出院后指导对截瘫患者并发症的影响  

THE EFFECT OF REGULAR INTENSIVE REHABILITATION GUIDANCE ON DISCHARGED PARAPLEGIA PATIENTS

作　　者：连芳[1] 孟亚静[1] 

机构地区：[1]冀中能源邢台矿业集团总医院骨一科,河北邢台054000

出　　处：《河北医科大学学报》2010年第8期915-917,共3页Journal of Hebei Medical University

摘　　要：目的探讨定期强化康复指导对出院后截瘫患者并发症的影响。方法对65例出院的截瘫患者,按出院先后顺序随机分为观察组33例,对照组32例。出院后,对照组接受常规出院指导,观察组接受常规出院指导加定期强化康复指导,分别于出院后1、3、6、12个月进行随访。结果 2组患者出院12个月后并发症发生情况,观察组在褥疮、泌尿系感染、胃肠功能异常、关节僵硬、肌肉萎缩等并发症的发生率明显低于对照组,差异有统计学意义(P<0.05)。肺部感染的发生率比较,2组差异无统计学意义(P>0.05),可能与样本较少有关。结论出院后定期从心理、饮食、皮肤护理、体位护理、呼吸训练、膀胱训练、功能康复锻炼等方面对截瘫患者实施定期强化康复指导,有效地减少了并发症的发生,从而提高了生存质量。Objective To investigate the effect of regular discharged paraplegia patients. Methods A total of 65 discharged intensive rehabilitation guidance on paraplegia patients were randomly divided into two groups,observation group （33 cases） and control group （32 cases） . The control group accepted general guidance , the observation group accepted general guidance and regular intensive rehabilitation guidance. Then two groups were followed UP 1 month, 3 months, 6 months, 12 months after discharge. Results The incidence of observation group was lower than control group in complications such as bedsore, urinary infection, gastrointestinal dysfunction, anchylosis, myophagism. The difference was statistically significant （ P 〈 0.05 ）. The difference between the two groups was not statistically significant in pulmonary infection（ P 〉 0.05 ）. Conclusion It can reduce complications and improve quality of life to give discharged patients regular intensive rehabilitation guidance in psychological, diet, skin care , posture care , respiratory exercise, bladder training and functional rehabilitation.

关 键 词：截瘫 康复护理 脊髓损伤 

分 类 号：R473.2[医药卫生—护理学]