创伤性脊柱脊髓损伤康复治疗专家共识(2020版)  

Expert consensus on rehabilitation strategies for traumatic spinal cord injury

作　　者：曹烈虎 牛丰[3] 张文财[4] 杨强[5] 陈世杰[6] 杨国庆 王博禹 陈雁西 刘国辉[9] 王栋梁[10] 刘曦明 童晓玲 刘国栋[13] 刘宏建[14] 罗涛 施忠民[16] 黄标通 陈文明 王启宁[19] 宋绍军 杨立利 刘同生[2] 何大为 余正红[21] 张建政[22] 侯志勇[23] 邵增务[9] 张殿英[24] 林浩东 禹宝庆 陈云丰 朱晓东 韩庆林[28] 顾峥嵘 陈晓 胡衍 熊蠡茗 张云飞 王勇 张磊 杨雷[32] 童培建[33] 贾金鹏[34] 张鹏[35] 张勇 孙廓[36] 沈涛[37] 董世武 王剑飞[39] 王宏亮 冯勇 应志敏[41] 胡成栋[42] 李明[43] 陈晓涛[44] 杨伟国[45] 吴兴[46] 周家钤[47] 徐海栋 米博斌 张英泽 苏佳灿 Cao Liehu;Niu Feng;Zhang Wencai;Yang Qiang;Chen Shijie;Yang Guoqing;Wang Boyu;Chen Yanxi;Liu Guohui;Wang Dongliang;Liu Ximing;Tong Xiaoling;Liu Guodong;Liu Hongjian;Luo Tao;Shi Zhongmin;Huang Biaotong;Chen Wenming;Wang Qining;Song Shaojun;Yang Lili;Liu Tongsheng;He Dawei;Yu Zhenghong;Zhang Jianzheng;Hou Zhiyong;Shao Zengwu;Zhang Dianying;Lin Haodong;Yu Baoqing;Chen Yunfeng;Zhu Xiaodong;Hang Qinglin;Gu Zhengrong;Chen Xiao;Hu Yan;Xiong Liming;Zhang Yunfei;Wang Yong;Zhang Lei;Yang Lei;Tong Peijian;Jia Jinpeng;Zhang Peng;Zhang Yong;Sun Kuo;Shen Tao;Dong Shiwu;Wang Jianfei;Wang Hongliang;Feng Yong;Ying Zhimin;Hu Chengdong;Li Ming;Chen Xiaotao;Yang Weiguo;Wu Xing;Zhou Jiaqian;Xu Haidong;Mi Bobin;Zhang Yingze;Su Jiacan(Changhai Hospital Affiliated to Naval Medical University,Shanghai 200433,China;Luodian Hospital,Baoshan District,Shanghai 201908,China;First Hospital of Bethune Affiliated to Jilin University,Changchun 130021,China;First Affiliated Hospital of Jinan University,Guangzhou 510632,China;Tianjin Hospital,Tianjin 300210,China;Third Hospital of Xiangya Affiliated to Zhongnan University,Changsha 410013,China;Zhongye Hospital,Shanghai 200941,China;Zhongshan Hospital Affiliated to Fudan University,Shanghai 200032,China;Union Hospital of Tongji Medical University Affiliated to Huazhong University of Science Technique,Wuhan 430000,China;Xinhua Hospital,School of Medicine,Shanghai Jiaotong University,Shanghai 200092,China;General Hospital of Central Theater,Wuhan 430000,China;Hankou Hospital,General Hospital of the Central Theater,Wuhan 430000,China;Institute of Field Surgery,Daping Hospital Affiliated to Army Military Medical University,Chongqing 400042,China;First Hospital Affiliated to Zhengzhou University,Zhengzhou 450018,China;Shanghai Public Health Clinical Center,Shanghai 200083,China;Sixth People's Hospital Affiliated to Shanghai Jiaotong University,Shanghai 200233,China;Institute of Translational Medicine,Shanghai University,Shanghai 200444,China;Institute of Engineering And Applied Technology,Fudan Universit

机构地区：[1]海军军医大学长海医院,上海200433 [2]上海市宝山区罗店医院,201908 [3]吉林大学白求恩第一医院,长春130021 [4]暨南大学附属第一医院,广州510632 [5]天津市天津医院,300210 [6]中南大学湘雅三院,长沙410013 [7]上海市中冶医院,200941 [8]复旦大学附属中山医院,上海200032 [9]华中科技大学同济医学院附属协和医院,武汉430000 [10]上海交通大学医学院附属新华医院,200092 [11]解放军中部战区总医院,武汉430000 [12]解放军中部战区总医院汉口院区,武汉430000 [13]陆军军医大学大坪医院野战外科研究所,重庆400042 [14]郑州大学第一附属医院,450018 [15]上海市公共卫生临床中心,200083 [16]上海交通大学附属第六人民医院,200233 [17]上海大学转化医学研究院,200444 [18]复旦大学工程与应用技术研究院,上海200433 [19]北京大学工学院,100871 [20]海军军医大学长征医院,上海200433 [21]河南省人民医院,郑州450003 [22]解放军总医院第七医学中心,北京100700 [23]河北医科大学第三医院,石家庄050051 [24]北京大学人民医院,100044 [25]上海交通大学附属第一人民医院,200080 [26]复旦大学附属浦东医院,上海200433 [27]上海市同仁医院,200050 [28]南通大学附属医院,226001 [29]空军军医大学唐都医院,西安710038 [30]温州市中西医结合医院,325003 [31]上海市普陀区中心医院,200062 [32]温州医科大学附属第二医院,325003 [33]浙江省中医院,杭州310006 [34]解放军总医院,北京100039 [35]山东省立医院,济南250021 [36]南昌大学第二附属医院,330006 [37]中国医科大学附属盛京医院,沈阳117004 [38]陆军军医大学,重庆400038 [39]延安大学附属医院,716000 [40]安徽省阜阳市人民医院,100191 [41]浙江大学医学院附属第二医院,杭州310058 [42]河北省邯郸市中心医院,130403 [43]浙江省宁波市第六医院,315040 [44]青海省人民医院,西宁810007 [45]香港大学医学院,999077 [46]同济大学附�

出　　处：《中华创伤杂志》2020年第5期385-392,共8页Chinese Journal of Trauma

基　　金：国家重点研发计划(2018YFC2001500);国家自然科学基金重大研究计划项目(91749204);国家自然科学基金(81771491);上海市卫生系统优秀学科带头人计划(2017BR0U)。

摘　　要：创伤性脊柱脊髓损伤(TSCI)患者由于运动感觉功能障碍,导致多种并发症而危及生命.患者的生存质量受到严重影响。本共识在TSCI流行病学的基础上,总结国内外文献和调研结果.对TSCI的损伤分级、康复评定、康复策略和主要康复措施等方面进行归纳和总结,期望对TSCI的康复治疗提供早期合理规范的治疗方案。TSCI have dyskinesia and sensory disturbance that can cause various life-threaten complications.The patients with traumatic spinal cord injury(TSCI),seriously affecting the quality of life of patients.Based on the epidemiology of TSCI and domestic and foreign literatures as well as expert investigations,this expert consensus reviews the definition,injury classification,rehabilitation assessment,rehabilitation strategies and rehabilitation measures of TSCI so as to provide early standardized rehabilitation treatment methods for TSCI.

关 键 词：脊柱损伤 脊髓损伤 康复 指南 

分 类 号：R651.2[医药卫生—外科学] R683[医药卫生—临床医学]