皮格马利翁效应加个体化强化对外伤性脊髓损伤的治疗观察

Observation of Pygmalion effect plus the individualized intensification goal setted in stage systematic convalescing training of the trauma of spinal cord

目的皮格马利翁效应加个体化强化分阶段定目标系统性康复训练对外伤性脊髓损伤治疗的意义。方法选择23例外伤性脊髓损伤患者,随机分为2组,治疗组13例,对照组10例;对照组接受常规系统康复训练,治疗组利用皮格马利翁效应首先告知康复治疗师此组患者恢复最快、预后较好,同时根据康复评定采用个体化强化分阶段定目标系统性康复训练。2组均以3个月为一疗程。结果治疗组84.6%达到生活基本自理,而对照组60%达到生活基本自理。治疗前2组MBI差异无统计学意义(P>0.05),而治疗后2组MBI(治疗组平均77.31,对照组平均60.5,t=1.985>1.721,P<0.05)差异有统计学意义。结论皮格马利翁效应加个体化强化分阶段定目标康复训练对提高脊髓损伤后的康复疗效有重要价值。

Objective To explore the therapeutic potential on Pygmalion effect plus the systematic convalescing training of individualized intensification and phased goals of the trauma of spinal cord. Methods Twenty-three cases of patients with trauma of spinal cord were selected and divided into two groups： treatment group （13 cases） and control group （10 cases）. The control group received the conventional systematic convalescing training, while the treatment group received individualized intensification goal-setted in stage systematic convalescing training, the treatment group underwent the treatment under the guidance of the Pygmalion effect, and should be told at first that the latter group recovered quicker and the prognosis was better, 3 months were defined as one course of treatment. Results 84.6% （11 case）sufferers in the treated group could take care of themselves in life, while 60 % （6 case） in the compared group. The difference of MBI between the two group was not significant （P〉0.05）. After treatment, there was a notable meaning （average MBI of the treated group was 77.31, while the compared group was 60. 5, t=1. 985〉1. 721,P〈0.05）. Conclusion Pygmalion effect plus the systematic convalescing training of the individualized intensification and phased goals is of great value in improving the therapeutic effect in patients with the spinal cord trauma.