文章摘要
祁玉军,孙文琳,孟德钎,易琼,申晓文.康复治疗的起始时间对不同节段脊髓损伤治疗效果的影响[J].中国临床保健杂志,2018,21(5):652-655.
康复治疗的起始时间对不同节段脊髓损伤治疗效果的影响
Effect of starting time of rehabilitation for patients with different segments of spinal cord injury
投稿时间:2018-07-10  
DOI:10.3969/J.issn.1672-6790.2018.05.022
中文关键词: 脊髓损伤  康复  治疗结果  时间安排
英文关键词: Spinal cord injuries  Rehabilitation  Treatment outcome  Time management 〖FL
基金项目:江苏省淮安市科技局科技支撑计划项目(HAS201311)
作者单位E-mail
祁玉军 南京医科大学附属淮安第一医院康复医学科,淮安 223001 sunwenlin1983@126.com 
孙文琳 南京医科大学附属淮安第一医院康复医学科,淮安 223001 sunwenlin1983@126.com 
孟德钎 南京医科大学附属淮安第一医院风湿科,淮安 223001 sunwenlin1983@126.com 
易琼 南京医科大学附属淮安第一医院康复医学科,淮安 223001 sunwenlin1983@126.com 
申晓文 南京医科大学附属淮安第一医院康复医学科,淮安 223001 sunwenlin1983@126.com 
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中文摘要:
      目的 探讨脊髓不同节段损伤(SCI)进行脊髓损伤后康复治疗起始时间达到康复目标出现的并发症、残损分级变化、所需时间等指标变化。方法 选择脊髓不同节段损伤病例120例,按损伤至入组时间的不同分组,分为术后组(n=62)、延迟组(n=58),比较术后组与延迟组不同节段脊髓损伤所需的康复时间、残损分级指标的变化,发生肺部感染、下尿路感染、下肢深静脉血栓、压疮等并发症发生情况。结果 术后组的不同节段脊髓损伤所需康复时间显著短于延迟组,差异有统计学意义(P<0.05);随着损伤平面的增高,脊髓损伤所需康复时间越长。术后组的脊髓损伤残损分级指标变化与延迟组比较,差异无统计学意义(P>0.05);术后组发生肺部感染、下尿路感染、下肢深静脉血栓、压疮等并发症发生情况显著低于对照组,差异有统计学意义(P<0.05)。结论 随着脊髓损伤平面的增高,康复所需时间逐渐延长。早期康复干预可缩短康复时间和降低术后并发症的发生率。
英文摘要:
      Objective To explore the complications,grade change of disease and time of rehabilitation for patients with different segments of spinal cord injury (SCI). Methods One-hundred and twenty patients with different segments of SCI were selected and divided into postoperative group (n=62) and delayed group(n=58) according to starting time.The rehabilitation time,grade change of disease and complications including pulmonary infection,lower urinary tract infection,deep venous thrombosis of lower extremity and pressure sores of two groups were compared. ResultsThe rehabilitation time of the postoperative group was significantly shorter than that of delayed group(P<0.05).The rehabilitation time was extended with injured levels.The grade change of disease of two groups was not significantly different (P>0.05).The incidence rate of pulmonary infection,lower urinary tract infection,deep venous thrombosis of lower extremity and pressure sores of the postoperative group was significantly lower than that in the delayed group (P<0.05). Conclusion The early intervention can remarkably shorten the rehabilitation time and reduce the incidence rate of postoperative complications for patients with different segments of SCI.
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