188例芦山地震伤员伤情分类及早期康复策略
|
摘要
目的分析雅安及周边地区医院和四川大学华西医院收治的188例芦山地震伤员伤情及功能障碍、康复现状及需求,以指导下一步康复医疗工作。方法采用现场调查的方法对"4.20"芦山地震后1～9天雅安及周边地区7所医院、2所卫生院122例伤员,以及四川大学华西医院收治的66例伤员的伤情进行调查,而后进行统计分析。结果震后1～9天,雅安及周边地区医院共收治122例芦山地震伤员。其伤情分类为:上肢骨折占12.30%、下肢骨折占42.62%、脊柱骨折占16.39%(手术治疗占25.00%、未手术治疗占75.00%)、骨盆骨折占1.64%、肋骨骨折占4.10%、颅脑损伤占10.66%、软组织挫裂伤占8.20%、其他占4.09%。同期,四川大学华西医院康复科共收治66例芦山地震伤员,伤情分类为骨折77.27%、颅脑损伤3.03%、脊髓损伤4.55%、其他(包括软组织损伤)15.15%。至震后第9天,雅安及周边地区122例伤员中,8例(6.56%)已恢复生活自理能力,114例(93.44%)仍需强化康复治疗。同期,华西医院收治66例伤员中,1例(1.52%)已恢复生活自理能力,65例(98.48%)仍需强化康复治疗。结论早期运用主动运动、抬高患肢、物理治疗、定时翻身、心理干预等康复治疗,可促使地震伤员早期回归家庭和社会。
Objective To analyze the injury and dysfunction as well as the rehabilitation status and demand of the 188 Lushan earthquake victims admitted in the hospitals in and around Ya'an city and the West China Hospital of Sichuan University,so as to provide guidance for the rehabilitation work in the following step.MethodsBy means of the onsite investigation,122 victims admitted in 7 hospitals and 2 health centers in and around Ya'an city within 1-9 days after Lushan earthquake,and the other 66 victims treated in the West China Hospital of Sichuan University were analyzed.ResultsThe injury categorization of 122 victims in and around Ya'an city was as follows: upper limb fracture(12.30%),lower limb fracture(42.62%),spine fracture(16.39%)(25.00% treated by surgery and 75.00% treated by non-surgery treatment),pelvis fracture(1.64%),rib fracture(4.10%),traumatic brain injury(10.66%),soft tissue contusion(8.20%),and others(4.09%).At the corresponding period,the injury categorization of 66 victims treated in the department of rehabilitation medicine of the West China Hospital of Sichuan University was as follows: fracture(77.27%),traumatic brain injury(3.03%),spinal cord injury(4.55%),and others,including soft tissue injury(15.15%).At the ninth day after earthquake,among the 122 victims in and around Ya'an city,8 victims(6.56%) were recovered with self-care ability of daily living,and the other 144(93.44%) still needed the strengthened rehabilitation treatment.At the corresponding period,among the 66 victims in the West China Hospital,one victim(1.52%) was recovered with self-care ability of daily living,and the other 65(98.48%) still needed the strengthened rehabilitation treatment.ConclusionEarly rehabilitation treatment such as active exercise,elevating injured limbs,physicaltherapy,turning over at regular time,and psychologicalintervention can help the earthquake victims to returntohomeandsociety early.
Objective To analyze the injury and dysfunction as well as the rehabilitation status and demand of the 188 Lushan earthquake victims admitted in the hospitals in and around Ya'an city and the West China Hospital of Sichuan University,so as to provide guidance for the rehabilitation work in the following step.MethodsBy means of the onsite investigation,122 victims admitted in 7 hospitals and 2 health centers in and around Ya'an city within 1-9 days after Lushan earthquake,and the other 66 victims treated in the West China Hospital of Sichuan University were analyzed.ResultsThe injury categorization of 122 victims in and around Ya'an city was as follows: upper limb fracture(12.30%),lower limb fracture(42.62%),spine fracture(16.39%)(25.00% treated by surgery and 75.00% treated by non-surgery treatment),pelvis fracture(1.64%),rib fracture(4.10%),traumatic brain injury(10.66%),soft tissue contusion(8.20%),and others(4.09%).At the corresponding period,the injury categorization of 66 victims treated in the department of rehabilitation medicine of the West China Hospital of Sichuan University was as follows: fracture(77.27%),traumatic brain injury(3.03%),spinal cord injury(4.55%),and others,including soft tissue injury(15.15%).At the ninth day after earthquake,among the 122 victims in and around Ya'an city,8 victims(6.56%) were recovered with self-care ability of daily living,and the other 144(93.44%) still needed the strengthened rehabilitation treatment.At the corresponding period,among the 66 victims in the West China Hospital,one victim(1.52%) was recovered with self-care ability of daily living,and the other 65(98.48%) still needed the strengthened rehabilitation treatment.ConclusionEarly rehabilitation treatment such as active exercise,elevating injured limbs,physicaltherapy,turning over at regular time,and psychologicalintervention can help the earthquake victims to returntohomeandsociety early.
引文
1卫生部,中国残疾人联合会.四川地震伤员康复治疗分流指导原则.中国康复医学杂志,2008,23(6):481-482.
2谢娟,杜亮,夏天,等.四川大学华西医院1861例汶川地震住院和死亡伤员伤情与死因分析.中国康复医学杂志,2008,8(8):591-596.
3陈惠德.四肢骨折的早期康复.安徽医学,2008,5(8):499-501.
4林桂珍,徐淑萍,李爱香.脊髓损伤并发症的康复治疗.中国医药导报,2009,6(3):82.
5石坚.颅脑创伤后的康复.中华医学会第八次全国物理医学与康复学学术会议论文汇编.2006:273.
6卫生部,中国残疾人联合会.地震伤员康复指导规范.中国康复医学杂志,2008,23(7):577-578.
2谢娟,杜亮,夏天,等.四川大学华西医院1861例汶川地震住院和死亡伤员伤情与死因分析.中国康复医学杂志,2008,8(8):591-596.
3陈惠德.四肢骨折的早期康复.安徽医学,2008,5(8):499-501.
4林桂珍,徐淑萍,李爱香.脊髓损伤并发症的康复治疗.中国医药导报,2009,6(3):82.
5石坚.颅脑创伤后的康复.中华医学会第八次全国物理医学与康复学学术会议论文汇编.2006:273.
6卫生部,中国残疾人联合会.地震伤员康复指导规范.中国康复医学杂志,2008,23(7):577-578.
版权所有：© 2023 中国地质图书馆 中国地质调查局地学文献中心