《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (01): 71-72.

• 临床研究 • 上一篇    下一篇

康复对颈髓损伤患者功能恢复的影响

罗治安1; 李福胜1; 吴大为1; 石芝喜2; 易亮3   

  1. 1.长沙民政职业技术学院康复医学系,湖南长沙市 410004;2.广东工伤康复医院,广东广州市 510970;3.昆明医学院第二附属医院康复医学科,云南昆明市 650101
  • 收稿日期:2007-03-31 出版日期:2008-01-01 发布日期:2008-01-01

Effect of Rehabilitation on Functional Recovery of Patients with Cervical Cord Injury

LUO Zhi-an, LI Fu-sheng, WU Da-wei, et al.   

  1. Department of Rehabilitation Medicine, Changsha Social Work College, Changsha 410004, Hunan, China
  • Received:2007-03-31 Published:2008-01-01 Online:2008-01-01

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摘要： 目的探讨康复治疗对颈髓损伤患者功能恢复的影响。方法对92例脊髓损伤患者进行常规康复治疗,根据损伤部位分为颈髓损伤、胸髓损伤、腰髓损伤3组,治疗前后采用Barthel指数、功能独立性评定(FIM)进行评定。结果经过60～426d治疗后,3组患者的Barthel指数及FIM评分均有显著提高(P<0.001),三组间比较,腰髓损伤患者优于胸髓损伤,而胸髓损伤又优于颈髓损伤患者(P<0.05)。结论康复治疗能促进颈髓损伤患者的功能恢复,但效果不如胸、腰段脊髓损伤者。

关键词: 脊髓损伤, 颈髓, 康复, Barthel指数, 功能独立性评定(FIM)

Abstract: Objective To investigate the effect of the rehabilitative therapy on functional recovery of patients with cervical cord injury.Methods 92 cases with spinal cord injury(SCI),including cervical,thoracic and lumbar cord injury,accepted normal rehabilitation.They were assessed with the Barthel Index and Functional Independence Measure(FIM)before and after treatment.Results After rehabilitation of 60~426 d,the scores of the Barthel Index and FIM were significantly improved(P<0.001)in all the patients,but it was the worst in the cervical cord injured ones,and the best in lumbar ones(P<0.05).Conclusion Rehabilitation can promote the functional recovery of patients with cervical spinal cord injury,but it is not as effective as on the thoracic and lumbar cord injury.

Key words: spinal cord injury, cervical cord, rehabilitation, Barthel Index, Functional Independence Measure(FIM)