医学美学美容(中旬刊)
醫學美學美容(中旬刊)
의학미학미용(중순간)
MEDICAL AESTHETICS AND COSMETOLOGY
2014年
8期
9-10
,共2页
脊髓损伤%不同手术时间%日常生活活动能力%功能独立性
脊髓損傷%不同手術時間%日常生活活動能力%功能獨立性
척수손상%불동수술시간%일상생활활동능력%공능독립성
Spinal Cord%Injury Different operation time%ADL%FIM
目的:比较在脊髓损伤后,不同手术时间对康复治疗疗效的影响。方法选取脊髓损伤病例120例,颈段脊髓损伤20例,胸腰段脊髓损伤100例,根据不同的手术时间分为脊髓损伤后24h内组(治疗2组),24-72h(治疗1组),72h以上(对照组),康复介入时间为术后1月内,均经过3个月综合康复治疗(术后),通过评价ADL及功能独立性评定(FIM)提高程度并进行分析比较,ADL采用改良Barthel指数。结果对照组Barthel指数提高29.45±9.52,治疗1组Barthel指数提高34.35±9.65,治疗2组Barthel指数提高45.25±9.68,对照组FIM评分提高30.20±9.56,治疗1组FIM评分提高38.56±9.58,治疗2组FIM评分提高54.46±9.35,治疗2组与对照组比较Barthel指数及FIM比较,差异均具有统计学意义(P<0.05)。结论脊髓损伤后尽早行手术治疗,对患者的功能恢复有着重大的意义,能有效改善患者日常生活活动能力和功能独立性。
目的:比較在脊髓損傷後,不同手術時間對康複治療療效的影響。方法選取脊髓損傷病例120例,頸段脊髓損傷20例,胸腰段脊髓損傷100例,根據不同的手術時間分為脊髓損傷後24h內組(治療2組),24-72h(治療1組),72h以上(對照組),康複介入時間為術後1月內,均經過3箇月綜閤康複治療(術後),通過評價ADL及功能獨立性評定(FIM)提高程度併進行分析比較,ADL採用改良Barthel指數。結果對照組Barthel指數提高29.45±9.52,治療1組Barthel指數提高34.35±9.65,治療2組Barthel指數提高45.25±9.68,對照組FIM評分提高30.20±9.56,治療1組FIM評分提高38.56±9.58,治療2組FIM評分提高54.46±9.35,治療2組與對照組比較Barthel指數及FIM比較,差異均具有統計學意義(P<0.05)。結論脊髓損傷後儘早行手術治療,對患者的功能恢複有著重大的意義,能有效改善患者日常生活活動能力和功能獨立性。
목적:비교재척수손상후,불동수술시간대강복치료료효적영향。방법선취척수손상병례120례,경단척수손상20례,흉요단척수손상100례,근거불동적수술시간분위척수손상후24h내조(치료2조),24-72h(치료1조),72h이상(대조조),강복개입시간위술후1월내,균경과3개월종합강복치료(술후),통과평개ADL급공능독립성평정(FIM)제고정도병진행분석비교,ADL채용개량Barthel지수。결과대조조Barthel지수제고29.45±9.52,치료1조Barthel지수제고34.35±9.65,치료2조Barthel지수제고45.25±9.68,대조조FIM평분제고30.20±9.56,치료1조FIM평분제고38.56±9.58,치료2조FIM평분제고54.46±9.35,치료2조여대조조비교Barthel지수급FIM비교,차이균구유통계학의의(P<0.05)。결론척수손상후진조행수술치료,대환자적공능회복유착중대적의의,능유효개선환자일상생활활동능력화공능독립성。
Objective Comparison of spinal cord injury,dif erent operation time of rehabilitation therapy.Method Selected cases of 120 patients with spinal cord injury,cervical spinal cord injury in 20 cases,100 cases of thoracolumbar spinal cord injury,Depending on the operation time is divided into within 24h after spinal cord injury group (treatment group 2),24-72h (treatment group 1),72h or more (control group),Recovery time after 1 month intervention period,al after 3 months of comprehensive rehabilitation therapy (surgery),Independence Meas-ure (FIM)increased levels were compared and analyzed,The modified Barthel ADL index.Result Control group Barthel index increased 29.45 ±9.52,treatment group 1 Barthel index in-creased by 34.35 ±9.65,treatment group 2 Barthel index increased by 45.25 ±9.68,FIMscore increased the control group 30.20 ±9.56,treatment group 1 FIMscore increased 38.56 ±9.58,treatment group 2 FIMscore increased 54.46 ±9.35,compared Barthel Index and FIM,the diferences were statistical y significant (P <0.05).Conclusion As soon as possible after spinal cord injury treated by operation,functional recovery of patients have significant meaning,can improve function in patients with activities of daily living and independence.