颈髓损伤后的综合康复治疗

目的：观察颈髓损伤患者综合康复治疗的结局。方法：40例颈髓损伤患者予以综合康复治疗，包括上肢肌功能性电刺激、肌力训练、平衡转移训练、平衡膀胱等并配合传统疗法及矫形器的应用等。结果：经过60-215 d的治疗后ASIA运动、感觉评分及ADL评分与治疗前比较，颈髓部分损伤患者有明显提高（P〈0.01或0.05）；完全损伤患者ASIA运动评分有明显提高（P〈0.05），而ASIA感觉及ADL评分虽有改善，但差异无显著性意义。结论：综合康复治疗能显著改善和提高颈髓损伤患者的生存质量，其中部分损伤患者最为显著。

Comprehensive Rehabilitation of the Patient with Spinal Cord Injury

Objective: To investigate whether there is a difference in function improvement in the patients with spinal cord injury(SCI) at different levels and degrees,in order to examine the effect of the comprehensive rehabilitation.Methods: Forty patients with SCI were treated with the electrical stimulation,muscle-strengthening exercise,balance and transfer training and orthosis etc.The function of the patients was assessed by ASIA and Barthel index before and after rehabilitation.Result: After rehabilitation,the motor scores(ASIA) was significantly higher in patients with incomplete lesions(P<0.05),and sensory scores(ASIA) was not significantly improved,the Barthel index was significantly higher(P<0.01) in patient with incomplete lesion,and was not significantly improved in patient with complete lesion.Conclusion: Comprehensive rehabilitation was able to significantly improve and advance the motor function and ADL,especially in the patients with incomplete lesions.