南方医科大学学报

南方医科大学学报 ›› 2004, Vol. 24 ›› Issue (06): 706-707,710.

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脊髓损伤早期康复治疗的临床研究

邓爱文1, 魏东2, 张建宏2, 冉春风1, 王敏1   

  1. 1. 龙岗中心医院康复科, 广东, 深圳, 518116;
    2. 第一军医大学南方医院康复科, 广东, 广州, 510515
  • 出版日期:2004-06-20 发布日期:2004-06-20
  • 基金资助:
    收稿日期:2004-3-12。
    作者简介:邓爱文(1962- ),男,1986年毕业于第一军医大学,副主任医师、副教授.

Rehabilitation therapy in early stage following spinal cord injuries

DENG Ai-wen1, WEI Dong2, ZHANG Jian-hong2, RAN Chun-feng1, WANG Min1   

  1. 1. 龙岗中心医院康复科, 广东, 深圳, 518116;
    2. 第一军医大学南方医院康复科, 广东, 广州, 510515
  • Online:2004-06-20 Published:2004-06-20

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摘要： 目的 探讨早期康复治疗对脊髓损伤患者日常生活活动和功能独立性评定(FIM)的影响。方法 选择康复治疗的脊髓损伤患者92例,按康复治疗介入的时间分为治疗组(2周内,48例)和对照组(6个月,44例);康复评定采用Barthel指数和FIM,评定分别于治疗前及治疗6个月后进行;康复治疗根据患者的临床不同阶段采用不同的训练方法,同时配合心理治疗及其他物理因子治疗。康复治疗为期6个月。结果 治疗后患者的Barthel指数评分及FIM评分均有显著提高(P<0.05):治疗组Barthel指数提高了39.23±8.69,FIM评分提高了44.02±9.32;而对照组则分别提高了15.59±10.75和20.88±9.55,两组比较差异有显著意义(P<0.01)。结论 早期康复治疗对脊髓损伤患者的功能恢复有着重要意义,能有效地改善患者运动功能、日常生活活动能力和功能独立性。

Abstract: Objective To investigate the effects of rehabilitation therapy in early stage following spinal cord injury on the patients’ activities of daily living (ADL) and functional independence measure (FIM). Methods Ninety-two patients with spinal cord injuries were divided into early rehabilitation group (n=48) and control group (n=44) according to the timing of the rehabilitation therapy. Rehabilitation assessment of the patients with Barthel index and FIM was carried out before and 6 months after the rehabilitation therapy respectively for comparison. Different rehabilitation regimens were adopted for specific clinic stage of the patients, lasting for a total of 6 months. Results Barthel index and FIM score were all improved after the rehabilitation therapy in both of the two groups, but the improvements were more significant in early rehabilitation group (P<0.01). Conclusion Early rehabilitation treatment is crucial for patients with spinal cord injuries in that it improves the patients’ motor function, ADL and functional independence after the injury.

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