儿童地震灾害创伤后的康复医疗
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摘要
针对儿童在地震中所遭受的创伤,康复医疗的目的是在急救及临床处理的基础上,采用有证据基础的、多学科和综合的早期康复干预手段,最大限度为患儿日后功能恢复创造条件,缩短住院时间,降低并发症率、致残率。儿童在地震灾害中容易发生颅脑损伤、脊髓损伤、周围神经损伤、四肢骨折和截肢。度过损伤急性期后,应结合儿童特点,及时安排临床康复治疗,促其功能早日恢复。
For the children who suffer trauma in earthquake,rehabilitation care aims to promote functional recovery,shorten hospital stay,and reduce the incidence of complications or disability by evidence-based,multidisciplinary,and comprehensive early rehabilitation intervention on the basis of first aid and clinical treatment.Children are likely to suffer traumatic brain injury,spinal cord injury,peripheral nerve injury,limb fracture,and amputation in the earthquake disaster,so the clinical rehabilitation care designed considering the characteristics of children should be provided immediately after acute phase of trauma to promote functional recovery.
For the children who suffer trauma in earthquake,rehabilitation care aims to promote functional recovery,shorten hospital stay,and reduce the incidence of complications or disability by evidence-based,multidisciplinary,and comprehensive early rehabilitation intervention on the basis of first aid and clinical treatment.Children are likely to suffer traumatic brain injury,spinal cord injury,peripheral nerve injury,limb fracture,and amputation in the earthquake disaster,so the clinical rehabilitation care designed considering the characteristics of children should be provided immediately after acute phase of trauma to promote functional recovery.
引文
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[2]李长春.纳洛酮配合高压氧对急性脑外伤的疗效评价[J].中国医疗前沿,2012,7(24):25-26.
[3]王文清,晁志军,杨晓莲,姜贵云,谢睿智,冯晶晶.强制性使用运动疗法在脑损伤中的应用与研究进展[J].中国康复医学杂志,2007,10(22):959.
[4]毕胜.强制性使用运动疗法的起源与进展[J].中国康复医学杂志,2006,8(21):739-743.
[5]杨雪,肖农.小儿创伤性脑损伤康复的现状与进展[J].中华现代儿科学杂志,2009,6(4):211-214.
[6]Duncan B,Shen K,Zou LP,Han TL,Lu ZL,Zheng H,et al.Evaluating intense rehabilitative therapies with and without acu-puncture for children with cerebral palsy:a randomized controlledtrial[J].Arch Phys Med Rehabil,2012,93(5):808-815.
[7]欧阳取平,王玉平.经颅磁刺激在言语障碍康复中的应用及其安全性的评价[J].中国康复医学杂志,2005,4(20):314-317.
[8]恽晓平,于兑生.徒手肌力检查//恽晓平.康复疗法评定学[M].第1版.北京:华夏出版社,2005:102-173.
[9]关骅.脊髓损伤康复//关骅.临床康复学[M].第1版.北京:华夏出版社,2005:91,114.
[10]李建军,周红俊,刘根林,刘松怀,赵超男,宓忠祥,等.唐山地震26年后幸存脊髓损伤患者的社会调查[J].中国康复理论与实践,2005,11(2):110～112.
[11]李建军,周红俊,孙迎春,张新,王方永,高峰.脊髓损伤神经学分类国际标准(第6版,2006)[J].中国康复理论与实践,2007,13(1):1～6.
[12]顾玉东.提高周围神经损伤的诊治水平[J].中华创伤骨科杂志,2003,5(1):1-5.
[13]周谋望.截肢后//王茂斌.康复医学[M].第1版.北京:人民卫生出版社,2009:596.
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