中国实用医刊
中國實用醫刊
중국실용의간
CENTRAL PLAINS MEDICAL JOURNAL
2009年
20期
17-18
,共2页
外伤性截瘫%康复训练%生活质量%功能
外傷性截癱%康複訓練%生活質量%功能
외상성절탄%강복훈련%생활질량%공능
Traumatic paraplegia%Rehabilitation training%Quality of life%Function
目的 观察外伤性截瘫患者综合康复治疗的临床疗效.方法 对25例外伤性截瘫患者在不同病期分别采用药物治疗、运动疗法、反射性膀胱功能的康复训练、中频电疗、电针等综合康复治疗.结果 25例外伤性截瘫患者,失访2例,3个月内死亡2例,其余21例均得到1年以上随访.脊髓功能恢复情况:A级8例中失访2例,死亡2例,3例无变化,1例由A级转为D级;D级1例完全恢复功能;B、C级分别恢复2～3个级别.经1～2年随访,有3例发生Ⅰ度褥疮,1例发生轻度尿路感染,4例瘫痪肌体轻度肌肉萎缩,余患者无并发症发生.结论 及时、合理、正确而系统的康复治疗,可以最大限度地恢复外伤性截瘫患者残存功能,提高患者的生存质量,使其不同程度地达到生活自理,减轻家庭和社会的负担,缩短康复时间,使患者早日回归家庭与社会.
目的 觀察外傷性截癱患者綜閤康複治療的臨床療效.方法 對25例外傷性截癱患者在不同病期分彆採用藥物治療、運動療法、反射性膀胱功能的康複訓練、中頻電療、電針等綜閤康複治療.結果 25例外傷性截癱患者,失訪2例,3箇月內死亡2例,其餘21例均得到1年以上隨訪.脊髓功能恢複情況:A級8例中失訪2例,死亡2例,3例無變化,1例由A級轉為D級;D級1例完全恢複功能;B、C級分彆恢複2～3箇級彆.經1～2年隨訪,有3例髮生Ⅰ度褥瘡,1例髮生輕度尿路感染,4例癱瘓肌體輕度肌肉萎縮,餘患者無併髮癥髮生.結論 及時、閤理、正確而繫統的康複治療,可以最大限度地恢複外傷性截癱患者殘存功能,提高患者的生存質量,使其不同程度地達到生活自理,減輕傢庭和社會的負擔,縮短康複時間,使患者早日迴歸傢庭與社會.
목적 관찰외상성절탄환자종합강복치료적림상료효.방법 대25예외상성절탄환자재불동병기분별채용약물치료、운동요법、반사성방광공능적강복훈련、중빈전료、전침등종합강복치료.결과 25예외상성절탄환자,실방2례,3개월내사망2례,기여21례균득도1년이상수방.척수공능회복정황:A급8례중실방2례,사망2례,3례무변화,1례유A급전위D급;D급1례완전회복공능;B、C급분별회복2～3개급별.경1～2년수방,유3례발생Ⅰ도욕창,1례발생경도뇨로감염,4례탄탄기체경도기육위축,여환자무병발증발생.결론 급시、합리、정학이계통적강복치료,가이최대한도지회복외상성절탄환자잔존공능,제고환자적생존질량,사기불동정도지체도생활자리,감경가정화사회적부담,축단강복시간,사환자조일회귀가정여사회.
Objective To observe the efficacy of traumatic paraplegia patients with comprehensive rehabilitation.Methods Twenty-five cases of traumatic paraplegia patients at different stages were treated with medication,exercise therapy,bladder reflex function rehabilitation, electrotherapy frequency, electro-acupuncture, and so on comprehensive rehabilitation treatment. Results Twenty-five cases of traumatic paraplegia patients lost 2 cases to follow, and 2 cases were died in 3 months, the remaining 21 cases were followed up for more than a year. Recovery of spinal cord function: a level in 8 patients lost 2 cases to follow, 2 deaths, 3 cases and no change,one case from A to D grade level. D class 1 case of complete recovery, B, C respec-tively, to restore level 2 to level 3. After 1 to 2-year follow-up, 3 cases of severe bedsores Ⅰ, 1 case occurred in mild urinary tract infection, 4 cases of paralysis body mild disease muscular dystrophy, than patients without complications. Conclusions The timely, reasonable, correct and rehabilitation system, we can maximize the restoration of traumatic paraplegia patients with residual functions, improve the quality of life of patients to achieve varying degrees of self-care, to reduce the burden on the family and society, to shorten recovery time. So that patients with early return to the family and society.
