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脊柱骨折并脊髓损伤神经功能恢复探讨 被引量:1

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摘要 目的了解脊髓损伤后神经功能恢复与原发损伤的关系,为判断运动功能恢复提供借鉴.方法对168例外伤所致的脊髓损伤治疗观察随访,按脊髓损伤ASIA神经功能分级标准进行评定.结果 21例脊髓完全损伤无1例运动功能恢复,147例不完全性脊髓损伤,有20.4%恢复到C级,54.2%恢复到D级,40.1%恢复到E级.结论脊髓神经损伤后其运动功能恢复,主要取决于原发损伤的程度.不完全性脊髓损伤,神经功能恢复按ASIA标准,可恢复1~2个级别,如果按0~5级的肌力评定,治疗后肌力可提高2~3级肌力,若要使肌力恢复到5级,那么治疗前的肌力最低在2~3级,而0~1级肌力很难恢复到5级.
作者 张明友 苏健
出处 《现代临床医学生物工程学杂志》 2005年第4期316-317,共2页 Journal of Modern Clinical Medical Bioengineering
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  • 1周红俊,刘根林.四肢瘫功能指数(QIF)评定法介绍[J].中国康复理论与实践,1996,2(1):18-25. 被引量:4
  • 2王彤,周士枋,励建安.脊髓损伤的功能独立性评定的应用[J].中国脊柱脊髓杂志,1996,6(6):274-276. 被引量:5
  • 3Priebe MM, Waring WP. The interobserver reliability of the revised American Spinal Injury Association standards for neurological classification of spinal injury patients [J].Am J Phys Med Rehabil, 1991,70(5): 268-270.
  • 4Clinical assessment after acute cervical spinal cord injury[J].Neurosurg,2002,50(3 Suppl): 21-29.
  • 5Duh MS,Shepard MJ,Wilberger JE,et al.The effectiveness of surgery on the treatment of acute spinal cord injury and its relation to pharmacological treatment [J].Neurosurg,1994,35(2): 240-249.
  • 6Bednarczyk JH, Sanderson DJ. Comparison of functional and medical assessment in the classification of persons with spinal cord injury [J].J Rehabil Res Dev,1993,30 (4):405-411.
  • 7El Masry WS, Tsubo M, Katoh S, et al. Validation of the American Spinal Injury Association (ASIA) motor score and the National Acute Spinal Cord Injury Study(NASCIS) motor score[J].Spine, 1996,21 (5): 614-619.
  • 8Waters RL,Adkins R,Yakura J,et al. Prediction of ambulatory performance based on motor scores derived from standards of the American Spinal Injury Association [J].Arch Phys Med Rehabil, 1994,75(7) :756-760.
  • 9Cohen ME,Ditunno JF Jr,Donovan WH, et al. A test of the 1992 international standards for neurological and functional classification of spinal cord injury [J].Spinal Cord,1998,36(8): 554-560.
  • 10Shah S,Vanclay F,Cooper B. Improving the sensitivity of the Barthel Index for stroke rehabilitation [J].J Clin Epidemiol.1989,42(8): 703-709.

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