摘要
目的探讨脊髓损伤患者康复治疗介入时机与治疗的效果。方法符合入选标准的脊髓损伤患者50例,根据康复治疗介入时间分为早期康复治疗组(术后2周内,30例),晚期康复治疗组(术后3个月,20例)。康复治疗采用标准统一的训练方法。采用改良Bathel指数(MBI)和功能独立性评定量表(FIM)分别于治疗前及治疗3个月后予以评定。结果两组患者康复治疗前MBI及FIM评分比较,差异均无统计学意义(P>0.05);康复治疗后MBI及FIM评分比较,差异均有统计学意义(P<0.05)。结论脊髓损伤康复治疗在损伤后2周内开始介入可以有效减少并发症的发生,提高患者的日常生活活动能力。
Objective To explore the timing of early intervention in the comprehensive rehabilitation for patients with spinal cord injury（SCI）.Methods Totally 50 patients with SCI were randomly divided into early intervention group（two weeks after operation;n=30） and control group（three months after operation;n=20）.All patients received standard comprehensive rehabilitation.The functions of all patients were assessed by functional independence measure（FIM） score and modified Barthel Index（MBI） before and 3 months after rehabilitation.Results The FIM and MBI scores were not significantly different between these two groups（P0.05） before rehabilitation,but were significantly better in early intervention group three months later（bothP0.05）.Conclusion Early intervention（2 weeks after operation） can remarkably improvement the recovery of ordinary function and reduce complications.
出处
《中国全科医学》
CAS
CSCD
北大核心
2010年第24期2748-2749,共2页
Chinese General Practice
关键词
脊髓损伤
介入时机
康复治疗
Spinal cord injuries
Intervention time
Rehabilitation
