唐山地震40年后幸存脊髓损伤患者生活现状调查  

Current Living Situation of Survival Patients with Spinal Cord Injury 40 Years after Tangshan Earthquake

作　　者：赵丽丽[1] 张希成[1] 郑斌[1] 程芳[1] 周静[2] 杨玉霞[1] 董荣轩[3] 马荣丽[1] 周红俊[4] 

机构地区：[1]唐山市截瘫疗养院,河北唐山市063000 [2]昆明医科大学,云南昆明市650500 [3]唐山市疾病预防控制中心,河北唐山市063000 [4]中国康复研究中心北京博爱医院,北京市100068

出　　处：《中国康复理论与实践》2017年第8期959-964,共6页Chinese Journal of Rehabilitation Theory and Practice

基　　金：2015年度唐山市科技计划自筹经费项目(No.15130233a)

摘　　要：目的了解唐山地震40年后,幸存脊髓损伤患者的功能状态、婚姻状况及生活现状。方法 2016年2月至5月,抽取唐山地震幸存脊髓损伤患者216例进行问卷调查,其中集中居住139例,分散居住77例。问卷采用自行设计的《1976年唐山地震幸存脊髓损伤患者生活现状调查表》,包括11个项目,51个问题,内容涉及日常生活活动能力、婚姻状况、就业状况及社会经济状况。结果地震40年后患者存活率为25.15%。受调查的216例患者中,就业率9.3%,已婚率53.2%,月收入在500元以下占44.9%;并发症发生率为压疮25.9%、神经痛50.50%(严重疼痛者占23.51%)、尿路结石19.40%。56%的患者能做到生活基本自理。结论该脊髓损伤群体存在并发症偏高、就业率低、经济状况差等系列问题。Objective To survey the survival status,functional status,marital status and the present situation of the survival patients with spinal cord injury 40 years after Tangshan earthquake.Methods From February to May,2016,a total of 216 patients with spinal cord injury were surveyed with questionnaire,in which 139 cases lived centralized and 77 cases lived scattered.The questionnaire was self-designed and included eleven items and 51 questions,which related to ability of daily life,marital status,employment status and socioeconomic status and so on.Results A total of 960（25.15%） patients with spinal cord injury survived 40 years after Tangshan earthquake.In 216 surveyed patients,the employment rate was 9.3%,the married rate was 53.2%,and 44.9% earned less than 500 yuan every month.The incidence was 25.9% for pressure score,50.50% for neuralgia（severe pain accounted for 23.51%）,and 19.40% for urinary tract stones.56% of patients could take their own basic self-care.Conclusion There were many problems such as high complication rate,low employment rate and poor economic condition in the spinal cord injury group 40 years after Tangshan earthquake.

关 键 词：脊髓损伤 并发症 生活现状 唐山地震 

分 类 号：R651.2[医药卫生—外科学]