Promising pharmacological agents in the management of acute spinal cord injury.

E C Seidl
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Abstract

The search for a pharmacologic treatment of acute spinal cord injury (SCI) dates back to the 1960s. It was not until 1990 that the pharmacologic agent methylprednisolone demonstrated improved outcomes in humans. Methylprednisolone has shown superiority to placebo in humans in two large, multicenter trials, and is the standard of care thus far. Other potentially useful agents include tirilazad, ganglioside (GM-1), and naloxone. Additional studies are needed for these agents to determine the optimal dose and timing of administration.

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有前途的药物治疗急性脊髓损伤。
对急性脊髓损伤(SCI)药物治疗的研究可以追溯到20世纪60年代。直到1990年,药物甲基强的松龙才在人类身上显示出改善的效果。在两项大型多中心试验中,甲基强的松龙已显示出优于安慰剂的疗效,是迄今为止的标准治疗方法。其他潜在有用的药物包括替拉扎德、神经节苷脂(GM-1)和纳洛酮。需要进一步的研究来确定这些药物的最佳剂量和给药时间。
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Promising pharmacological agents in the management of acute spinal cord injury. Measuring the benefits of clinical decision support: return on investment. Enforcement spotlight shines on formularies: is your compliance program ready to refute kickback and false claims allegations? One more time: please fire marginal employees. State regulation of pharmacy activities.
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