《中国康复理论与实践》

《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (7): 632-636.

• 论文 • 上一篇    下一篇

260 例外伤性脊柱脊髓损伤患者致残程度因素分析

李建军，邬盈盈，刘松怀，高峰，周红俊，杜良杰，杨明亮，唐小慧，郑红云   

  1. 1.首都医科大学康复医学院，北京市 100068；2.中国康复研究中心，北京市 100068。
  • 收稿日期:2011-06-22 修回日期:1900-01-01 出版日期:2011-07-25 发布日期:2011-07-25

Related Factors of Levels of Disability among 260 Patients with Traumatic Spinal Cord Injury

LI Jian-jun, WU Ying-ying,   

  1. Capital Medical University School of Rehabilitation Medicine, China Rehabilitation Research Center, Beijing 100068, China
  • Received:2011-06-22 Revised:1900-01-01 Published:2011-07-25 Online:2011-07-25

PDF (PC)

被引次数

23

摘要： 目的了解目前本院外伤性脊柱脊髓损伤患者受伤原因和残疾程度现状，探讨相关因素对外伤性脊柱脊髓损伤患者致残程度的影响。方法采用文献检索和专家咨询法收集影响外伤性脊柱脊髓损伤程度的相关因素，然后从受伤原因、是否昏迷、受伤部位保护、运送工具、急救时间、急救医院等级以及首次脊柱脊髓手术时间等方面，设计《外伤性脊柱脊髓损伤致残程度相关影响因素调查表》，培训调查人员，对2010 年10 月~2011 年3 月在本院接受康复治疗的260 例外伤性脊柱脊髓损伤患者进行访谈调查。结果260 例外伤性脊柱脊髓损伤患者的受伤原因为：交通事故107 例(41.2%)，坠落伤69 例(26.5%)，砸伤60 例(23.1%)，体育伤6 例(2.3%)，其他18 例(6.9%)；脊髓损伤程度与损伤水平为：完全性截瘫41.15%，完全性四肢瘫25.38%，不完全性四肢瘫18.08%，不完全性截瘫15.39%。受伤原因在损伤程度和损伤水平各自两个组中有显著性差异(P<0.05)；损伤水平在不完全与完全损伤程度两个组有显著性差异(P<0.05)；是否昏迷、运送过程中对受伤部位的保护、二次运送在不完全与完全损伤程度两个组中有显著性差异(P<0.05)；现场保护情况、运送工具、急救时间、急救医院等级以及首次脊柱脊髓手术时间在不完全与完全损伤程度两个组中均无显著性差异(P>0.05)。结论影响我院收治的外伤性脊柱脊髓损伤患者脊髓损伤水平和损伤程度的因素可能既与受伤原因直接有关，也与伤后不能对受伤脊柱脊髓进行有效保护、早期二次运送救治比率高有关。

关键词: 外伤性脊髓损伤, 致伤原因, 致残程度, 影响因素

Abstract: Objective To understand the causes of injury and levels of disability of patients with traumatic spinal cord injury and explore the related factors with the levels of disability. Methods Literature review and experts panel advice were used to collect the related factors. The questionnaire "Survey on Related Factors of Disability Levels of Patients with Ttraumatic Spinal Cord Injury" was designed for the data collection, including the causes of injury, being conscious or not, protection of the injured areas, tools for transportation, the time getting first aid, levels of emergency hospitals and the time of first spinal surgery. From October 2010 to March 2011, 260 inpatients with traumatic spinal cord injury were surveyed by the well-trained researchers. Results 107 patients(41.2%) were caused by traffic accidents, 69 (26.5%) were caused by falls, 60 (23.1%) by crash, 6 (2.3%)by sports injury, and 18 (6.9%) by other reasons. The results of the extent and the levels were that complete paraplegia take up 41.15%, complete tetraplegia take up 25.38%, incomplete tetraplegia take up 18.08%, incomplete paraplegia take up 15.39%. There were significant differences in the causes of injury between the different extent and levels of injury (P<0.05). There were significant differences in levels of injury between the different extent of injury (P<0.05). Significant differences were existed in the levels of injury among being conscious or not, protection of injured areas during transportation and the secondary transportation (P<0.05). Whereas, no significant difference was observed among protection in the injury site, tools for transportation, the time getting first aid, the levels of emergency hospitals and the first time of spinal surgery between the different extent of injury(P>0.05). Conclusion Not only the causes of injury, but also the protection of injured areas, high frequency of secondary transportation are responsible for the extent of injury and levels of injury in individuals with traumatic spinal cord injury in China.

Key words: traumatic spinal cord injury, causes, levels of disability, factors