早期康复介入对脊髓损伤患者ADL能力及功能独立性的影响

Effect of early rehabilitative intervention on activitives of daily living and functional independence of spinal-cord injured patients

目的总结分析脊髓损伤患者的早期康复治疗经验,探讨早期康复介入对脊髓损伤患者运动功能的影响。方法回顾分析2009年我科收治的因各种原因致脊髓损伤患者64例,以康复介入时间为界分为两组:脊髓损伤后1个月内病情平稳开始康复治疗者为观察组,共35例;病程超过3个月后开始康复治疗者为对照组,共29例。两组性别、年龄、ASIA分级、损伤节段比较差异无统计学意义(P>0.05),具有可比性。采用Barther指数和功能独立性测定(FIM)在锻炼前后进行康复评定。结果两组治疗后Barther指数和FIM评分较治疗前均有明显改善(P<0.05);观察组的改善程度较对照组更加明显(P<0.01)。结论早期系统有计划地康复介入,对脊髓损伤患者日后独立生活能力的提高有重要意义。

Objective To summarize the experience of early rehabilitation management,and to explore whose effects on motor function of spine-cord injured patients. Methods 64 spinal injury patients were divided into 35 observe group and 29 control group according to the time of rehabilitative care,comparison of two groups had not statistically significant（P0.05）. The Barther index and FIM were used to evaluate the two groups patients after rehabilitation management. Results The Barther index and FIM grade of two group patients were improved, but the observe group excelled the control group（P0.05）. Conclusion The early rehabilitation intervention has significant meaning to function independence of SCI patients.