四川地震51例脊髓损伤患者康复医疗状况分析  

Rehabilitation outcomes for 51 earthquake victims with spinal cord injury

作　　者：李勇强[1] 刘颍[2] 丁明浦[2] 励建安[1] 张霞[1] 陈思婧[1] 伊文超[1] 

机构地区：[1]南京医科大学第一附属医院康复医学科,南京210029 [2]四川大学华西医院康复针灸中心

出　　处：《中华物理医学与康复杂志》2010年第5期359-362,共4页Chinese Journal of Physical Medicine and Rehabilitation

摘　　要：目的 分析四川地震51例脊髓损伤（SCI）伤员的临床特征、并发症与康复治疗的结果.方法 对51例经3～4个月康复治疗的住院SCI患者进行疗效评估和随访调查,分析受伤原因、损伤程度、并发症和康复效果.结果 SCI平面：C7以上占9.8%、C8～T6占5.9%、T7～L2占68.6%、L3～S2占13.7%、S2以下占2.0%;完全性损伤22例,不完全性损伤29例;76.5%的伤员实现轮椅独立,78.4%穿戴矫形器步行,88.2%生活基本或完全自理.结论 地震SCI患者通过积极的康复训练可以恢复较好的生活独立能力,但长期康复医疗任务依然十分艰巨.Objective To analyze the outcomes of clinical management and rehabilitation interventions for earthquake victims with spinal cord injury. Methods Comprehensive rehabilitation intervention was conducted for 3 to 4 months with 51 earthquake victims with spinal cord injuries. The study involved their physical examination and on site interviews during hospitalization, and follow-up by telephone. Etiology, severity, complications and outcomes of rehabilitation and clinical management were analyzed. Results In 9.8% of the patients the spinal cord injury was at C7 or above, 5.9% at C8 to T6 , 68.6% at T7 to L2 , 13.7% at L3 to S2 and 2.0% at S2 or below. There were 22 complete injuries and 29 incomplete. After 4 months of training, 76.5% of the wounded reached wheelchair independence, 78.4% ambulated with an orthosis and 88.2% were partially independent in the activities of daily living.Conclusions The comprehensive rehabilitation intervention allowed most of the victims to resume an independent life. Their long-term care remains a challenge.

关 键 词：地震 康复 脊髓损伤 

分 类 号：R651.2[医药卫生—外科学]