早期康复介入对脊髓损伤患者功能恢复的影响  

Effect of early rehabilitation intervention on function recovery in patients with spinal cord injury

作　　者：陈银海[1] 张慧[1] 李萌[1] 王清华[2] 

机构地区：[1]南方医科大学珠江医院门诊部,广州510282 [2]南方医科大学珠江医院神经外科,广东神经外科研究所,广东省脑功能修复与再生重点实验室,广州510282

出　　处：《中华神经医学杂志》2015年第1期57-59,共3页Chinese Journal of Neuromedicine

基　　金：广州市海珠区科技计划项目（2009-Y-018）

摘　　要：目的探讨早期康复治疗对脊髓损伤（SCD患者功能恢复的影响。方法南方医科大学珠江医院神经外科自2009年10月至2013年9月收治SCI患者80例，其中伤后1个月内进行系统康复治疗患者40例（治疗组），伤后1个月后进行系统康复治疗患者40例（对照组）。除康复治疗外．2组患者均给予常规的临床治疗。在治疗前、后3个月应用日常生活活动能力评定量表（AMS）、Barthel指数评定量表（BI）、功能独立性评定量表（FIM）评定患者的日常生活活动能力（ADL）、运动功能和功能独立性。结果与治疗前比较，SCI患者治疗后AMS、BI、FIM评分均明显提高，差异有统计学意义（P〈0．05）：治疗后3个月治疗组患者AMS、BI、FIM评分均明显高于对照组，差异有统计学意义（P〈0．05）。结论康复治疗能明显促进SCI患者功能的恢复，应尽量在伤后1个月之内进行。Objective To investigate the influence of early rehabilitation intervention in functional recovery of patients with spinal cord injury （SCI）. Methods Eighty patients with SCI, admitted to our hospital from October 2009 to September 2013, were chosen in our study and divided into two groups： the treatment group, received rehabilitation treatment within one month of injury （n=40）, and the control group, received rehabilitation treatment one month after injury （n=40）. Both groups were given conventional treatment besides rehabilitation treatment. Scale of activities of daily living, Barthel index （BI） and functional independence measurement （FIM） were performed before treatment and three months after treatment. Results As compared with those before treatment （38.23±17.88 and 38.23± 17.88 in the treatment and control groups, 23.38±15.50 and 25.50±17.28, 55.98±16.76 and 62.75±14.44）, the scores of activities of daily living （73.68±27.38 and 63.45± 19.41）, BI （53.13±28.46 and 43.63±20.25） and FIM （92.78±24.72 and 84.50±17.85） after treatment were significantly higher in both groups （P〈0.05）; as compared with patients from the control group, patients from the treatment group had significantly higher scores of activities of daily living, BI and FIM after treatment （P〈0.05）. Conclusion Early rehabilitation intervention can obviously promote the function recovery of SCI; rehabilitation should be involved within one month of injury.

关 键 词：脊髓损伤 早期康复 功能评定 

分 类 号：R651.2[医药卫生—外科学]