华东六省一市颅脑创伤住院患者早期康复情况调查分析  

The investigation of early rehabilitation of in -patients with traumatic brain injury in Eastern China

作　　者：姚海军[1] 胡锦[2] 袁强[2] 周良辅[2] 

机构地区：[1]上海交通大学附属第六人民医院重症医学科,上海市200233 [2]复旦大学附属华山医院神经外科

出　　处：《中国基层医药》2015年第13期1938-1940,共3页Chinese Journal of Primary Medicine and Pharmacy

基　　金：国家自然科学基金项目（30371454）;联合基金（GM）项目（30422201）

摘　　要：目的：调查华东六省一市颅脑创伤患者康复情况，为临床早期、正确、有效康复提供依据。方法整群抽取华东六省一市80家合作医院所有颅脑创伤住院患者早期康复病例，采用 SPSS 13．0统计软件进行统计分析。结果华东六省一市颅脑创伤患者早期康复治疗率为4．68％，早期康复治疗男性多于女性（男女比3．801），平均年龄（40．10±16．33）岁，但性别（χ2＝3．23，P ＝0．072）、年龄（t ＝－0．819，P ＝0.413）与是否早期康复无关。该地常住患者早期康复治疗率低于暂住患者（χ2＝8．28，P ＜0．05）。早期康复治疗患者平均住院时间（39．57±34．22）d、平均住院费用（42741．50±43186．69）元，高于未行早期康复治疗患者（t ＝－17．74，P ＜0．05；t ＝－18．96，P ＜0．05），预后不良率高于未行早期康复治疗患者（χ2＝85．45，P ＜0．05）。结论应该对不同程度的颅脑创伤患者提倡正确、早期的康复治疗，不仅进行身体、功能上的康复，更应该进行心理、家庭和社会回归的综合性康复治疗。Objective To master the rehabilitation in patients with traumatic brain injury in Eastern China, and provide evidence for clinicians to rehabilitate early,correctly and effectively.Methods All sampling of the TBI patients from 80 hospitals in Eastern China were clustered and were analyzed using SPSS 13.0.Results The rate of in -patients in Eastern China with early rehabilitative intervention was 4.68%,and the rate of male was higher than female（male to female ratio was 3.80：1）,mean age was （40.10 ±16.33）years old,but there was no difference in gender（χ2 =3.23,P =0.072）and age（t =-0.819,P =0.413）for the early rehabilitative intervention.Local resi-dent patients in early rehabilitative intervention was lower（χ2 =8.28,P 〈0.05）.The average length of stay for the early rehabilitative intervention patients was（39.57 ±34.22）d（t =-17.74,P 〈0.05）,the average cost of hospitali-zation was（42 741.50 ±43 186.69）yuan（t =-18.96,P 〈0.05）.The rate of average length of stay and average cost of hospitalization of the rehabilitative intervention patients were higher and more expensive than the patients who did not obtain early rehabilitative intervention,but did have higher unfavourable prognosis rate（χ2 =85.45,P 〈0.05）. Conclusion We advocate correct and early rehabilitative intervention for traumatic brain injury in patients with different degree,and promote not only the physical and functional rehabilitation,but also comprehensive rehabilitation such as the psychological treatment,family treatment and social regression.

关 键 词：华东六省一市 颅脑创伤 住院患者 康复 

分 类 号：R651.15[医药卫生—外科学]