脊髓损伤术后早期综合康复治疗患者肢体运动功能和生活能力观察  

Effects of early comprehensive rehabilitation on limb motor function and daily living ability of postoperative patients with spinal cord injury

作　　者：吕本浩 路瑶 宋海波 张波 于学忠 LYU Benhao;LU Yao;SONG Haibo;ZHANG Bo;YU Xuezhong(Department of Spine Surgery,Dongying People's Hospital,Dongying 257091,China;不详)

机构地区：[1]东营市人民医院脊柱外科,山东东营257091 [2]北京体育大学运动医学与康复学院,北京100091 [3]山东石油化工学院生物医药与护理学院,山东东营257061

出　　处：《山东医药》2025年第3期78-82,共5页Shandong Medical Journal

基　　金：山东省中医药科技项目(2021M100)。

摘　　要：目的观察早期综合康复治疗对脊髓损伤术后患者肢体运动功能和生活能力的影响。方法选择接受脊髓减压手术治疗的脊髓损伤患者60例,随机分为观察组25例和对照组35例。术后1周,观察组和对照组分别在医护人员指导下行早期综合康复治疗和常规康复治疗,疗程1个月,早期综合康复治疗包括中医康复治疗、中频电刺激和截瘫肢体综合训练。两组康复治疗后3个月评价疗效,计算优良率。两组康复治疗前及治疗后3个月,使用美国脊髓损伤协会(ASIA)评估量表评价肢体运动功能,使用Barthel指数评价日常生活活动能力。结果观察组治疗后3个月疗效评价为优2例、良14例、可6例、差3例,优良率为64.00%;对照组分别为3、9、15、8例及34.29%;观察组优良率高于对照组(P<0.05)。与同组治疗前比较,两组治疗后3个月ASIA评分及Barthel指数均升高,且观察组治疗后3个月升高更明显(P均<0.05)。结论早期综合康复治疗有助于提高脊髓损伤术后患者的肢体运动功能和生活能力。Objective To observe the effects of early comprehensive rehabilitation on limb motor function and daily living ability in postoperative patients with spinal cord injury.Methods Sixty patients with spinal cord injury who underwent spinal decompression surgery were randomly divided into the observation group(25 cases)and the control group(35 cases).One week after surgery,patients in these two groups separately received early comprehensive rehabilitation and conventional rehabilitation under the guidance of healthcare professionals.The early comprehensive rehabilitation treatment included traditional Chinese medicine rehabilitation,medium-frequency electrical stimulation,and paraplegic limb comprehensive training.After 3 months of rehabilitation,the therapeutic effect was evaluated,and the excellent and good rate was calculated.The limb motor function was assessed using the American Spinal Injury Association(ASIA)scale,and the daily living ability was evaluated using the Barthel index before and after 3 months of rehabilitation for both groups.Results After treatment,the observation group had 2 excellent,14 good,6 fair,and 3 poor cases,with an excellent and good rate of 64.00%.The control group had 3 excellent,9 good,15 fair,and 8 poor cases,with an excellent and good rate of 34.29%.The excellent and good rate in the observation group was significantly higher than that of the control group(P<0.05).Compared with pre-treatment scores,both groups showed significant improvements in ASIA scores and Barthel index after rehabilitation,with the observation group showing a more significant increase(all P<0.05).Conclusion Early comprehensive rehabilitation treatment helps improve limb motor function and daily living ability in postoperative patients with spinal cord injury.

关 键 词：脊髓损伤 康复治疗 早期综合康复 运动训练 肢体运动功能 日常生活活动能力 

分 类 号：R683.2[医药卫生—骨科学]