四川江油地震伤员康复状况分析
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摘要
目的:分析江油地区地震伤员的人数、伤情及功能障碍、康复现状及需求,指导下一步康复医疗工作。方法:对江油地区8所医院、卫生院188例伤员进行现场调查与分析。结果:伤员分类为:骨折86.2%、截肢2.1%、颅脑损伤2.7%、脊髓损伤1.1%、其他8.0%。部分伤员已经全部恢复功能,仍然有104例伤员(55.3%)有显著日常生活活动能力和参与能力障碍,需要进一步康复医疗;162例骨折伤员中15%需要再次手术。结论:地震伤员目前仍然有很大的比例需要继续康复医疗。骨折后功能障碍是康复重点。需要高度重视骨折不愈合的再次手术和康复问题。
Objective:To investigate the status of dysfunction and rehabilitation needs in the injured victims of earthquake in Sichuan-Jiangyou district as guideline for further medical rehabilitation.Method:On site investigation of the 188 wounded was performed in 8 local hospitals.Result:Among the wounded,104(55.3%) remained in significant limitation in daily living activities and participation due to severe physical dysfunction,which requires intensive medical rehabilitation.The main classification of injuries were fracture(86.2%),amputation(2.1%),traumatic brain injury(2.7%),SCI(1.1%).In addition,15% of the 162 victims with fractures required further orthopedic management and long term medical rehabilitation.Conclusion:Large portion of the injured people from earthquake needs medical rehabilitation in urgency.The main focus will be fracture rehabilitation.Secondary orthopedic surgery and relevant medical rehabilitation for the delayed healing of fractures should be emphasized.
Objective:To investigate the status of dysfunction and rehabilitation needs in the injured victims of earthquake in Sichuan-Jiangyou district as guideline for further medical rehabilitation.Method:On site investigation of the 188 wounded was performed in 8 local hospitals.Result:Among the wounded,104(55.3%) remained in significant limitation in daily living activities and participation due to severe physical dysfunction,which requires intensive medical rehabilitation.The main classification of injuries were fracture(86.2%),amputation(2.1%),traumatic brain injury(2.7%),SCI(1.1%).In addition,15% of the 162 victims with fractures required further orthopedic management and long term medical rehabilitation.Conclusion:Large portion of the injured people from earthquake needs medical rehabilitation in urgency.The main focus will be fracture rehabilitation.Secondary orthopedic surgery and relevant medical rehabilitation for the delayed healing of fractures should be emphasized.
引文
[1]卫生部,国家残联.四川地震伤员康复治疗分流指导原则[J].中国康复医学杂志,2008,23(8):675.
[2]励建安.汶川地震为康复医学发展带来的机遇和挑战[J].中国康复医学杂志,2008,23(7):583—584.
[3]Naghi TM,Kambiz K,Shahriar TM,et al.Musculoskeletal injuries associated with earthquake:a report of injuries of Iran′s December26,2003Bam earthquake casualties managed in tertiary referral centers[J].Injury,2005,36(1):27—32.
[4]卫生部,中国残联.地震伤员康复指导规范[J].中国康复医学杂志,2008,23(7):577.
[5]Huang ME,Levy CE,Webster JB.Acquired limb deficiencies.3.Prosthetic components,prescriptions,and indications[J].Arch Phys Med Rehabil,2001,82(Suppl1):S17—24.
[6]Levy CE,Bryant PR,Spires MC,et al.Acquired limb deficiencies.4.Troubleshooting[J].Arch Phys Med Rehabil,2001,82(Suppl1):S25—30.
[7]Bryant PR,Pandian G.Acquired limb deficiencies.1.Acquiredlimb deficiencies in children and young adults[J].Arch Phys Med Rehabil,2001,82(Suppl1):S3—8.
[8]Tauqir SF,Mirza S,Gul S,et al.Complications in patients with spinal cord injuries sustained in an earthquake in Northern Pakistan[J].J Spinal Cord Med,2007,30(4):373—377.
[9]Rathore FA,Farooq F,Muzammil S,et al.Spinal cord injury management and rehabilitation:highlights and shortcomings from the2005earthquake in Pakistan[J].Arch Phys Med Rehabil,2008,89(3):579—585.
