早期康复治疗对脊柱骨折并脊髓损伤患者术后效果及日常生活能力的影响

Effect of Early Rehabilitation on Postoperative Effect and Daily Living Ability of Patients with Spinal Fracture and Spinal Cord Injury

目的分析早期康复治疗在脊柱骨折并脊髓损伤患者术后的应用效果。方法选取2020年3月—2023年3月枣庄市峄城区人民医院收治的80例脊柱骨折并脊髓损伤患者为研究对象,采用随机数字表法分为对照组(n=40)和观察组(n=40),对照组于术后进行常规治疗,对照组于术后进行早期康复治疗,比较两组并发症发生率、运动功能、日常生活能力以及生活质量。结果观察组术后肺部感染等并发症发生率低于对照组,差异有统计学意义(P<0.05)。治疗前,两组运动功能、日常生活能力量表(ADL)评分比较,组间差异无统计学意义(P<0.05);治疗3个月后,观察组运动功能评分高于对照组,ADL评分低于对照组,组间差异有统计学意义(P<0.05)。治疗前,两组生活质量综合评定问卷(GQOLI-74)中各个维度评分比较,组间差异无统计学意义(P<0.05);治疗3个月后,观察组GQOLI-74问卷中各个维度评分均高于对照组,组间差异有统计学意义(P<0.05)。结论早期康复治疗对脊柱骨折并脊髓损伤患者术后并发症控制、运动功能和日常生活能力改善及生活质量提升等均可产生积极影响,值得推荐。

Objective To analyze the effect of early rehabilitation therapy in patients with spinal fracture and spinal cord injury after surgery.Methods A total of 80 patients with spinal fracture and spinal cord injury treated in Yicheng People's Hospital of Zaozhuang from March 2020 to March 2023 were selected as the research objects.They were divided into the control group(n=40)and the observation group(n=40)by the random number table method.The control group received routine treatment after surgery,and the control group received early rehabilitation treatment after surgery.The incidence of complications,motor function,activity of daily living and quality of life were compared between the two groups.Results The incidence of postoperative pulmonary infection and other complications in the observation group was lower than that in the control group,and the difference was statistically significant(P<0.05).Before treatment,there were no statistically significant differences in motor function and activity of daily living scale(ADL)scores between the two groups(P<0.05);after 3 months of treatment,the motor function score of the observation group was higher than that of the control group,and the ADL score was lower than that of the control group,and the differences between the two groups were statistically significant(P<0.05).Before treatment,there were no statistically significant differences in the scores of all dimensions of generic quality of life inventory-74(GQOLI-74)between the two groups(P<0.05),after 3 months of treatment,the scores of all dimensions of GQOLI-74 questionnaire in the observation group were higher than those in the control group,and the differences between the two groups were statistically significant(P<0.05).Conclusion Early rehabilitation therapy has a positive effect on the control of postoperative complications,the improvement of motor function,daily living ability and quality of life in patients with spinal fracture and spinal cord injury,which is worthy of recommendation.