综合康复治疗脊髓损伤患者的疗效观察  

Observations on the effects of comprehensive rehabilitation therapy to the patients with spinal cord injury

作　　者：吴映华[1] 蔡颖[1] 周莉[1] 何丽琼[1] 刘远珍[1] 

机构地区：[1]中南大学湘雅医院康复科,湖南长沙410008

出　　处：《中国现代医学杂志》2010年第10期1581-1584,共4页China Journal of Modern Medicine

摘　　要：目的观察综合康复治疗脊髓损伤患者的疗效。方法对35例脊髓损伤患者采用心理治疗、运动疗法、作业疗法、经穴电刺激疗法、传统医学疗法及膀胱训练等康复治疗手段,于治疗前后运用Fugl-Meyer法(FMA)评定运动功能、Barthel指数评定日常生活能力(ADL)和躯干控制能力评分(Sheikh评分)评定躯干活动能力,膀胱残尿量评定膀胱功能。结果 35例脊髓损伤患者经综合康复治疗后,FMA、Barthel及Sheikh评分均较治疗前明显提高(P<0.01),膀胱残余尿量明显减少。结论综合康复治疗可明显改善脊髓损伤患者的运动功能、日常生活能力及膀胱功能。[Objective]To observe the effects of comprehensive rehabilitation therapy to the patients with spinal cord injury （SCI）. [Methods]35 patients with spinal cord injury received comprehensive rehabilitation treatments including psychological therapy, kinesitherapy, occupational therapy, acupoint electrical stimulation therapy, bladder training, and so on. before and after comprehensive therapies, Fugl-Meyer Assessment （FMA）, Barthel Index, Sheikh scoring and postvoid residual urine were adopted to evaluate motor function,activity of daily living, trunk mobility and bladder function respectively.[Results]Compared with pretherapy, FMA, Barthel and Sheikh scores of 35 patients were dramatically increased, postvoid residual urine volume was significantly decreased （P 0.01）. [Conclusion]Comprehensive rehabilitation therapy can improve motor function, activity of daily living and bladder function of patients with spinal cord injury.

关 键 词：脊髓损伤 综合康复治疗 疗效 

分 类 号：R744[医药卫生—神经病学与精神病学]