[10]Raissi GR.Earthquakes and rehabil Ration needs:experiences from Bam,Iran[J].J Spinal Cord Med,2007,30(4):369—372.
[11]Bhatti SH,Ahmed I,Qureshi NA,et al.Head trauma due to earthquake October,2005experience of300cases at the combined military hospital rawalpindi[J].Journal of College of Physicians and Surgeons Pakistan,2008,18(1):22—26.
[12]何红晨,何成奇,赵雨等.地震伤儿童的康复需求调查[J].中国循证医学杂志,2008,09:716—717.
[13]Calderon-Abbo J.The long road home:rebuilding public inpatient psychiatric services in post-Katrina New Orleans[J].Psychiatr Serv,2008,59(3):304—309.
[14]卓大宏.在地震救援及灾区重建中充分发挥康复医学的作用[J].中国康复医学杂志,2008,23(6):483—486.
[15]Chan YF,Alagappan K,Gandhi A,et al.Disaster management following the Chi-Chi Earthquake in Taiwan[J].Prehosp Disast Med,2006,21(3):196—202.
[16]Chiou-Tan FY,Bloodworth DM,Kass JS,et al.Physical medicine and rehabilitation conditions in the Astrodome Clinic after Hurricane Katrina[J].Am J Phys Med Rehabil,2007,86:762—769.
[2]励建安.汶川地震为康复医学发展带来的机遇和挑战[J].中国康复医学杂志,2008,23(7):583—584.
[3]Naghi TM,Kambiz K,Shahriar TM,et al.Musculoskeletal injuries associated with earthquake:a report of injuries of Iran′s December26,2003Bam earthquake casualties managed in tertiary referral centers[J].Injury,2005,36(1):27—32.
[4]卫生部,中国残联.地震伤员康复指导规范[J].中国康复医学杂志,2008,23(7):577.
[5]Huang ME,Levy CE,Webster JB.Acquired limb deficiencies.3.Prosthetic components,prescriptions,and indications[J].Arch Phys Med Rehabil,2001,82(Suppl1):S17—24.
[6]Levy CE,Bryant PR,Spires MC,et al.Acquired limb deficiencies.4.Troubleshooting[J].Arch Phys Med Rehabil,2001,82(Suppl1):S25—30.
[7]Bryant PR,Pandian G.Acquired limb deficiencies.1.Acquiredlimb deficiencies in children and young adults[J].Arch Phys Med Rehabil,2001,82(Suppl1):S3—8.
[8]Tauqir SF,Mirza S,Gul S,et al.Complications in patients with spinal cord injuries sustained in an earthquake in Northern Pakistan[J].J Spinal Cord Med,2007,30(4):373—377.
[9]Rathore FA,Farooq F,Muzammil S,et al.Spinal cord injury management and rehabilitation:highlights and shortcomings from the2005earthquake in Pakistan[J].Arch Phys Med Rehabil,2008,89(3):579—585.
[10]Raissi GR.Earthquakes and rehabil Ration needs:experiences from Bam,Iran[J].J Spinal Cord Med,2007,30(4):369—372.
[11]Bhatti SH,Ahmed I,Qureshi NA,et al.Head trauma due to earthquake October,2005experience of300cases at the combined military hospital rawalpindi[J].Journal of College of Physicians and Surgeons Pakistan,2008,18(1):22—26.
[12]何红晨,何成奇,赵雨等.地震伤儿童的康复需求调查[J].中国循证医学杂志,2008,09:716—717.
[13]Calderon-Abbo J.The long road home:rebuilding public inpatient psychiatric services in post-Katrina New Orleans[J].Psychiatr Serv,2008,59(3):304—309.
[14]卓大宏.在地震救援及灾区重建中充分发挥康复医学的作用[J].中国康复医学杂志,2008,23(6):483—486.
[15]Chan YF,Alagappan K,Gandhi A,et al.Disaster management following the Chi-Chi Earthquake in Taiwan[J].Prehosp Disast Med,2006,21(3):196—202.
[16]Chiou-Tan FY,Bloodworth DM,Kass JS,et al.Physical medicine and rehabilitation conditions in the Astrodome Clinic after Hurricane Katrina[J].Am J Phys Med Rehabil,2007,86:762—769.
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