대제량갑강룡환자31례，응용지새미송환자30례。술후수방3개월，통과환자술후감각운동평분、자주만의도급병발증진행이자효과비교。결과응용대제량갑강룡적환자술후감각운동평분급자주만의도우우응용지새미송자，차이유통계학의의（P＜0.05），이자병발증비교차이미견통계학의의（P＞0.05）。결론위술기대제량사용갑강룡재반유엄중척수압박적척주감압치료중구유명현개선신경공능적작용，가유효예방유우수술소조성적신경자격증상，증가수술적안전성。
Objective To investigate the effect of large doses of methyl prednisolone ( MP ) on perioperative of spinal decompression surgery.Methods Sixty-one cases acceptted spinal decompression surgery in 2014 were selected, 31 cases had application of methyl prednisolone, the other 30 cases were dexamethasone, both of them were followed-up for 3 months.The effects and complications were com-pared.Results The sensorimotor score and independent satisfaction in application of methyl pred-nisolone superior to dexamethasone,there were significant differences between the two methods ( P<0.05 ) , the complications had no significant difference between the two methods ( P>0.05 ) .Con-clusions The application of methyl prednisolone can reduce complications of spinal decompression surgery.