甲泼尼龙联合丙种球蛋白对病毒性脑炎患儿心理状态和预后的影响

Effect of methyl prednisolone combined with gamma globulin on psychological status and prognosis in the treatment of children with viral encephalitis.

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DOI
刊名
Journal of International Psychiatry
年,卷(期) 2016, 43(3)
作者
作者单位

西安医学院第二附属医院 ;

摘要
【摘要】目的:探讨甲泼尼龙联合丙种球蛋白对病毒性脑炎患儿心理状况和预后的影响。方法:将我院于2013年1月至2015年5月期间收治的90例病毒性脑炎患儿随机分成实验组和对照组,对照组使用阿昔洛韦及地塞米松常规等治疗,治疗组在常规治疗的基础上静脉增用甲泼尼龙和丙种球蛋白。使用父母用症状问卷(PSQ)、运动功能评分(FMA)和痉挛量表(ASS)评估两组患者治疗前后的心理及运动功能障碍,同时调查患者的不良反应。结果:治疗后,实验组患者各项PSQ评分明显低于对照组(P<0.01),实验组和对照组的总有效率分别为91.11%、73.33%,差异有统计学意义(P<0.01),两组之间的不良反应发生率无统计学差异(P>0.05)。结论:甲泼尼龙联合丙种球蛋白治疗有助于改善病毒性脑炎患儿的心理状况,且可行性、安全性良好,值得临床推广应用。
Abstract
【Abstract】 Objective: To explore effect of methyl prednisolone combined with gamma globulin on psychological status and prognosis in the treatment of children with viral encephalitis. Methods: 90 cases of viral encephalitis in our hospital from January 2013 to May 2015 were randomly divided into experimental group and the control group, control group using conventional acyclovir and dexamethasone treatment, treatment group on the basis of conventional treatment of vein increased with prednisolone and gamma globulin. The psychological state and movement function before and after treatment were evaluated with Parents Symptom Quenstionaire (PSQ), FugI-Meyer Assessment (FMA) and Ashworth spasticity scale (ASS). At the same time, the adverse reaction were surveyed (P>0.05). Results: After treatment, each single factor of PSQ of experimental group was lower than that of control group (P<0.01), the total effective rates of experimental group and control group were 91.11% and 73.33%, respectively, the difference reached statistical level (P<0.01), there was no statistical difference in adverse reaction rate between the two groups (P>0.05). Conclusion: Methyl prednisolone combined with gamma globulin has good effect in improving psychological status in treatment of children with viral encephalitis patients, and has good feasibility and security, therefore it is worth of clinical application.
关键词
【关键词】病毒性脑炎;心理状态;运动功能障碍;甲泼尼龙;丙种球蛋白
KeyWord
【Key words】 Viral encephalitis; Psychological state; Movement disorders; Methyl prednisolone; Gamma globulin
基金项目
页码 480-482
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杨艳娥*,杨琳,何文,范静华. 甲泼尼龙联合丙种球蛋白对病毒性脑炎患儿心理状态和预后的影响 [J]. 国际精神病学杂志. 2016; 43; (3). 480 - 482.

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