一体化急救联合综合康复干预对脊柱骨折合并脊髓损伤患者术后生活能力的影响研究  

Study on the Impact of Integrated Emergency Care and Comprehensive Rehabilitation Interventions on Postoperative Living Abilities in Patients with Spinal Fractures and Spinal Cord Injuries

作　　者：汤惠珠 欧阳隽超 TANG Huizhu;OUYANG Junchao(Department of rehabilitation medicine,affiliated hospital of Putian university,Putian 351100,China)

机构地区：[1]莆田学院附属医院康复医学科,福建莆田351100

出　　处：《中华灾害救援医学》2024年第7期809-812,共4页Chinese Journal of Disaster Medicine

摘　　要：目的探索脊柱骨折伴脊髓损伤患者采取一体化急救联合综合康复的应用效果。方法回顾性收集2021年8月至2023年8月莆田学院附属医院收治的60例脊柱骨折合并脊髓损伤患者的临床基础资料,根据急救方案的不同分为观察组和对照组,每组各30例。比较两组患者的神经功能、生活能力、疗效。结果两组患者干预前感觉神经功能和运动神经功能评分无显著差异(P>0.05);两组患者干预后,感觉神经功能和运动神经功能均改善(P<0.001),且观察组感觉神经功能和运动神经功能评分均高于对照组(P<0.05)。两组患者干预前躯体疼痛、生理功能、社会功能、运动功能评分无显著差异(P>0.05);两组患者干预后,各维度生活能力评分均改善(P<0.001),且观察组感觉躯体疼痛、生理功能、社会功能、运动功能评分均高于对照组(P<0.05)。观察组的临床疗效明显高于对照组(P<0.05)。结论一体化急救联合综合康复的方案能有效改善脊柱骨折伴脊髓损伤患者的神经功能,提高患者的生活能力,疗效显著。Objective To explore the application effects of integrated emergency care combined with comprehensive rehabilitation for patients with spinal fractures and spinal cord injuries.Methods Retrospective collection of clinical basic data of 60 patients with spinal fractures and spinal cord injuries admitted to Putian University Affiliated Hospital from August 2021 to August 2023.According to different emergency plans,they were divided into the observation group and the control group,with 30 cases in each group.We compared the neurological function,living ability,and therapeutic effect of two groups of patients.Results There was no significant difference in sensory and motor nerve function scores between the two groups of patients before intervention(P>0.05);After intervention,both groups of patients showed improvement in sensory and motor nerve function(P<0.001),and the observation group had higher scores in sensory and motor nerve function than those of the control group(P<0.05).There was no significant difference in the scores of physical pain,physiological function,social function,and motor function between the two groups of patients before intervention(P>0.05);After intervention,the scores of various dimensions of life ability improved in both groups of patients(P<0.001),and the observation group had higher scores of perceived physical pain,physiological function,social function,and motor function than those of the control group(P<0.05).The clinical efficacy of the observation group was significantly higher than that of the control group(P<0.05).Conclusion The integrated emergency care combined with comprehensive rehabilitation plan can effectively improve the neurological function of patients with spinal fractures and spinal cord injuries,enhance their daily living abilities,and demonstrate significant therapeutic effects.

关 键 词：脊柱损伤 康复 急救医疗服务 

分 类 号：R49[医药卫生—康复医学]