313例脊髓损伤患者FIM评定结果分析

Analysis of the Functional Independence Measure of 313 Patients with Spinal Cord Injury

目的探讨不同损伤平面、不同损伤程度的脊髓损伤（SCI）患者日常生活活动（ADL）状况的特点。方法对313例SCI住院患者进行功能独立性评定（FIM）评分,根据损伤平面和损伤程度的不同,将FIM评定的得分情况进行统计学分析。结果颈、胸、腰髓损伤患者的得分差异有显著性意义（P〈0.05-0.01）;随损伤平面的降低,FIM评分升高;同一损伤平面不同损伤程度的SCI患者的FIM评分差异有显著性意义（P〈0.05-0.01）,但腰髓完全性和不完全性SCI患者的FIM评分差异无显著性意义（P〉0.05）。结论FIM评分可客观反映不同损伤平面、不同损伤程度SCI患者的ADL状况。

Objective To study the effect of lesion level and completeness on activities of daily living （ADL） of patients with spinal cord injury （SCD. Methods The functional status of 313 SCI patients were assessed using the Functional Independence Measurement （FIM）, and FIM scores were calculated for statistical analysis with different lesion levels and completeness. Results FIM scores pres- ented significant differences among cervical-level group, thoracic-level group and lumbar-level group （ P 〈0.05 - 0.01）. Patient with a high lesion level had lower FIM score. In the same lesion level group, FIM scores presented significant differences between the incomplete SCI patients and the complete ones （ P 〈0.05- 0.01）. However, the lumbar lesion patients had no significant differences in FIM score between the complete group and the incomplete group （ P 〈0.05）. Conclusion FIM can objectively reflect the ADL level in SCI patients with different lesion level and completeness.