脊髓损伤患者康复期生存质量的研究

目的：测量脊髓损伤患者住院康复期的生存质量，以及康复治疗对脊髓损伤患者生存质量的影响，探讨改善脊髓损伤患者生存质量的干预方式。方法：91例符合入选标准的住院康复期的脊髓损伤患者，分为综合康复组和传统康复组；100例符合入选标准的骨关节疾患非脊髓损伤需要康复治疗的患者作为对照组。结果：脊髓损伤患者26—50岁占57.14%，损伤原因交通事故、高处坠落、重物砸伤占73.63%。比较生存质量总分及各领域得分，脊髓损伤患者明显低于骨关节疾患非脊髓损伤患者(P<0.05)。治疗前后比较，综合康复组和传统康复组生存质量总分、生理领域得分、环境领域得分均有所提高(P<0.05)，但心理领域得分有所下降，社会领域得分差异无显著性意义。治疗前后生存质量总分、生理领域得分综合康复组比传统康复组提高更明显(P<0.05)。治疗后两组BI均有明显提高（P<0.01），综合康复组比传统康复组改善更明显（P<0.05）。结论：脊髓损伤患者以青壮年为主，康复期脊髓损伤患者的生存质量比骨关节疾患非脊髓损伤人群低。现代康复治疗技术与传统中医相结合的综合康复治疗能更有效地提高康复期脊髓损伤患者的日常生活活动能力及生存质量。

Quality of life in individuals with spinal cord injury during rehabilitation stage

Objective: To survey the situation of the QOL in individuals with spinal cord injury during rehabilitation stage and analyse the effects to the populations with spinal cord injury treated by the comprehensive rehabilitation therapy which is combined with the traditional Chinese medicine and modem rehabilitation technology. To discuss how to improve the QOL in individuals with spinal cord injury. Method: Ninety-one survivors were involved in this study at the beginning of 1-2 months after SCI. They were divided into two groups randomly. Group A included 47 cases and they were treated by the comprehensive rehabilitation treatment which is combined with the traditional Chinese medicine and modem rehabilitation technology. Group B included 44 cases and they were treated with the traditional rehabilitation treatment. Result: The mean age was 37.48±13.86years.The causes most frequently seen were traffic accidents and falls from a height. The total score and the 4 domains'scores of QOL in group A and group B were much lower as compared with the eontrol group (P<0.01). The total score, physical domain score, and environmental domain score were higher after rehabilitation than those before rehabilitation (P<0.05),on the contrary,the psychological domain score was lower (P<0.05).The total score, physical domain score in group A were higher than group B after rehabilitation(P<0.05) while the psychological domain score and the environmental domain score were no significant differenee(P>0.05). Conclusion: The QOL in all aspects of SCI patients in rehabilitation stage was lower than that of non-SCI group. It can enhance the QOL in most of the domains and ADL of the patients with spinal cord injury treated with the comprehensive rehabilitation therapy combining the traditional Chinese Medicine and modem rehabilitation technology.