中医康复临床实践指南·不完全性截瘫  

Clinical Practice Guidelines of Traditional Chinese Medicine Rehabilitation for Incomplete Paraplegia

作　　者：中医康复临床实践指南·不完全性截瘫制订工作组 章薇[2] 李金香[2] 娄必丹[2] 钟峰[2] 石文英[2] 魏歆然 罗小元 曹越[2] 王军 王妍 Working Group of Clinical Practice Guidelines of Traditional Chinese Medicine Rehabilitation for Incomplete Paraplegia;ZHANG Wei;LI Jinxiang;LOU Bidan;ZHONG Feng;SHI Wenying;WEI Xinran;LUO Xiaoyuan;CAO Yue;WANG Jun;WANG Yan(不详;The First Affiliated Hospital of Hunan University of Chinese Medicine,Changsha,Hunan 410007,China)

机构地区：[1]无 [2]湖南中医药大学第一附属医院,湖南长沙410007

出　　处：《康复学报》2021年第5期358-364,共7页Rehabilitation Medicine

基　　金：国家中医药管理局中医康复服务能力规范化建设项目专项课题(GZK-KT201901-18)。

摘　　要：不完全性截瘫临床表现主要为脊髓损伤平面以下的感觉以及运动或括约肌功能不完全丧失。中医康复疗法是不完全性截瘫的特色疗法之一,具有良好的临床疗效,但不完全性截瘫的中医康复管理、康复评定、康复治疗不统一、规范,康复疗效不一。制订不完全性截瘫的中医康复指南主要是为了规范不完全性截瘫的中医康复管理、康复评定和康复治疗等流程,提高康复诊疗效果。该指南从范围、术语和定义、临床诊断标准、康复管理、康复评定、康复治疗、辨证论治等方面对不完全性截瘫的康复临床实践进行规范。康复管理方面主要包括推行全面质量管理的制度;建立和完善有效的沟通系统;制定员工培训及发展政策;建立全面质量管理的执行机制及计划;建立质量管理的检查反馈机制等。康复评定方面主要包括脊髓损伤神经功能评定、肌张力评定、肌力评定、心理功能评定、日常生活活动与能力评定等。康复治疗方面主要包括中医康复介入时机、早期康复治疗、恢复期康复治疗、辅助器具应用等。并对瘀血阻络证、气虚血瘀证、脾胃虚弱证、肝肾亏虚证、气血两虚证等不同证型的不完全性截瘫的治法、证据等级、推荐意见、推荐方药等进行梳理。该指南适用于我国各级各类康复机构、其他中医医院或综合医院的康复科,具有较好的适用性及有效性。The main clinical manifestations of incomplete paraplegia are sensation below the injury level and incomplete loss of motor or sphincter function. Rehabilitation intervention of traditional Chinese medicine(TCM) is one of the characteristic treatments of incomplete paraplegia, which has a good clinical effect. However, the TCM rehabilitation management, rehabilitation evaluation and rehabilitation treatment of incomplete paraplegia are not completely unified and standardized, and the rehabilitation outcome varies. The main purpose of formulating the "TCM Rehabilitation Guide" for incomplete paraplegia is to standardize the TCM rehabilitation management, rehabilitation evaluation and rehabilitation treatment for incomplete paraplegia, and to improve the outcome of rehabilitation diagnosis and treatment. The guide standardizes the rehabilitation clinical practice of incomplete paraplegia from the aspects of scope, terminology and definition, clinical diagnostic criteria, rehabilitation management, rehabilitation evaluation, rehabilitation treatment, syndrome differentiation etc. Rehabilitation management includes: the implementation of total quality management system;the establishment and improvement of an effective communication system;the formulation of staff training and development policies;the establishment of total quality management implementation mechanism and plan;the establishment of quality management inspection feedback mechanism and so on. Rehabilitation assessment includes: spinal cord injury neurological function assessment, muscle tone assessment, muscle strength assessment, psychological function assessment, activities of daily living and ability assessment and so on. Rehabilitation treatment includes: timing of TCM rehabilitation intervention, early rehabilitation treatment, rehabilitation treatment in recovery period, application of assistive devices and so on. We sort out the treatment, evidence level, recommended opinions and recommended prescriptions of different syndrome types of incomplete p

关 键 词：不完全性截瘫 脊髓损伤 中医 康复 指南 

分 类 号：R47[医药卫生—护理学]