CAJ | 학술논문

目的：讨论唐山地震37年后脊髓损伤(SCI)患者的死亡原因并与以往调查结果对比分析。方法采用调查表的方式调查2003年至今居住在唐山市区的1所疗养院、1所康复村和居住在农村的6所疗养院的死亡脊髓损伤患者的死亡原因，内容包括死亡患者的一般情况、导致死亡的主要原因、死亡时间、死亡年龄等9项内容。将调查结果与1988年和2003年的调查结果进行比较。结果对比三次调查结果，唐山地震脊髓损伤患者的第一死亡原因为尿毒症和压疮感染，其中压疮感染是农村脊髓损伤患者的第一位死亡原因，尿毒症同为城市和农村患者的第一位死亡原因，但与前两次相比，比例在进一步下降；心血管病和脑血管病分列第二和第三位。恶性肿瘤的患病比例呈上升趋势。颈髓损伤患者的最长生存年限为36年。结论唐山地震脊髓损伤患者的前几位死亡原因分别为尿毒症、压疮感染和心脑血管病。唐山地震37年后脊髓损伤患者的死亡原因及预期寿命已经接近正常人水平。
목적：토론당산지진37년후척수손상(SCI)환자적사망원인병여이왕조사결과대비분석。방법채용조사표적방식조사2003년지금거주재당산시구적1소요양원、1소강복촌화거주재농촌적6소요양원적사망척수손상환자적사망원인，내용포괄사망환자적일반정황、도치사망적주요원인、사망시간、사망년령등9항내용。장조사결과여1988년화2003년적조사결과진행비교。결과대비삼차조사결과，당산지진척수손상환자적제일사망원인위뇨독증화압창감염，기중압창감염시농촌척수손상환자적제일위사망원인，뇨독증동위성시화농촌환자적제일위사망원인，단여전량차상비，비례재진일보하강；심혈관병화뇌혈관병분렬제이화제삼위。악성종류적환병비례정상승추세。경수손상환자적최장생존년한위36년。결론당산지진척수손상환자적전궤위사망원인분별위뇨독증、압창감염화심뇌혈관병。당산지진37년후척수손상환자적사망원인급예기수명이경접근정상인수평。
Objective To discuss the cause of death in patients with spinal cord injury from Tangshan earthquake 37 years latter, and compare them with the survey before. Methods The causes of death of the spinal cord injury patients lived in 1 sanatorium and 1 rehabilita-tion village in Tangshan city, and 6 sanatoriums in villages from 2003 were surveyed. The questionnaire included their general condition, the main cause of death, time of death, age at death, etc., and the findings in 1988 and 2003 were compared. Results Uremia and pressure sore infection were the most major causes of death, in which pressure sore infection was the first cause in the village, and uremia was the first both in the village and city, and the epidemiology of them decreased than before. Cardiovascular disease and cerebrovascular disease were the second and third causes of death respectively. The epidemiology of malignancies increased in this survey, and the longest life time of pa-tients with cervical spinal cord injury was 36 years. Conclusion The top causes of death in spinal cord injury patients from Tangshan earth-quakeare uremia, pressure sore infection, cardiovascular disease and cerebrovascular disease. 37 years after Tangshan earthquake, the cause of death and the life expectancy of patients with spinal cord injury have been close to general levels.