医用三氧联合早期康复干预促进脊椎损伤患者肢体功能恢复的有效性研究  

Study on the effectiveness of nursing intervention of medical three oxygen with early rehabilitation on promoting the recovery of limb function of patients with spinal cord injury

作　　者：黄月秋 赵先旺[1] 黄子珊[1] 廖德发 HUANG Yue-qiu;ZHAO Xianwang;HUANG Zi-shan(Department of Bone and Joint Rehabilitation,Jiangbin Hospital of Guangxi Zhuang Autonomous Region,Nanning 530000,China.)

机构地区：[1]广西壮族自治区江滨医院骨与关节康复科,广西南宁530000

出　　处：《中国医学装备》2023年第2期102-106,共5页China Medical Equipment

基　　金：广西壮族自治区卫生健康委员会科研课题(Z20201100)“医用三氧联合早期康复护理干预促进脊椎损伤患者肢体功能恢复的有效性研究”。

摘　　要：目的:探讨医用三氧联合早期康复干预对脊髓损伤患者术后恢复和生活质量的影响。方法:选取在医院接受手术治疗后的60例脊髓损伤患者,采用随机数表法将其分为观察组和对照组,每组30例,观察组采用医用三氧+早期康复护理,对照组采用医用三氧。两组均连续治疗9周后对比其临床疗效、术后恢复情况及生活质量。结果:观察组临床治疗有效率为96.67%,对照组为73.33%,两组比较差异有统计学意义(χ^(2)=6.405,P<0.05);患者干预前Fugl-Meyer运动功能评分(FMA)、椎体高度、脊柱侧凸(Cobb’s)角情况及健康调查评分(SF-36)差异无统计学意义,干预后观察组的生理功能、生理职能、躯体疼痛、总健康状况、活力、社会功能、情感职能以及精神健康的SF-36评分高于对照组,差异具有统计学意义(t=36.243,t=7.398,t=24.395,t=16.562,t=15.189,t=10.461,t=20.830,t=5.995;P<0.05),观察组FMA评分、椎体高度及Cobb’s角优于对照组,差异具有统计学意义(t=25.000,t=16.108,t=18.343;P<0.05)。结论:将医用三氧联合早期康复干预模式应用到脊髓损伤患者手术围术期,可有效提高手术疗效,加快术后恢复速度,提高生活质量。Objective: To investigate the effect of medical three oxygen that combined with early rehabilitation treatment on postoperative recovery and quality of life of patients with spinal cord injury. Methods: 60 patients with spinal cord injury after received surgical treatment in hospital were selected and they were divided into study group and control group by using random number table method, with 30 cases in each group. The study group adopted medical three oxygen + early rehabilitation treatment, and the control group adopted medical three oxygen treatment.The clinical efficacy, postoperative recovery and quality of life between two groups were compared after they were continuously treated in 9 weeks. Results: The effective rate(96.67%) of clinical treatment of the study group was significantly higher than that(73.33%) of the control group, and the difference of that was statistically significant(x~2=6.405, P<0.05). Before intervention, the differences of the score of fugl-meyer assessment(FMA), the height of vertebral body, the scoliosis(Cobb’s) corner, the health survey score(SF-36) between two groups were no significant.After intervention, the SF-36 scores of physiological function, role-physical, bodily pain, general health, vitality, social functioning, role-emotional and mental health of study group were significantly higher than those of control group(t=36.243, t=7.398, t=24.395, t=16.562, t=15.189, t=10.461, t=20.830, t=5.995, P<0.05), while the FMA score,the height of vertebral body and Cobb’s corner of study group were significantly better than those of control group(t=25.000, t=16.108, t=18.343, P<0.05), respectively. Conclusion: The application of early rehabilitation treatment mode in patients with spinal cord injury during perioperative period can effectively improve the surgical effect, and speed up the velocity of postoperative recovery and improve the quality of life.

关 键 词：早期康复干预 脊髓损伤 术后恢复 生活质量 三氧疗法 

分 类 号：R683[医药卫生—骨科学]