都江堰友爱学校地震伤员康复状况调查分析  

Rehabilitation needs of earthquake victims in Dujiangyan Youai primary school in Sichuan Province

作　　者：潘福琼[1] 杨玉龙[1] 田金艳[1] 赵冠兰[1] 彭博[1] 陈启明 罗尚蔚 何锦华 彭元宏 黎浩然 

机构地区：[1]四川省医学科学院.四川省人民医院康复科,四川成都610072 [2]香港"站起来"康复团队

出　　处：《实用医院临床杂志》2011年第2期94-96,共3页Practical Journal of Clinical Medicine

基　　金：国家高技术研究发展计划(863计划)(编号:2008AA022401)

摘　　要：目的分析全国首家无障碍学校——四川省都江堰友爱学校地震伤员的伤情、功能障碍、康复现状及需求,为下一步康复医疗提供依据。方法对105例在校伤员进行现场功能评估,采用截肢身体意象评估量表(AB IS),对40名截肢伤员进行问卷调查。结果 105例伤员中,骨折44例(41.9%)、截肢40例(39%)、挤压伤15例(14.2%)、脑外伤6例(5.7%);大都存在的不同程度、多种功能障碍问题,其中肌力减退62例(59.1%),肌肉萎缩32例(30.2%),关节活动度(ROM)受限49例(46.7%),瘢痕粘连增生70例(66.7%),感觉障碍14例(13.3%),关节挛缩32例(30.5%),步态异常23例(21.9%),生活不能完全自理26例(24.8%)。结论 105例伤员均有不同程度的康复需求,需要进一步的康复指导与治疗;伤员的心理状况也需要关注。Objective To investigate the status of dysfunction and rehabilitation needs of earthquake victims in Dujiangyan Youai primary school in Sichuan Province,to provide a guideline for further rehabilitation.Methods Live investigation was performed for 105 patients in the school.Amputation Body Image Scale（ABIS）was used as psychological assessment to investigate the psychological status of 40 amputees.Results Among the 105 victims,there were 44 cases of fracture（41.9%）,40 cases of amputee（39%）,15 cases of crush syndrome（14.2%）and 6 cases of head injury（5.7%）.Most of them had different levels of physical dysfunction,including 62 cases of decreased muscle strength（59.1%）,32 cases of muscular atrophy（30.2%）,49 cases of limited range of motion（ROM）（46.7%）,70 cases of cicatricial adhesion（66.7%）,14 cases of sensory disorder（13.3%）,32 cases of arthrogryposis（30.5%）,23 cases of abnormal gait（21.9%）and 26 cases of limitation in activities of daily living（ADL）（24.8%）.ConclusionsSichuan earthquake victims in Youai primary school had different levels of rehabilitation needs.Further rehabilitation is needed and intensive attention should be paid to those wounded with psychological problems.

关 键 词：地震伤 功能障碍 康复需求 

分 类 号：R493[医药卫生—康复医学] R129[医药卫生—临床医学]