CAJ | 학술논문

目的：调查华东六省一市颅脑创伤患者康复情况，为临床早期、正确、有效康复提供依据。方法整群抽取华东六省一市80家合作医院所有颅脑创伤住院患者早期康复病例，采用 SPSS 13．0统计软件进行统计分析。结果华东六省一市颅脑创伤患者早期康复治疗率为4．68％，早期康复治疗男性多于女性（男女比3．801），平均年龄（40．10±16．33）岁，但性别（χ2＝3．23，P ＝0．072）、年龄（t ＝－0．819，P ＝0.413）与是否早期康复无关。该地常住患者早期康复治疗率低于暂住患者（χ2＝8．28，P ＜0．05）。早期康复治疗患者平均住院时间（39．57±34．22）d、平均住院费用（42741．50±43186．69）元，高于未行早期康复治疗患者（t ＝－17．74，P ＜0．05；t ＝－18．96，P ＜0．05），预后不良率高于未行早期康复治疗患者（χ2＝85．45，P ＜0．05）。结论应该对不同程度的颅脑创伤患者提倡正确、早期的康复治疗，不仅进行身体、功能上的康复，更应该进行心理、家庭和社会回归的综合性康复治疗。
목적：조사화동륙성일시로뇌창상환자강복정황，위림상조기、정학、유효강복제공의거。방법정군추취화동륙성일시80가합작의원소유로뇌창상주원환자조기강복병례，채용 SPSS 13．0통계연건진행통계분석。결과화동륙성일시로뇌창상환자조기강복치료솔위4．68％，조기강복치료남성다우녀성（남녀비3．801），평균년령（40．10±16．33）세，단성별（χ2＝3．23，P ＝0．072）、년령（t ＝－0．819，P ＝0.413）여시부조기강복무관。해지상주환자조기강복치료솔저우잠주환자（χ2＝8．28，P ＜0．05）。조기강복치료환자평균주원시간（39．57±34．22）d、평균주원비용（42741．50±43186．69）원，고우미행조기강복치료환자（t ＝－17．74，P ＜0．05；t ＝－18．96，P ＜0．05），예후불량솔고우미행조기강복치료환자（χ2＝85．45，P ＜0．05）。결론응해대불동정도적로뇌창상환자제창정학、조기적강복치료，불부진행신체、공능상적강복，경응해진행심리、가정화사회회귀적종합성강복치료。
Objective To master the rehabilitation in patients with traumatic brain injury in Eastern China, and provide evidence for clinicians to rehabilitate early,correctly and effectively.Methods All sampling of the TBI patients from 80 hospitals in Eastern China were clustered and were analyzed using SPSS 13.0.Results The rate of in -patients in Eastern China with early rehabilitative intervention was 4.68%,and the rate of male was higher than female(male to female ratio was 3.80:1),mean age was (40.10 ±16.33)years old,but there was no difference in gender(χ2 =3.23,P =0.072)and age(t =-0.819,P =0.413)for the early rehabilitative intervention.Local resi-dent patients in early rehabilitative intervention was lower(χ2 =8.28,P <0.05).The average length of stay for the early rehabilitative intervention patients was(39.57 ±34.22)d(t =-17.74,P <0.05),the average cost of hospitali-zation was(42 741.50 ±43 186.69)yuan(t =-18.96,P <0.05).The rate of average length of stay and average cost of hospitalization of the rehabilitative intervention patients were higher and more expensive than the patients who did not obtain early rehabilitative intervention,but did have higher unfavourable prognosis rate(χ2 =85.45,P <0.05). Conclusion We advocate correct and early rehabilitative intervention for traumatic brain injury in patients with different degree,and promote not only the physical and functional rehabilitation,but also comprehensive rehabilitation such as the psychological treatment,family treatment and social regression.