对脊髓损伤患者实施脊髓神经功能快速评估法评估的价值分析

Value analysis of rapid evaluation of spinal nerve function in patients with spinal cord injury

目的探讨对脊髓损伤(SCI)患者实施脊髓神经功能快速评估法评估的价值。方法选取198例SCI患者作为研究对象,根据不同脊髓神经功能评估方法进行分组,对照组99例采用常规脊髓神经功能评估方法,观察组99例采用脊髓神经功能快速评估法,根据评估结果实施康复治疗。对比两组的评估及住院指标,肌力、肌张力及感觉功能评分,心理状态评分、生活质量评分。结果观察组评估耗费时间(4.35±0.72)min、患者住院时间(13.67±2.85)d短于对照组的(7.91±1.31)min、(17.45±3.36)d,治疗费用(1.58±0.39)万元少于对照组的(2.24±0.56)万元,错评率1.01%、漏评率2.02%、患者神经功能障碍或异常发生率2.02%均低于对照组的10.10%、11.11%、13.13%(P<0.05);观察组治疗后肌力评分(22.07±5.12)分、肌张力评分(3.82±0.59)分、针刺觉评分(28.62±3.28)分、轻触觉评分(25.60±3.52)分均高于对照组的(18.29±4.68)、(2.64±0.54)、(20.10±2.67)、(19.18±2.98)分(P<0.05);观察组治疗后汉密尔顿焦虑量表(HAMA)评分、汉密尔顿抑郁量表(HAMD)评分分别为(12.03±2.87)、(11.84±2.90)分,均低于对照组的(17.54±3.41)、(16.78±3.32)分(P<0.05);观察组治疗后生理、心理、环境、社会以及世界卫生组织生活质量评估简表(WHOQOL-BREF)总分分别为(9.43±1.76)、(9.02±1.47)、(13.63±1.56)、(11.76±1.62)、(43.84±5.59)分,均高于对照组的(7.74±1.58)、(7.39±1.40)、(10.71±1.42)、(9.23±1.51)、(35.07±5.12)分(P<0.05)。结论采用脊髓神经功能快速评估法对SCI患者进行评估的效果显著,能明显缩短评估耗费时间及患者住院时间,降低患者神经功能障碍或异常发生率,促进肌力、肌张力及肢体感觉的恢复,改善心理状态,提高生活质量。

Objective To explore the value of rapid evaluation of spinal nerve function in patients with spinal cord injury(SCI).Methods 198 SCI patients were selected as the research subjects.According to different evaluation methods of spinal nerve function,99 patients in the control group were evaluated by conventional evaluation of spinal nerve function,and 99 patients in the observation group were evaluated by rapid evaluation of spinal nerve function.Rehabilitation treatment was implemented according to the evaluation results.The evaluation and hospitalization indexes,muscle strength,muscle tone and sensory function scores,psychological state score and quality of life score of the two groups were compared.Results The evaluation time of the observation group was(4.35±0.72)min and the hospitalization time was(13.67±2.85)d,which were shorter than(7.91±1.31)min and(17.45±3.36)d of the control group;the treatment cost of the observation group was(1.58±0.39)ten thousand yuan,which was less than(2.24±0.56)ten thousand yuan of the control group;the rate of wrong evaluation,missed evaluation and the incidence of neurological dysfunction or abnormality of the observation group were 1.01%,2.02%,and 2.02%,which were lower than 10.10%,11.11%,and 13.13% of the control group(P<0.05).After treatment,the muscle strength score of the observation group was(22.07±5.12)points,the muscle tension score was(3.82±0.59)points,the acupuncture sensation score was(28.62±3.28)points and the light touch score was(25.60±3.52)points,which were higher than(18.29±4.68),(2.64±0.54)and(20.10±2.67)and(19.18±2.98)points of the control group(P<0.05).After treatment,the HAMA score and HAMD score of the observation group were(12.03±2.87)and(11.84±2.90)points,which were lower than(17.54±3.41)and(16.78±3.32)points of the control group(P<0.05).After treatment,the scores of physiology,psychology,environment,society and total score of World Health Organization quality of life assessment instrument brief version(WHOQOL-BREF)in the observation group were(9.43±1.76),(9.02±1.47),(13.63±1.56),(11.76±1.62)and(43.84±5.59)points,which were higher than(7.74±1.58),(7.39±1.40),(10.71±1.42),(9.23±1.51)and(35.07±5.12)points in the control group(P<0.05).Conclusion The rapid evaluation method of spinal nerve function is effective in evaluating SCI patients,which can obviously shorten the evaluation time and hospitalization time of patients,reduce the incidence of neurological dysfunction or abnormality,promote the recovery of muscle strength,muscle tension and limb sensation,improve psychological state and improve quality of life.