唐山地震37年后脊髓损伤患者死亡原因调查  

Investigation of the Cause of Death in Patients with Spinal Cord Injury from Tangshan Earthquake(1976)

作　　者：赵丽丽[1] 李唐棣[2] 马洪颖 李瑜霞 张希成[1] 

机构地区：[1]唐山市截瘫疗养院,河北唐山市063000 [2]河北联合大学药学院,河北唐山市063000 [3]唐山市工人医院,河北唐山市063000

出　　处：《中国康复理论与实践》2014年第10期975-978,共4页Chinese Journal of Rehabilitation Theory and Practice

摘　　要：目的讨论唐山地震37年后脊髓损伤(SCI)患者的死亡原因并与以往调查结果对比分析。方法采用调查表的方式调查2003年至今居住在唐山市区的1所疗养院、1所康复村和居住在农村的6所疗养院的死亡脊髓损伤患者的死亡原因,内容包括死亡患者的一般情况、导致死亡的主要原因、死亡时间、死亡年龄等9项内容。将调查结果与1988年和2003年的调查结果进行比较。结果对比三次调查结果,唐山地震脊髓损伤患者的第一死亡原因为尿毒症和压疮感染,其中压疮感染是农村脊髓损伤患者的第一位死亡原因,尿毒症同为城市和农村患者的第一位死亡原因,但与前两次相比,比例在进一步下降;心血管病和脑血管病分列第二和第三位。恶性肿瘤的患病比例呈上升趋势。颈髓损伤患者的最长生存年限为36年。结论唐山地震脊髓损伤患者的前几位死亡原因分别为尿毒症、压疮感染和心脑血管病。唐山地震37年后脊髓损伤患者的死亡原因及预期寿命已经接近正常人水平。Objective To discuss the cause of death in patients with spinal cord injury from Tangshan earthquake 37 years latter, and compare them with the survey before. Methods The causes of death of the spinal cord injury patients lived in 1 sanatorium and 1 rehabilitation village in Tangshan city, and 6 sanatoriums in villages from 2003 were surveyed. The questionnaire included their general condition, the main cause of death, time of death, age at death, etc., and the findings in 1988 and 2003 were compared. Results Uremia and pressure sore infection were the most major causes of death, in which pressure sore infection was the first cause in the village, and uremia was the first both in the village and city, and the epidemiology of them decreased than before. Cardiovascular disease and cerebrovascular disease were the second and third causes of death respectively. The epidemiology of malignancies increased in this survey, and the longest life time of patients with cervical spinal cord injury was 36 years. Conclusion The top causes of death in spinal cord injury patients from Tangshan earthquakeare uremia, pressure sore infection, cardiovascular disease and cerebrovascular disease. 37 years after Tangshan earthquake, the cause of death and the life expectancy of patients with spinal cord injury have been close to general levels.

关 键 词：脊髓损伤 死亡原因 地震 对比分析 康复 

分 类 号：R651.2[医药卫生—外科学]