《中国康复理论与实践》

《中国康复理论与实践》 ›› 2009, Vol. 15 ›› Issue (11): 1076-1077.

• 临床观察 • 上一篇    下一篇

成人无骨折脱位型颈脊髓损伤的康复

张军卫1a,2;洪毅1a,2;白金柱1a,2;陈世铮1a,2;恽晓平1b;2;唐和虎1a,2;姜树东1a,2;王方永1a,2;关骅1a,2;李建军1a,2   

  1. 1.中国康复研究中心北京博爱医院，a.脊柱脊髓外科;b.康复评定科，北京市 100068;2.首都医科大学康复医学院，北京市 100068
  • 收稿日期:2009-09-22 出版日期:2009-11-01 发布日期:2009-11-01

Rehabilitation for Adult Cervical Spinal Cord Injury without Radiological Abnormality: 80 Cases Report

ZHANG Jun-wei,HONG Yi,BAI Jin-zhu,et al   

  1. Department of Spine Surgery, Capital Medical University School of Rehabilitation Medicine, Beijing Charity Hospital, China Rehabilitation Research Centre, Beijing 100068, China
  • Received:2009-09-22 Published:2009-11-01 Online:2009-11-01

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摘要： 目的 分析康复对成人无骨折脱位型颈脊髓损伤的意义。方法 回顾性分组对比分析80例资料。结果 致伤原因中近半数为跌倒，损伤节段半数为C4。1年随访中，前、后路及保守治疗组运动评分分别增加5、2和2（P<0.05），FIM评分分别增加11、17和15（P≤0.01）。感觉评分没有明显变化。结论 手术、保守治疗直接带来的感觉、运动功能恢复有限。早期康复能提高成人无骨折脱位颈脊髓损伤患者的综合能力。

关键词: 颈椎, 无骨折脱位脊髓损伤, 康复

Abstract: Objective To explore the effects of rehabilitation for adult cervical spinal cord injury without radiological abnormality. Methods 80 patients were studied retrospectively. Results The increase of motor score of anterior, posterior and conservative group were around 5, 2 and 2, whereas that of FIM were 11, 17 and 15, respectively. The changes of sensory score were uncertain.Conclusion The effect of surgical or conservative treatment is limited on neurological recovery, while rehabilitation can bring more functional independence to patients with cervical spinal cord injury without radiological abnormality.

Key words: cervical spine, spinal cord injury without radiological abnormality, rehabilitation