过屈型颈椎损伤并发前部脊髓综合征的围手术期康复效果  

Effects of Perioperative Rehabilitation on Anterior Spinal Cord Syndrome after Cervical Hyperflexion Injury

作　　者：张军军[1] 张艳[1] 程谭[1] 赵兵[1] 周钱宏[1] 卢占斌[1] 黄玉国[1] 陈先[1] 

机构地区：[1]河北省唐山市第二医院脊柱三科,河北唐山市063000

出　　处：《中国康复理论与实践》2016年第5期586-589,共4页Chinese Journal of Rehabilitation Theory and Practice

基　　金：唐山市科技计划自筹经费计划项目(No.14130239a)

摘　　要：目的探讨过屈型颈椎损伤并发前部脊髓损伤综合征的围手术期康复效果。方法 2012年1月~2014年12月收治的过屈型颈椎损伤并发前部脊髓综合征患者69例,其中手术前后接受系统性康复者32例（A组）,未接受系统性康复者37例（B组）。观察术前及术后1年随访时日本骨科协会（JOA）评分。结果所有患者均成功实施手术。术后1年JOA评分A组优于B组（t=2.538,P=0.044）。结论过屈型颈椎损伤并发前部脊髓损伤综合征患者结合系统性康复治疗,可以获得更好的临床疗效。Objective To observe the effect of perioperative rehabilitation on anterior spinal cord syndrome caused by cervical hyperflexion injury. Methods Sixty-nine inpatients with anterior spinal cord syndrome after cervical hyperflexion injury from January, 2012 to December, 2014 were reviewed. 32 cases（group A） accepted systematic rehabilitations and other 37 cases（group B） did not. They were assessed with Japanese Orthopaedic Association（JOA） scores preoperatively and 1-year follow-up. Results All the patients succeeded in the operation. The JOA score improved more 1 year follow-up in group A than group B（t=2.538, P=0.044）. Conclusion Systematic rehabilitation may work in the management of anterior spinal cord syndrome after cervical hyperflexion injury.

关 键 词：脊髓损伤 颈椎过屈 前部脊髓综合征 手术 康复 

分 类 号：R651.2[医药卫生—外科学]