《中国康复理论与实践》

《中国康复理论与实践》 ›› 2007, Vol. 13 ›› Issue (10): 917-918.

• 专题　康复评定 • 上一篇    下一篇

313例脊髓损伤患者FIM评定结果分析

宋桂芸1,2; 郭华珍1,2; 黄文欢1,2   

  1. 1.中国康复研究中心北京博爱医院康复评定科,北京市 100068;2.首都医科大学康复医学院,北京市 100068
  • 收稿日期:2007-09-10 出版日期:2007-10-01 发布日期:2007-10-01

Analysis of the Functional Independence Measure of 313 Patients with Spinal Cord Injury

SONG Gui-yun, GUO Hua-zhen, HUANG Wen-huan.   

  1. The Department of Rehabilitation Evaluation, BeijingCharity Hospital, ChinaRehabilitation Research Center, Capital Medical University School of Rehabilitation Medicine, Beijing 100068, China
  • Received:2007-09-10 Published:2007-10-01 Online:2007-10-01

PDF (PC)

被引次数

6

摘要： 目的探讨不同损伤平面、不同损伤程度的脊髓损伤(SCI)患者日常生活活动(ADL)状况的特点。方法对313例SCI住院患者进行功能独立性评定(FIM)评分,根据损伤平面和损伤程度的不同,将FIM评定的得分情况进行统计学分析。结果颈、胸、腰髓损伤患者的得分差异有显著性意义(P<0.05～0.01);随损伤平面的降低,FIM评分升高;同一损伤平面不同损伤程度的SCI患者的FIM评分差异有显著性意义(P<0.05～0.01),但腰髓完全性和不完全性SCI患者的FIM评分差异无显著性意义(P>0.05)。结论FIM评分可客观反映不同损伤平面、不同损伤程度SCI患者的ADL状况。

关键词: 脊髓损伤, 损伤平面, 损伤程度, 功能独立性评定

Abstract: Objective To study the effect of lesion level and completeness on activities of daily living(ADL) of patients with spinal cord injury(SCI).Methods The functional status of 313 SCI patients were assessed using the Functional Independence Measurement(FIM),and FIM scores were calculated for statistical analysis with different lesion levels and completeness.Results FIM scores presented significant differences among cervical-level group,thoracic-level group and lumbar-level group(P<0.05～0.01).Patient with a high lesion level had lower FIM score.In the same lesion level group,FIM scores presented significant differences between the incomplete SCI patients and the complete ones(P<0.05～0.01).However,the lumbar lesion patients had no significant differences in FIM score between the complete group and the incomplete group(P>0.05).Conclusion FIM can objectively reflect the ADL level in SCI patients with different lesion level and completeness.

Key words: spinal cord injury(SCI), lesion level, lesion completeness, Functional Independence Measurement(FIM)