《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (12): 1192-1193.

• 临床研究 • 上一篇    下一篇

老年人颈椎损伤临床特点及治疗选择

姜树东1,2; 洪毅1,2; 张军卫1,2; 白金柱1,2; 唐和虎1,2; 李想1,2   

  1. 1.首都医科大学康复医学院,北京市 100068;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:2008-04-24 出版日期:2008-12-01 发布日期:2008-12-01

Clinical Characteristics and Treatment Choices of Cervical Vertebrae Injury in the Elderly

JIANG Shu-dong, HONG Yi, ZHANG Jun-wei, et al   

  1. The Department of Spine Surgery, BeijingCharity Hospital, ChinaRehabilitation Center, Beijing 100068, China
  • Received:2008-04-24 Published:2008-12-01 Online:2008-12-01

PDF (PC)

被引次数

5

摘要： 目的总结老年人脊髓损伤的发病特点和治疗特点。方法总结我院2002～2006年收治的59例60岁以上老年颈椎损伤患者的临床资料,回顾性分析老年人脊髓损伤的发病特点和治疗特点。结果交通事故和跌倒损伤是最常见的致伤因素,均可造成颈椎过伸过屈性损伤,引起中央脊髓损伤综合征;经早期手术和早期康复治疗,大部分患者ASIA分级提高1～2级,实现独立性步行,且可有效预防脊髓损伤严重并发症。结论老年人颈椎损伤治疗的重点在于如何使患者早期离床活动,减少脊髓损伤卧床并发症的产生;早期手术结合早期康复可降低脊髓损伤的严重并发症,提高患者的生活质量。

关键词: 颈椎损伤, 骨折, 老年, 康复

Abstract: Objective To summarize clinical characteristics and treatment methods of cervical vertebrae injury in the elderly.MethodsThe data of 59 elderly patients with cervical vertebrae injury from 2002 to 2006 years were retrospectively reviewed.ResultsThe most common type of injuries was hyperextension injuries of cervical spine and cervial central cord syndrome.Traffic accident and falling injury were the most common reasons.Early operation and early rehabilitation could improve the ASIA 1 or 2 grade,and avoid complications of cord injury effectively.ConclusionThe key treatment point of cervical vertebrae injury in the elderly is how to get them leave bed in order to reduce the complications of cord injury,early operation and rehabilitation are good method to decrease the mortality and increase quality of life.

Key words: cervical vertebrae injury, fracture, elderly, rehabilitation