CAJ | 학술논문

目的分析四川地震51例脊髓损伤(SCI)伤员的临床特征、并发症与康复治疗的结果.方法对51例经3～4个月康复治疗的住院SCI患者进行疗效评估和随访调查,分析受伤原因、损伤程度、并发症和康复效果.结果 SCI平面:C7以上占9.8%、C8～T6占5.9%、T7～L2占68.6%、L3～S2占13.7%、S2以下占2.0%;完全性损伤22例,不完全性损伤29例;76.5%的伤员实现轮椅独立,78.4%穿戴矫形器步行,88.2%生活基本或完全自理.结论地震SCI患者通过积极的康复训练可以恢复较好的生活独立能力,但长期康复医疗任务依然十分艰巨.
목적 분석사천지진51례척수손상(SCI)상원적림상특정、병발증여강복치료적결과.방법 대51례경3～4개월강복치료적주원SCI환자진행료효평고화수방조사,분석수상원인、손상정도、병발증화강복효과.결과 SCI평면:C7이상점9.8%、C8～T6점5.9%、T7～L2점68.6%、L3～S2점13.7%、S2이하점2.0%;완전성손상22례,불완전성손상29례;76.5%적상원실현륜의독립,78.4%천대교형기보행,88.2%생활기본혹완전자리.결론 지진SCI환자통과적겁적강복훈련가이회복교호적생활독립능력,단장기강복의료임무의연십분간거.
Objective To analyze the outcomes of clinical management and rehabilitation interventions for earthquake victims with spinal cord injury. Methods Comprehensive rehabilitation intervention was conducted for 3 to 4 months with 51 earthquake victims with spinal cord injuries. The study involved their physical examination and on site interviews during hospitalization, and follow-up by telephone. Etiology, severity, complications and outcomes of rehabilitation and clinical management were analyzed. Results In 9.8% of the patients the spinal cord injury was at C7 or above, 5.9% at C8 to T6 , 68.6% at T7 to L2 , 13.7% at L3 to S2 and 2.0% at S2 or below. There were 22 complete injuries and 29 incomplete. After 4 months of training, 76.5% of the wounded reached wheelchair independence, 78.4% ambulated with an orthosis and 88.2% were partially independent in the activities of daily living.Conclusions The comprehensive rehabilitation intervention allowed most of the victims to resume an independent life. Their long-term care remains a challenge.