康复对颈髓损伤患者功能恢复的影响  

Effect of Rehabilitation on Functional Recovery of Patients with Cervical Cord Injury

作　　者：罗治安[1] 李福胜[1] 吴大为[1] 石芝喜 易亮[3] 

机构地区：[1]长沙民政职业技术学院康复医学系,湖南长沙市410004 [2]广东工伤康复医院,广东广州市510970 [3]昆明医学院第二附属医院康复医学科,云南昆明市650101

出　　处：《中国康复理论与实践》2008年第1期71-72,共2页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的探讨康复治疗对颈髓损伤患者功能恢复的影响。方法对92例脊髓损伤患者进行常规康复治疗,根据损伤部位分为颈髓损伤、胸髓损伤、腰髓损伤3组,治疗前后采用Barthel指数、功能独立性评定(FIM)进行评定。结果经过60～426d治疗后,3组患者的Barthel指数及FIM评分均有显著提高(P<0.001),三组间比较,腰髓损伤患者优于胸髓损伤,而胸髓损伤又优于颈髓损伤患者(P<0.05)。结论康复治疗能促进颈髓损伤患者的功能恢复,但效果不如胸、腰段脊髓损伤者。Objective To investigate the effect of the rehabilitative therapy on functional recovery of patients with cervical cord injury. Methods 92 cases with spinal cord injury （SCI）, including cervical, thoracic and lumbar cord injury, accepted normal rehabilitation. They were assessed with the Barthel Index and Functional Independence Measure （FIM） before and after treatment. Resuits After rehabilitation of 60-426 d, the scores of the Barthel Index and FIM were significantly improved （P〈0. 001） in all the patients, but it was the worst in the cervical cord injured ones, and the best in lumbar ones（P〈0. 05）. Conclusion Rehabilitation can promote the functional recovery of patients with cervical spinal cord injury, but it is not as effective as on the thoracic and lumbar cord injury.

关 键 词：脊髓损伤 颈髓 康复 BARTHEL指数 功能独立性评定(FIM) 

分 类 号：R651.2[医药卫生—外科学]