摘要
目的:探讨ASIA2000标准部分项目对脊髓损伤患者步行能力预后评估的作用。方法:对2003年9月至2004年9月中国康复研究中心收治的42例脊髓损伤患者采用ASIA2000标准部分项目进行连续性临床观察。比较患者伤后1个月时的神经功能与伤后1年步行能力,判定该标准部分项目对脊髓损伤步行能力预后评估的作用。结果:残损分级相同的情况下,截瘫患者步行能力恢复好于四肢瘫患者;神经平面基本一致的情况下,伤后1个月时残损分级越高的患者,伤后1年时的步行能力越好;神经平面基本一致的情况下,伤后1个月时下肢运动评分越高的患者,伤后1年时的步行能力越好。结论:神经平面是影响步行能力预后的因素之一,残损分级相同的截瘫患者步行能力恢复好于四肢瘫患者。不论是截瘫患者还是四肢瘫患者,残损分级与步行能力预后有相关关系。下肢运动评分与神经平面相结合可以对脊髓损伤患者步行能力进行预后估计。
Objective：To investigate the ASIA 2000 scale＇s application in ambulatory prognosis of spinal cord injury patients.Method：Consecutive observation was clone to the 42 patients who were admitted in CRRC from September 2003 to September 2004 using ASIA 2000 scale.Ambulatory capability 1 year after injury was compared with the neurological examination results of the patients 1 month after injury to determine ambulatory prognosis of spinal cord injury patients.Result：Under similar injury degree,paraplegia individuals got better ambulatory capability than tetraplegia ones 1 year after injury.Under similar neurological level, better AIS （ASIA impairment scale） and better lower extremity motor score mean better ambulation capability 1 year after injury.Conclusion：Neurological level is one of the factors influencing ambulatory prognosis of SCI.Under similar injury degree,paraplegia individuals got better ambulation capability than tetraplegia ones.AIS is correlative with the ambulatory prognosis of SCI.Lower extremity motor score,combined with neurological level,can be a factor to predict the ambulatory capability of SCI patients.
出处
《中国脊柱脊髓杂志》
CAS
CSCD
2006年第4期276-279,共4页
Chinese Journal of Spine and Spinal Cord
