《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (08): 716-718.

• 专题 • 上一篇    下一篇

急性脊柱脊髓损伤患者并发症的相关因素分析与早期康复

郭险峰1; 关骅2   

  1. 1.北京积水潭医院康复医学科,北京市 100035;2.中国康复研究中心北京博爱医院脊柱脊髓外科,北京市 100068
  • 收稿日期:2008-05-12 出版日期:2008-08-01 发布日期:2008-08-01

Related Factors of Complications of Patients with Acute Spinal Column and Spinal Cord Injury and Early Rehabilitation for Such Patients

GUO Xian-feng, GUAN Hua   

  1. The Department of Rehabilitation Medicine, Beijing Jishuitan Hospital, Beijing 100035, China
  • Received:2008-05-12 Published:2008-08-01 Online:2008-08-01

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被引次数

48

摘要： 目的探讨急性脊柱脊髓损伤患者并发症的临床发病情况、发病危险因素、治疗措施。方法对543例急性脊柱脊髓损伤患者的临床资料进行回顾性分析。结果543例患者中242例(44.6%)发生并发症;发生率最高的前三位并发症为:低钠血症(202例,37.2%)、泌尿系感染(150例,27.6%)、肺部感染(54例,9.9%)。完全性颈脊髓损伤患者低钠血症和肺炎的发生率明显增高。结论积极的早期预防和早期康复训练是预防急性脊柱脊髓损伤并发症的有效方法。

关键词: 脊柱损伤, 脊髓损伤, 并发症

Abstract: Objective To research the incidence rate,potential etiologic factors,treatment of complications in patients with acute spinal column and spinal cord injury.Methods The date of 543 patients with acute spinal column and spinal injury were analyzed retrospectively.Results Of 543 patients,242 cases(44.6%)had complications.The first to third complications were hyponatremia(202 cases,37.2%),urinary tract infections(150 cases,27.6%)and pulmonary infections(54 cases,9.9%)respectively.The incidence rate of hyponatremia and pulmonary infections in patients with complete cervical spinal cord injuries increased obviously.Conclusion Early rehabilitation and active prevention can prevent the complications in patients with acute spinal column and spinal cord injury.

Key words: spinal column injury, spinal cord injury, complication