《中国康复理论与实践》

《中国康复理论与实践》 ›› 2005, Vol. 11 ›› Issue (09): 749-750.

• 临床研究 • 上一篇    下一篇

脊髓损伤早期康复的临床研究

梁连锦; 梁爱秋   

  1. 右江民族医学院附属医院康复理疗科 广西百色市 533000
  • 收稿日期:2005-06-13 出版日期:2005-09-25 发布日期:2005-09-25

Rehabilitation therapy at early stage following spinal cord injuries

LIANG Lian-jin, LIANG Ai-qiu   

  1. Department of Rehabilitation,Affiliated Hospital of Youjiang Medical College for Nationalities, Baise 533000, Guangxi, China
  • Received:2005-06-13 Published:2005-09-25 Online:2005-09-25

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摘要： 目的探讨早期康复对脊髓损伤患者功能恢复的影响。方法选择经康复治疗的脊髓损伤患者88例,按康复治疗介入的时间分为治疗组(2周内,50例),对照组(3个月,38例)。康复评定采用功能独立性评定(FIM)和Bathel指数,分别于治疗前及治疗3个月后进行。康复方法根据患者的临床不同阶段采用不同的训练方法,同时配合心理治疗及其他物理因子治疗。结果治疗后,治疗组患者的Bathel指数评分及FIM评分较对照组均有明显提高(P<0.01)。结论早期康复治疗对脊髓损伤患者的功能恢复有着重要意义。

关键词: 脊髓损伤, 康复, 日常生活活动能力, 功能独立性评定

Abstract: ObjectiveTo investigate the effects of rehabilitation therapy at early stage following spinal cord injury on the patients function recovery.Methods88 cases with spinal cord injury were divided into early rehabilitation group(n=50) and control group (n=38) according to the start time of the rehabilitation therapy (within 2 weeks or after 3 months).Rehabilitation assessment of the patients with Barthel index and Functional Independence Measure (FIM) was carried out before and 3 months after the rehabilitation therapy respectively.ResultsBarthel index and FIM score all improved after the rehabilitation therapy in two groups, but the improvements were more significant in early rehabilitation group(P<0.01).ConclusionEarly rehabilitation treatment improves the function of patients with spinal cord injuries.

Key words: spinal cord injury, rehabilitation, activities of daily living, Functional Independence Measure