摘要
目的:研究不同程度的脊髓损伤患者在不同时机康复介入时神经及功能恢复情况。方法:对2004年12月—2009年6月入住康复病房的96例脊髓损伤患者进行回顾性分析,入选时收集每位患者病史,记录患者的一般情况(性别、年龄)和损伤情况(病因、损伤水平、损伤分级、受伤或发病时间、入院时间、出院时间等),并记录出入院MBI评分、ASIA评分。结果:完全性SCI患者康复介入时机≤90d和>90d间比较时,MBI评分增加值、ASIA针刺觉评分增加值、ASIA轻触觉评分增加值无明显差异,ASIA运动评分增加值、康复治疗时间有差异;不完全性SCI患者康复介入时机≤90d和>90d间比较时,康复治疗时间无明显差异,MBI评分增加值、ASIA轻触觉评分增加值、ASIA运动评分增加值、ASIA针刺觉评分增加值有差异;康复介入时机≤90d时,完全性与不完全性SCI患者间比较,ASIA针刺觉评分增加值、康复治疗时间无明显差异,MBI评分增加值、ASIA轻触觉评分增加值、ASIA运动评分增加值有差异;康复介入时机>90d时,完全性与不完全性SCI患者间比较,MBI评分增加值、ASIA轻触觉评分增加值、ASIA针刺觉评分增加值无明显差异,ASIA运动评分增加值、康复治疗时间有差异。结论:早期介入康复治疗可促进不同程度SCI患者神经功能的恢复,尤其是对不完全性SCI患者。
Objective：To investigate the effects of early or late rehabilitation therapy on neurological and functional recovery of patients with spinal cord injury.Method：A retrospective study was conducted.Ninety-six patients with SCI admitted to rehabilitation ward between December 2004 and June 2009 were included.Demographic and clinical data were collected and the patients were evaluated by ASIA assessment and Modified Barthel Index（MBI） assessment at admission and before discharging.Result：For complete SCI patients,there was no significant difference for MBI scores increase,ASIA pinprick sensation scores increase and ASIA light touch sensation scores increase between the rehabilitation intervention in ≤90d and 90d,but ASIA motor scores increase and rehabilitation therapy course were different significantly for the rehabilitation intervention in ≤90d;while for incomplete SCI,the effect of rehabilitation intervention in ≤90d was better in increase of MBI scores,light touch sensation scores,motor scores and pinprick sensation scores during a similar treatment course.When rehabilitation intervention were applied in ≤90d the increase of MBI scores,light touch sensation scores and motor scores were higher in patients with incomplete SCI than those withcomplete ones′ while there was no significant difference for pinprick sensation scores increase and rehabilitation therapy course.However,when rehabilitation intervention were applied in 90d,motor scores increase and rehabilitative treatment course were different between the patients with incomplete and complete SCI while other parameters were not.Conclusion：Early rehabilitation leads to larger extent neurological and functional recovery,especially for the patients with incomplete SCI.
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2010年第7期632-635,共4页
Chinese Journal of Rehabilitation Medicine
关键词
脊髓损伤
康复介入时机
神经功能恢复
spinal cord injury
timing of rehabilitation
neurological function recovery
