摘要
目的探讨早期康复治疗对脊髓损伤患者日常生活活动和功能独立性评定(FIM)的影响。方法选择康复治疗的脊髓损伤患者92例,按康复治疗介入的时间分为治疗组(2周内,48例)和对照组(6个月,44例);康复评定采用Barthel指数和FIM,评定分别于治疗前及治疗6个月后进行;康复治疗根据患者的临床不同阶段采用不同的训练方法,同时配合心理治疗及其他物理因子治疗。康复治疗为期6个月。结果治疗后患者的Barthel指数评分及FIM评分均有显著提高(P<0.05):治疗组Barthel指数提高了39.23±8.69,FIM评分提高了44.02±9.32;而对照组则分别提高了15.59±10.75和20.88±9.55,两组比较差异有显著意义(P<0.01)。结论早期康复治疗对脊髓损伤患者的功能恢复有着重要意义,能有效地改善患者运动功能、日常生活活动能力和功能独立性。
Objective To investigate the effects of rehabilitation therapy in early stage following spinal cord injury on the patients' activities of daily living (ADL) and functional independence measure (FIM). Methods Ninety-two patients with spinal cord injuries were divided into early rehabilitation group (n=48) and control group (n=44) according to the timing of the rehabilitation therapy. Rehabilitation assessment of the patients with Barthel index and FIM was carried out before and 6 months after the rehabilitation therapy respectively for comparison. Different rehabilitation regimens were adopted for specific clinic stage of the patients, lasting for a total of 6 months. Results Barthel index and FIM score were all improved after the rehabilitation therapy in both of the two groups, but the improvements were more significant in early rehabilitation group (P<0.01). Conclusion Early rehabilitation treatment is crucial for patients with spinal cord injuries in that it improves the patients' motor function, ADL and functional independence after the injury.
出处
《第一军医大学学报》
CSCD
北大核心
2004年第6期706-707,710,共3页
Journal of First Military Medical University
关键词
脊髓损伤
康复治疗
临床研究
日常生活自理
功能独立性评定
spinal cord injuries/rehabilitation
rehabilitation measure
activities of daily living
functional independence measure
