视神经脊髓炎谱系疾病的临床特点及康复疗效分析

Clinical characteristics and rehabilitation effect of neuromyelitis spectrum diseases

目的探讨视神经脊髓炎谱系疾病的临床特点与康复预后。方法回顾分析2016年1月~2018年10月中国康复研究中心北京博爱医院收治的7例诊断明确的视神经脊髓炎谱系疾病患者的临床资料,分析其临床特征及障碍点,观察日常生活活动(ADL)能力变化,比较康复预后情况。结果7例患者分别表现出不同程度的肢体运动功能障碍、感觉障碍、尿便障碍、视力异常以及情绪障碍,ADL均需介助。经系统、规范化康复治疗,患者功能障碍明显改善,ADL能力明显提高(P<0.01)。结论早期、积极的康复治疗能减轻患者的功能障碍,提高ADL能力。

Objective To investigate the clinical features and rehabilitation prognosis of neuromyelitis spectrum diseases.Methods The clinical data of 7 patients with diagnosed optic neuromyelitis spectrum disease admitted to China Rehabilitation Research Center,Beijing Boai Hospital from January 2016 to October 2018 were retrospectively analyzed,their clinical characteristics and obstacle points were analyzed,and changes in activity of daily living(ADL)ability were observed,and the rehabilitation prognosis was compared.Results The 7 patients showed different degrees of limb motor dysfunction,sensory dysfunction,urinary bowel disorder,abnormal vision and emotional disorder,all of which required ADL.After systematic and standardized rehabilitation treatment,patients′functional dysfunction and ADL ability were significantly improved(P<0.01).Conclusion Early and active rehabilitation therapy can reduce the dysfunction of patients and improve the ADL ability.