《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (07): 574-575.

• 专题 脊髓损伤康复 • 上一篇    下一篇

脊髓损伤患者早期康复训练疗效观察

张琦1,2; 纪树荣1,2   

  1. 1.首都医科大学康复医学院,北京市 100068;2.北京博爱医院运动疗法科,北京市 100068
  • 收稿日期:2006-03-01 出版日期:2006-07-01 发布日期:2006-07-01

Effect of Early Rehabilitation on Patients with Spinal Cord Injury

ZHANG Qi, JI Shu-rong   

  1. The Department of Physical Therapy, Beijing Charity Hospital, Beijing 100068, China
  • Received:2006-03-01 Published:2006-07-01 Online:2006-07-01

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摘要： 目的观察早期康复训练对脊髓损伤患者运动功能和预后的影响。方法将60例脊髓损伤患者按康复介入开始的时间分为早期康复组(术后2周内)和对照组(术后3个月)各30例,分别在训练开始前和训练3个月后进行运动功能和日常生活活动能力(ADL)评定,比较两组的并发症发生率。结果早期康复组患者的肺部疾患、泌尿系感染、骨质疏松、双下肢内收伸展痉挛、压疮、踝关节跟腱挛缩、体位性低血压、水肿、肩痛等脊髓损伤常见并发症的发生率低于对照组;早期康复组患者运动功能的恢复和ADL评分均优好于对照组(P<0.05～0.01)。结论早期康复训练可明显减少脊髓损伤并发症,促进运动功能恢复,提高ADL。

关键词: 脊髓损伤, 早期康复, 并发症, 运动功能, 疗效

Abstract: ObjectiveTo observe the effect of early rehabilitation on motor function and prognosis of the patients with spinal cord injury (SCI).MethodsAccording to started date of rehabilitation, 60 SCI patients were divided into the early rehabilitation group (within two weeks after operation) and control group (three months after operation) with 30 cases in each group. The motor function and activities of daily living (ADL) of all patients were evaluated before and 3 months after treatment, and the incidence rates of complications of two groups were compared.ResultsAfter 3 months treatment, the incidence rates of complications often occurred after SCI such as pulmonary diseases, urinary infection, osteoporosis and adductor, extensor spasticity in the lower limbs etc. were lower than those in the control group. There was a significant difference between two groups. The motor function and ADL of the patients in the early rehabilitation group were better than those of patients in the control group ( P<0.05～0.01).ConclusionEarly rehabilitation after SCI can significantly decrease the incidence rate of complications and improve patient's motor function and ADL.

Key words: spinal cord injury, early rehabilitation, complications, motor function, curative effect