1358例住院康复治疗病例分析

[目的] 探索和总结我院和美国康复医学科康复医疗工作,以进一步提高康复医学工作质量。[方法]对我院康复医学科1998年1月1日-2001年12月31日期间的1358例住院病人一般资料及病种等进行统计分析,并与美国康复医疗统一数据库系统(UDSMR)的1996-1998年美国康复医疗单位首次入住康复医疗病房的病人资料进行比较。[结果]1358例住院病人,男679例,女679例,平均年龄55.5岁(9-93岁),以60岁以上老年人为最多,而UDSMR资料平均年龄为68岁,65岁以上老年人所占比例高达70％。我院康复医学科收治的主要是骨科疾病,其次是脑血管意外,这与UDSMR报道相同。[结论]康复医学科应将更多的注意力放到老年病康复及预防上;骨科疾病、脑血管意外及其合并症的康复预防是本科重点;建立一个如UDSMR的数据系统对康复医学及预防医学工作有一定的指导意义。

The impairment groups analysis: report of 1358 rehabilitation inpatients

[Objective] To summarize the work of American rehabilitation department and that of ours, so as to improve the quality of rehabilitation therapy. [Methods] The chief diagnosis of 1358 patients discharged from our rehabilitation department during four calendar years from 1998 to 2001 were analyzed, and compared with the data describing the first admissions for rehabiliation in 1996, 1997 and 1998, which was aggregated from the Uniform Data System for Medical Rehabilitation (UDSMR) in the USA. [Results] The average age of the 1358 patients was 55. 5 yr, the greatest percentage of patients for the age categories was 60 yr and older. Fifty percent were males, and other 50% were females. The average age of the UDSMR was 68 yr, the percentage of 65 yr or older patients was 70 % . Two impairment groups with the largest numbers of patients were orthopedic conditions and stroke, which were similar to that of the UDSMR. [Conclusion] First, more attention should be paid to the rehabilitation and prevention of gerontology. Second, the rehabilitation and prevention of orthopedic conditions and stroke is the focus in rehabilitation department. Third, establishing a data system in China, like the UDSMR, is helpful for the development of rehabilitation medicine and preventive medicine.