颈椎挥鞭样损伤结局预测方法的研究进展  

Advance in Prediction for Outcome of Cervical Whiplash-associated Disorders(review)

作　　者：石欣 李盼盼 王志华[1] 钟炳刚 舒钧[1] SHI Xin;LI Pan-pan;WANG Zhi-hua;ZHONG Bing-gang;SHU Jun(Traumatology Department,the Second Affiliated Hospital of Kunming Medical University,Kunming,Yunnan 650101,China;Radiology Department,the Second Affiliated Hospital of Kunming Medical University,Kunming,Yunnan 650101,China;Orthopedics Department,the First People's Hospital of Zhaotong,Zhaotong,Yunnan 657000,China)

机构地区：[1]昆明医科大学第二附属医院创伤外科,云南昆明市650101 [2]昆明医科大学第二附属医院放射科,云南昆明市650101 [3]昭通市第一人民医院骨科,云南昭通市657000

出　　处：《中国康复理论与实践》2018年第9期1034-1038,共5页Chinese Journal of Rehabilitation Theory and Practice

基　　金：昆明医科大学"十二五"校级重点建设学科(No.0105008)~~

摘　　要：颈椎挥鞭样损伤症状发生发展时间不均匀,恢复过程较复杂,呈非线性恢复轨迹。早期识别不良恢复因素对于选择适当的治疗和康复措施来说至关重要。由于预后相关因素种类繁多,可借助临床预测准则(CPR)评估病情,判断预后。目前,只有Whiplash CPR、丹麦挥鞭样损伤研究小组风险评估工具和CPR-like Tool三种CPR通过外部验证。Whiplash-associated disorders of the cervical vertebrae develop unevenly after the injury,and the recovery process is complicated and non-linear.It is important to identify factors related with poor recovery in the early stages,to select proper treatment and rehabilitation.However,there are too many prognostic factors related to the clinical outcome,while the Clinical Prediction Rules(CPR)are used to help decision-making.Now there are only Whiplash CPR,Assessment Tool for Whiplash Injuries Developed from A Prospective Observational Study and CPR-like Tool undergone the clinical trials.

关 键 词：颈椎 挥鞭样损伤 恢复 相关因素 临床预测准则 综述 

分 类 号：R681.5[医药卫生—骨科学]