中国组织工程研究

中国组织工程研究 ›› 2015, Vol. 19 ›› Issue (37): 6042-6047.doi: 10.3969/j.issn.2095-4344.2015.37.025

• 组织构建综述 tissue construction review • 上一篇    下一篇

脊髓损伤后的康复实践结果

王玉明1，武永刚2，段力军2   

  1. 1中国康复研究中心北京博爱医院脊柱脊髓神经功能重建科，北京市  100068； 2内蒙古巴彦淖尔市医院骨科，内蒙古自治区巴彦淖尔市  015000
  • 出版日期:2015-09-10 发布日期:2015-09-10
  • 通讯作者: 通讯作者：武永刚，博士，硕士生导师，内蒙古巴彦淖尔市医院骨科，内蒙古自治区巴彦淖尔市 015000 并列通讯作者：段力军，硕士生，主治医师，内蒙古巴彦淖尔市医院骨科，内蒙古自治区巴彦淖尔市 015000
  • 作者简介:王玉明，男，1965年，汉族，内蒙自治区古包头市人，硕士，主任医师，主要从事脊柱脊髓损伤的研究。

Rehabilitation practice and outcomes after spinal cord injury 

Wang Yu-ming1, Wu Yong-gang2, Duan Li-jun2   

  1. 1Department of Spinal and Neural Functional Reconstruction, China Rehabilitation Research Center, Beijing 100068, China; 2Department of Orthopedics, Inner Mongolia Bayannaoer City Hospital, Bayannaoer 015000, Inner Mongolia Autonomous Region, China
  • Online:2015-09-10 Published:2015-09-10
  • Contact: Corresponding author: Wu Yong-gang, M.D., Master’s supervisor, Department of Orthopedics, Inner Mongolia Bayannaoer City Hospital, Bayannaoer 015000, Inner Mongolia Autonomous Region, China Corresponding author: Duan Li-jun, Master, Attending physician, Department of Orthopedics, Inner Mongolia Bayannaoer City Hospital, Bayannaoer 015000, Inner Mongolia Autonomous Region, China
  • About author:Wang Yu-ming, Master, Chief physician, Department of Spinal and Neural Functional Reconstruction, China Rehabilitation Research Center, Beijing 100068, China

PDF

321

被引次数

14

摘要：

背景：脊髓损伤患者的康复结果与患者的损伤程度、治疗方法、康复时间及后期治疗等多因素有关。跨学科、全面、专业的脊髓损伤康复单元能为脊髓损伤患者提供更好的恢复。

目的：综合评价脊髓损伤康复单元干预或其组合干预的效果。

方法：检索2003至2014年Springer及PubMed数据库，检索词：spinal cord injury，rehabilitation practice，outcomes。根据纳入排除标准，阅读标题和摘要进行初筛，选用44篇英文文献进行分析。

结果与结论：许多研究采用基于实践证据的方法，识别多种康复实践方法，把信息与结果联系以评价康复干预的效果。研究显示创伤及非创伤性混合样本中的目标实现与年龄没有差异，大多数康复结果很少有性别差异。最初入院到专科脊髓损伤中心的绝大多数脊髓损伤患者的并发症通常最低，患者尽早入住到跨学科、全面、专业的脊髓损伤单位比延迟入住缩短住院总时间。脊髓损伤患者接受正规、全面的门诊医护随访，在健康感知、独立性、抑郁症没有显著差异，但特定继发情况出现频率显著减少、程度减低。

 中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

关键词: 组织构建, 组织工程, 脊髓损伤, 康复实践, 脊髓损伤单元

Abstract:

BACKGROUND: Rehabilitation outcomes of patients with spinal cord injury are associated with degree of injury, therapeutic method, recovery time and subsequent treatment. Multidisciplinary, comprehensive, specialized rehabilitation unit can provide a better recovery after spinal cord injury.

OBJECTIVE: To review the effect or combined effect of rehabilitation units after spinal cord injury.

METHODS: A computer-based search of Springer and PubMed databases was done using the keywords of “spinal cord injury, rehabilitation practice, outcomes”, which appeared in the title and abstract. Finally, 44 English papers were included in result analysis.

RESULTS AND CONCLUSION: Based on practical evidence, various rehabilitation practices are recognized, and then, the relevant information is connected with the outcomes to evaluate the efficacy of rehabilitation interventions. Studies have shown that age had no influence on rehabilitation outcomes in traumatic and non-traumatic mixed samples, and there is also little difference in the rehabilitation outcomes between male and female. Incidence of complications is lowest in the vast majority of patients with spinal cord injury who are initially admitted to a specialist center of spinal cord injury. The hospital stay can be shorten in patients who can be admitted to a multidisciplinary, comprehensive, specialized division of spinal cord injury as early as possible. Patients who can receive regular, comprehensive outpatient follow-up show no significant differences in health perception, independence and depression, but the frequency and degree of certain secondary situations can be significantly reduced.
 

 中国组织工程研究杂志出版内容重点：组织构建；骨细胞；软骨细胞；细胞培养；成纤维细胞；血管内皮细胞；骨质疏松；组织工程

Key words: Spinal Cord Injuries, Rehabilitation

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