《中国康复理论与实践》

《中国康复理论与实践》 ›› 2006, Vol. 12 ›› Issue (07): 568-570.

• 专题 脊髓损伤康复 • 上一篇    下一篇

用ASIA2000标准评估脊髓损伤神经功能恢复的初步研究

王方永1,2; 李建军1; 洪毅1,2   

  1. 1.首都医科大学康复医学院,北京市 100068;2.北京博爱医院脊柱脊髓外科,北京市 100068
  • 收稿日期:2006-02-27 出版日期:2006-07-01 发布日期:2006-07-01

Neurological Prognosis of Spinal Cord Injured Patients Using ASIA2000 Scale

WANG Fang-yong, LI Jian-jun, HONG Yi   

  1. Department of Spine and Spinal Cord Surgery, China Rehabilitation Research Center, Beijing 100068,China
  • Received:2006-02-27 Published:2006-07-01 Online:2006-07-01

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被引次数

33

摘要： 目的探索ASIA2000标准对评定脊髓损伤后神经功能变化的指导作用。方法对42例脊髓损伤患者进行连续性临床观察。使用ASIA2000标准对伤后1个月、3个月和12个月的脊髓神经功能进行检查。结果对于不完全脊髓损伤,运动评分、针刺觉评分和触觉评分在伤后1个月和3个月对比有明显变化,伤后3个月和12个月对比则无明显变化;对完全脊髓损伤来说,运动评分、针刺觉评分和触觉评分在伤后无明显变化;量化残损分级测定所有脊髓损伤的神经功能均无明显改善。结论ASIA评分灵敏度高于ASIA残损分级;脊髓损伤后3个月内神经功能改善较3个月后明显;不完全性脊髓损伤神经功能预后可能优于完全性脊髓损伤。

关键词: 脊髓损伤, 脊髓损伤神经学分类国际标准(ASIA2000), 神经功能, 预后

Abstract: ObjectiveTo investigate the application of ASIA2000 classification in prognosis of spinal cord injury patients' neurological function. MethodsConsecutive observation was done to the 42 patients using ASIA2000 classification 1 month, 3 months and 12 months after injury respectively. ResultsTo the incomplete SCI patients, motor score, pin prick score and light touch score were significantly improved 3 months after injury compared with that in 1 month after injury (P<0.05), but no significant improvement was observed in the complete ones, nor did in all the patients between 3 months and 12 months after injury. ConclusionThe Standard Neurological Classification is more sensitive than Standard Impairment Classification in ASIA2000. Individuals within 3 months after injury got better neurological recovery than those more than 3 months after injury. Incomplete injuried individuals may get better neurological prognosis than complete ones.

Key words: spinal cord injury, International Standards for Neurological and Functional Classification of Spinal Cord Injury (ASIA2000), neurological function, rognosis