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综合康复治疗脊髓损伤患者的疗效观察

Observations on the effects of comprehensive rehabilitation therapy to the patients with spinal cord injury

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【作者】 吴映华蔡颖周莉何丽琼刘远珍

【Author】 WU Ying-hua, CAI Ying, ZHOU Li, HE Li-qiong, LIU Yuan-zhen (Xiangya Hospital, Central South University, Changsha, Hunan 410008, P.R.China)

【机构】 中南大学湘雅医院康复科

【摘要】 目的观察综合康复治疗脊髓损伤患者的疗效。方法对35例脊髓损伤患者采用心理治疗、运动疗法、作业疗法、经穴电刺激疗法、传统医学疗法及膀胱训练等康复治疗手段,于治疗前后运用Fugl-Meyer法(FMA)评定运动功能、Barthel指数评定日常生活能力(ADL)和躯干控制能力评分(Sheikh评分)评定躯干活动能力,膀胱残尿量评定膀胱功能。结果 35例脊髓损伤患者经综合康复治疗后,FMA、Barthel及Sheikh评分均较治疗前明显提高(P<0.01),膀胱残余尿量明显减少。结论综合康复治疗可明显改善脊髓损伤患者的运动功能、日常生活能力及膀胱功能。

【Abstract】 [Objective]To observe the effects of comprehensive rehabilitation therapy to the patients with spinal cord injury (SCI). [Methods]35 patients with spinal cord injury received comprehensive rehabilitation treatments including psychological therapy, kinesitherapy, occupational therapy, acupoint electrical stimulation therapy, bladder training, and so on. before and after comprehensive therapies, Fugl-Meyer Assessment (FMA), Barthel Index, Sheikh scoring and postvoid residual urine were adopted to evaluate motor function,activity of daily living, trunk mobility and bladder function respectively.[Results]Compared with pretherapy, FMA, Barthel and Sheikh scores of 35 patients were dramatically increased, postvoid residual urine volume was significantly decreased (P <0.01). [Conclusion]Comprehensive rehabilitation therapy can improve motor function, activity of daily living and bladder function of patients with spinal cord injury.

  • 【文献出处】 中国现代医学杂志 ,China Journal of Modern Medicine , 编辑部邮箱 ,2010年10期
  • 【分类号】R49;R651.2
  • 【被引频次】33
  • 【下载频次】518
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