脊髓损伤恢复期运动治疗的临床分析

目的 分析脊髓损伤患者恢复期运动治疗的效果及相关因素。方法 对1998年7月－2001年9月在我院康复医学科运动治疗部门训练的18例脊髓损伤患者进行分析。结果 ASIA运动评分和MBI在训练后有显著提高（P＜0．01），ASIA感觉评分训练前后无差异；痉挛严重程度与损伤时年龄及病程有很好的正相关（P＜0．05）；病程与治疗前MBI有很好的正相关（P＜0．05），MBI与ASIA运动评分有很好的正相关（P＜0．05）；家属护理人数与患者损伤时年龄，病程和治疗前MBI有很好的负相关（P＜0．05）；ASIA运动平均效率为0．13，MBI平均效率为0．56。结论 随着损伤时间的延长，痉挛会逐步加重；运动治疗有助于提高脊髓损伤患者的运动功能；患者生活自理能力的提高，可减少家属护理人数，减轻家庭负担。

Clinical analysis on the effect of motor training rehabilitation in spinal cord injured patients

Objective To evaluate the outcome of patients with spinal cord injury(SCI) after treatment with motor training during their recovering stage. Methods Data of 18 patients with SCI treated from July 1998 to September 2001 were retrospectively analyzed. Results Both the scores of ASIA and MBI were significantly improved after the rehabilitation training in comparing with their pre training state( P <0.01). No difference was noted with respect to their sensory function. The degree of spasticity was positiveiy related to the patient's age and length of the illness( P <0.05). A significant correlation between ASIA and MBI was noted ( P <0.01). Conclusion The results of this analysis demonstratd that rehabilitaton therapy including mainly the motor training significantly improved the motor functions of the SCI patients and their ADL abilities.