脊髓损伤早期康复的临床研究

目的 探讨早期康复对脊髓损伤患者功能恢复的影响.方法 选择经康复治疗的脊髓损伤患者88 例,按康复治疗介入的时间分为治疗组（2周内,50 例）,对照组（3个月,38 例）.康复评定采用功能独立性评定（FIM）和Bathel指数,分别于治疗前及治疗3个月后进行.康复方法根据患者的临床不同阶段采用不同的训练方法,同时配合心理治疗及其他物理因子治疗.结果 治疗后,治疗组患者的 Bathel指数评分及FIM评分较对照组均有明显提高（P〈0.01）.结论 早期康复治疗对脊髓损伤患者的功能恢复有着重要意义.

Rehabilitation therapy at early stage following spinal cord injuries

ObjectiveTo investigate the effects of rehabilitation therapy at early stage following spinal cord injury on the patients function recovery.Methods88 cases with spinal cord injury were divided into early rehabilitation group(n=50) and control group (n=38) according to the start time of the rehabilitation therapy (within 2 weeks or after 3 months).Rehabilitation assessment of the patients with Barthel index and Functional Independence Measure (FIM) was carried out before and 3 months after the rehabilitation therapy respectively.ResultsBarthel index and FIM score all improved after the rehabilitation therapy in two groups, but the improvements were more significant in early rehabilitation group(P<0.01).ConclusionEarly rehabilitation treatment improves the function of patients with spinal cord injuries.