ICF在儿童脑外伤康复评定及随访中的应用

Application of ICF to rehabilitation evaluation and follow-up study of children with traumatic brain injury

【目的】探讨《国际功能、残疾和健康分类》ICF在儿童脑外伤康复功能评定和随访中的作用。【方法】对照国际疾病分类(ICD-10)对儿童脑外伤的疾病分类,运用脑外伤ICF简要核心组合表对本院2006年5月-2011年5月期间儿童脑外伤的住院病人进行功能评定和随访,分析儿童脑外伤的年龄分布与病因特点。【结果】1)儿童脑外伤的致伤原因与各年龄阶段的发育特征相关,0～6岁以高处坠落伤为主,7～12岁以高处坠落伤和车祸伤为主,13～18岁以自我伤害和他人伤害为主。2)年龄越小,平均ICF得分越高;车祸伤、高处坠落伤、自我伤害和他人伤害平均ICF得分依次降低。【结论】ICF能有效、全面地评定、随访和指导儿童脑外伤的治疗和康复,ICF对功能的评定和ICD-10对病因的诊断相互补充。儿童脑外伤在0～6岁预防重点是高处坠落,7～12岁预防重点是高处坠落和车祸,13～18岁预防重点是自我伤害和他人伤害。

【 Objective 】 Application of ICF to Rehabilitation evaluation and follow-up study of children with traumatic brain injury.【 Methods 】 From May 2006to May 2011,48traumatic brain injury children acceptted the rehabilitation therapy were measured by ICF in the second affiliated hospital of Wenzhou Medical College and the disease were diagnosised by ICD-10;Application of ICF to follow-up study for all the children with traumatic brain injury and the 144children were analyzed by distribution of age and the reason of wounds.【 Results 】 1） The reason for children with traumatic brain injury was relate to ages stage and developmental characteristics,0to 6years old children with traumatic nrain injury primarily by high fall injury,7to 12years old by high fall injury and traffic accident wound,13to 18years old by self-harm and other people injury.2） The younger age with traumatic brain injury was,the score was higher in ICF.The average ICF score decreased by turns from in traffic accident,high fall injury,to self-harm and other people injury.【 Conclusions 】 ICF can effectively and comprehensively assess the rehabilitation and follow-up study of brain injury children,and guiding opinions for rehabilitation treatment.The ICF complements the information provided by the ICD-10by classifying information on functioning and disability,Thus,ICD-10and ICF are complementary classifications.Prevention traumatic brain injury in 0to 6years old,7to 12years old,13to 18years old respectively is high place crash,high place crash and traffic accident,self-harm and other people injury.