医疗康复对四肢骨不地震伤员生活质量的影响.docVIP

医疗康复对四肢骨不连地震伤员生活质量的影响 张霞1,3 励建安1* 陈思婧1,4 胡筱蓉1,3 刘守国1,3 金鸿2 本文档由【中文word文档库】提供，转载分发敬请保留本信息； 中文word文档库免费提供海量范文、教育、学习、政策、报告和经济类word文档。 1 南京医科大学第一临床医学院康复医学科，南京，210029. 2 四川省绵竹市人民医院，德阳，618200. 3 香港福幼基金会，香港。 4 国际助残，北京，100001。 *通讯作者：励建安，男，主任医师，教授，南京医科大学第一临床医学院康复医学科主任 作者简介：张霞，女，南京医科大学第一临床医学院运动医学专业在读博士研究生 摘要 目的：分析医疗康复对四肢骨不连地震伤员生活质量的影响，为今后同类伤员的处理提供临床依据。方法：利用简明健康调查问卷（SF-36）评估四川绵竹31名四肢骨不连伤员术前2周、术后3个月、6个月及12个月的生理及心理健康，并与当地正常人群对比；逐步多重线性回归分析影响生理及心理健康的因素。结果：1）术前所有伤员生理及心理健康评分均显著低于当地正常人群（P＜0.001)，术后3个月综合评分显著提高（p0.05），6个月时进一步改善（p0.05），术后12个月仍有改善,但低于正常人群.05）；3）与心理健康密切相关的因素是高龄、无永久性住房、低收入及家庭成员伤亡，R=0.450（P0.05）。结论：医疗康复显著改善了四肢骨不连地震伤员生活质量；灾难后提供医疗康复的同时，应重视社会类因素如居住状态、收入情况及吸烟对伤员功能的影响。 关键词 骨不连 生理功能 心理功能 生活质量 地震 Quality of life after medical rehabilitation treatment of limb non-union victims in Sichuan earthquake/ZHANG Xia, LI Jian’an, CHEN Sijing, HU Xiaorong, LIU Shouguo, Jin Hong. Abstract Objective: To analysis the quality of life and the contributing factors in upper and/or lower limb nonunion victims treated by medical rehabilitation and to provide a clinical reference for the future disasters. Methods: Thirty-one limb non-unions caused by Sichuan earthquake completed an SF-36 questionnaire two weeks before operation. These victims completed the same questionnaire three, six and twelve months post medical rehabilitation respectively. The SF-36 scores were compared with the Sichuan population norms. A stepwise multiple linear regression was performed to assess the standard partial regression coefficient of variables influenced the functional recovery in physical and mental health recovery. Results: The physical and mental composite scores of the SF-36 questionnaire in 31 victims were significantly lower than the Sichuan population norms before the medical rehabilitation treatment (P0.001), which had a significant increasing trend (P0.05) three, six and twelve months post treatment. The scores of all the domains at the later follow-up were significantly lower than Sichuan population norms (