不完全脊髓損傷功能恢復之探討

Functional Outcome of Incomplete Spinal Cord Injuries

鄧復旦(Fuk-Tan Tang) ； 黃美涓(May-Kuen Wong) ； 陳天秀(Thien-Siew Tan) ； 李石增(Shih-Tseng Lee)

《中華民國復健醫學會雜誌》 15期 (1987/12) Pp. 13-23

摘要

本研究是利用民國71年至74年間，因不完全脊髓損傷住院的病人，以問卷調查方式追踪，並配合住院病歷資料，探討受傷原因、嚴重程度對其日後在日常生活和社會適應等各方面是否有關。
結果顯示在可追?到的77位病患中，平均年齡是39.6±9.5歲。其中男性68位，女性9位。教育程度以小學佔最多，有34位（44.2%）。在工作中受傷者以由高處跌下佔最多，有21位（27.3%）；非工作中受傷則以交通意外最多，佔31位（37.3%），受傷的嚴重程度用Yale Scale得分表示。統計顯示，受傷時是否有骨骼傷害與受傷的嚴重程度無關。膀胱功能預後良好，僅有一位病患在出院後仍需導尿，而膀胱功能的恢復與入院是否需要導尿無關。
在移位行走方面，能獨立步行者有57位（74.0%）。在日常生活方面則有58位（75.3%）能夠獨立。兩者均與Yale Scale得分有正向相關。
雖然工作與收入均受負面影響，但仍有49位（67.7%）繼續工作。而且均與Yale Scale得分有正向相關，發病後結婚者有2位（2.6%），離婚者僅有一位（1.3%），可見不完全脊髓損傷對婚姻的維繫並無明顯影響。性生活滿意度方面，滿意者12位（27.3%），尚可者21位（47.7%），不滿意者11位（25.0%），亦與Yale Scale得分有正向相關。

關鍵字

不完全脊髓損傷

並列摘要

Patients with incomplete spinal cord injury admitted to Chang Gung Memorial Hospital from July 1982 to December 1985 were analysed. Totally , 68 male and 9female patients could be followed up by questionaires. The average age of the was 39.6±9.5years. Among them, 34 cases (44.2%)received primary school education. Traffic accident was the leading cause of injury (37.3%), and falling from height was the second major cause(27.3%). The severity of injury was denoted by Yale Score. There was no statistic correlation between bony lesion and severity of injury. The recovery of bladder function was very good , only one patient need urinary indewling catheterization in discharge. The recovery of bladder function was not parallel to the initial condition or urinary condition on admission. Fifty-seven patients (74.0%)achieved indeppendent ambulation while fifty-eight patients(75.3%)obtained independency in activities of daily living Good prognosis could be expected in these two items when the patient's Yale Scale Score was higher than six. Although incomplete spinal cord injury could exert negative influence on work and income of the patients, there was still forty-nine patients (67.7%)retured to work after rehabilitation. There was 44patients willing to talk about their sexual life. Among them, 12 cases were very satisfied with sexual intercoruse(27.3%), 21cases were fairly satisfied(47.7%), 11cases were not satisfied (25.0%). There was only one patient divorced after injruy.

並列關鍵字

Yale Scale ； incomplete spinal cord injury