目的 研究早期综合康复治疗对脊髓损伤术后患者脊髓功能和日常生活能力的影响。方法 回顾性分析2023年4月—2024年3月纳入的110例脊髓损伤患者,根据所接受的干预方法分为对照组与研究组,每组各55例。对照组接受常规康复干预,研究组接受早期综合康复治疗,对比两组患者脊髓功能[美国脊髓损伤协会(ASIA)评分]、日常生活能力[脊髓独立性评定(SCIM)评分、改良Barthel指数量表(MBI)评分]及并发症发生情况差异。结果 两组患者干预前各指标基线差异无统计学意义(P>0.05)。干预后,两组患者脊髓运动、感觉方面功能评分及SCIM、MBI评分均明显改善(P<0.05),且研究组改善效果更为显著(P<0.05)。两组患者并发症发生率差异无统计学意义(P>0.05)。结论 早期综合康复治疗在脊髓损伤患者术后康复中的疗效确切,可显著提高患者脊髓功能,改善日常生活能力。
Objective To investigate the effects of early comprehensive rehabilitation treatment on spinal cord function and activities of daily living in patients with spinal cord injury after surgery. Methods A retrospective analysis was conducted on 110 patients with spinal cord injury at our hospital from April 2023 to March 2024. According to the intervention method, they were divided into a control group and a study group, with 55 cases in each group. The control group received routine rehabilitation intervention, while the study group received early comprehensive rehabilitation treatment. The differences in spinal cord function [American Spinal Injury Association (ASIA) score], activities of daily living [spinal cord independence measure (SCIM) score, and modified Barthel index (MBI) score], and incidence of complications between the two groups were compared. Results The indicators were comparable between the two groups of patients before intervention (P>0.05). After intervention, both groups of patients showed significant improvements in spinal cord motor and sensory scores, as well as SCIM and MBI scores (P<0.05), and the improvement effect was more significant in the study group (P<0.05). There was no significant difference in the incidence of complications between the two groups of patients (P>0.05). Conclusion Early comprehensive rehabilitation therapy has a definite therapeutic effect on postoperative rehabilitation of patients with spinal cord injury, significantly improving their spinal cord function and enhancing their activities of daily living.
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