《中国康复理论与实践》

《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (02): 103-104.

• 专题 • 上一篇    下一篇

应用ASIA标准等评价脊髓锐器伤早期康复疗效

王方永 ; 李建军 ; 洪毅   

  1. 1.首都医科大学康复医学院 北京市 100068;2.北京博爱医院脊柱脊髓外科 北京市 100068
  • 收稿日期:2004-12-10 出版日期:2005-02-25 发布日期:2005-02-25

The early rehabilitation outcome of the spinal cord stab injury evaluated with ASIA and other scales

WANG Fang-yong, LIJian-jun,HONG Yi   

  1. Department of Spine and Spinal Cord Surgery, The Beijing Charity Hospital, Beijing 100068, China
  • Received:2004-12-10 Published:2005-02-25 Online:2005-02-25

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摘要： 目的 对脊髓锐器伤的早期康复疗效进行初步分析。方法 对1992～2004年40例脊髓锐器伤患者和50例脊髓挫裂伤患者的临床资料进行回顾性分析,采用ASIA标准(2000年修订)评价脊髓神经功能,FIM评分评价脊髓损伤患者日常生活活动(ADL)能力。结果 经过综合治疗,脊髓锐器伤患者出院时的ASIA评分和 ADL评分均较入院时提高,且提高的幅度明显大于脊髓挫裂伤(P<0.05～0.01)。结论 脊髓锐器伤应采取综合康复方法,其预后优于脊髓挫裂伤。

关键词: 脊髓, 脊髓损伤, 锐器伤, ASIA标准, 康复疗效评价

Abstract: ObjectiveTo evaluate the early rehabilitation outcome of the spinal cord stab injury (SCSI).MethodsThe materials of 40 SCSI patients and 50 contusion spinal cord injury (CSCI) patients from 1992 to 2004 were analyzed retrospectively. The curative effects were evaluated with ASIA scale (modified in 2000) and FIM scale.ResultsAfter comprehensive rehabilitation treatment, scores of ASIA and FIM scales of SCSI patients increased and significantly higher than that of CSCI patients (P<0.05～0.01).ConclusionThe SCSI patients shall be treated with comprehensive rehabilitation in early stage and their prognosis will be better than CSCI.

Key words: spinal cord, spinal cord injury (SCI), stab injury, ASIA scale, rehabilitation evaluation