不同阶段作业治疗对脊髓损伤患者日常生活影响

目的探讨不同阶段作业治疗对汶川地震致脊髓损伤患者日常生活能力（ADL）的影响。方法对2008年7月-2011年6月收治于绵竹市人民医院康复科的26例地震致脊髓损伤患者进行为期3个月的第1阶段治疗和为期3周的第2阶段作业治疗，并以改良Barthel指数（MBI）作为评估ADL的指标。结果第1阶段治疗后MBI指数平均得分（65．714-19．30）分，第2阶段治疗后MBI指数平均得分（76．934-16．82）分，第2阶段MBI各项评分较第1阶段均有所提高，其中大便控制、小便控制、行走评分较第1阶段差异有统计学意义（P〈0．05）。结论早期、分阶段和持续性作业治疗，能显著提高地震致脊髓损伤患者ADL。

The Effect of Occupational Therapy by Stages on the Activities of Daily Living in Spinal Cord Injury Patients

Objective To explore the effect of occupational therapy by stages on the activities of daily living （ADL） in spinal cord injury （SCI） patients during Wenchuan earthquake. Methods Twenty-six SCI patients during Wenchuan earthquake admitted into the People＇s Hospital of Mianzhu City from July 2008 to June 2011 underwent two- stage occupational therapy. The first stage therapy continued for three months and the second continued for three weeks. ADL was measured using the modified barthel index （MBI）. Results The MBI in SCI patients after first-stage therapy was 65.71±19.30, and the MBI in SCI patients after the second-stage therapy was 76.93±16.82. All MBI item scores during the second-stage therapy were higher than in the first stage therapy, and the ability of stool and urine control, and walking increased significantly （P 〈 0.05）. Conclusion Early and continuous occupational therapy by stages can increase the activities of daily living in spinal cord injury patients during Wenchuan earthquake.