急性颈脊髓损伤急救时效性与功能恢复探讨

The Discussion of Time Efficiency of First-aid and Function Recovery for Acute Cervical Spinal Cord Injury

目的探讨急性颈脊髓损伤急救时效性。方法对成都市第五医院自2006年6月—2012年12月收治的298例急性颈脊髓损伤患者的临床资料进行分析,其中2006年6月—2008年12月收治的140例患者作为对照组,2009年1月—2012年12月收治的158例患者作为观察组。总结与时效性相关的临床特征。结果观察组术前准备时间、受伤至手术、使用脱水剂和MP治疗时间均短于对照组,且差异有统计学意义(P<0.05)。观察组随访的有效率(67.9%)高于对照组(51.4%),差异有统计学意义(P<0.05)。结论对患者进行及时抢救有助于提高患者的存活率,对患者的早期处理和患者的预后都有着积极作用。

Objective To discuss the time efficiency of first - aid and function recovery for acute cervical spinal cord injury （ACSCI）. Methods Choosed 140 ACSCI patients from Jun. 2006 to Dee. 2008 as controlled group, and 158 ACSCI patients from Jan. 2009 to Dee. 2012 as study group. Sum up the clinical characteristic of time efficiency. Results There were 12 eases dead at rescued, 13 cases dead in hospital, 10 cases dead in complication, and other 263 patients rescued suc- cessfully, and follow - up 12 months after out hospital, there were 21 patients dead, and no recoveried, and other patients were in different degrees of recovery after treatment and nursing. Conclusion Rescuing patients in time contributes to survival rate to make activity to early processing for patients and prognosis.