汶川地震脊髓损伤患者日常生活活动能力预后的相关因素分析

目的：探讨汶川地震脊髓损伤患者治疗前后影响日常生活活动（ADL）能力的相关因素。方法：选择可能对脊髓损伤患者临床预后有影响的因素，以入院康复治疗2个月后改良Barthel指数（MBI）为预后指标，进行回顾性和多因素分析。入选病例为35例地震致脊髓损伤患者。结果：经康复治疗2个月后，患者的MBI从治疗前的15.17提高到58.71。治疗后的ADL能力与年龄、康复介入时机、治疗前ADL评分不相关；与ASIA损伤等级、神经平面呈正相关；与受压时间、并发症数呈负相关。结论： ASIA损伤等级、神经平面、受压时间、并发症数都是影响地震致脊髓损伤患者ADL能力预后的主要因素。

Predictors of outcomes of activities of daily living in spinal cord injury patients in Wenchuan earthquake

Objective: To explore correlative factors with activities of daily living (ADL) and to identify predictors of outcomes of ADL in spinal cord injury patients of Wenchuan earthquake. Method: Thirty-five spinal cord injury(SCI) patients received rehabilitation program were retrospectively and multiple-regressively analyzed. The assessments for SCI patients included modified Barthel index(MBI) and other independent items. Result: After treatment, the MBI in SCI patients increased significantly from 15.17 to 58.71. No correlation was found between priov ADL, time of admission rehabilitation, age and ADL after rehabilitation program. Positive predictors for ADL after rehabilitation program included ASIA impairment scale and neurological injury level; Negative predictors included compression time, rehabilitation intervention time and number of complications. Conclusion: ASIA impairment scale, neurological injury level, compression time and number of complications are predictors for ADL after rehabilitation program in SCI patients.