四川省北川中学地震伤员康复状况调查分析
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摘要
目的:分析北川中学地震伤员的人数、伤情及功能障碍、康复现状及需求,为下一步康复医疗工作提供依据。方法:对100例在校伤员和住院伤员进行现场功能评估,利用创伤后应激障碍(PTSD)症状清单平民版(PCL-C)对随机抽样的20例伤员进行问卷调查。结果:100例伤员中,骨折36%、截肢33%、挤压伤31%。其中56例(56%)伤员仍然存在一定的功能障碍。在抽样调查的20例伤员中3例(15%)发生PTSD。结论:北川中学的地震伤员目前仍有不同程度的功能障碍,需要接受进一步的康复治疗;截肢后功能障碍是康复重点;需要特别关注伤员的心理状况。
Objective:To investigate the status of dysfunction and rehabilitation needs in the injured earthquake victims in Sichuan-Beichuan secondary school as a guideline for further rehabilitation. Method:Scene investigation was performed for 100 wounded in school or hospital. PTSD Checklist-Civilian Version (PLC-C) was used for 20 randomly chosen victims as psychological assessment instrument. Result:Among the 100 wounded,56 (56%) still had significant limitation in activities of daily living (ADL) and participation due to severe physical dysfunction. The main classification of injuries included fracture (36%),amputation (33%) and crush injury (31%). In the random sample of 20 victims there were three cases (15%) with PTSD. Conclusion:Large portion of the injured earthquake victims early urgent rehabilitation. The main focus is amputation rehabilitation. Intensive attention should be paid to those wounded with psychological problem.
Objective:To investigate the status of dysfunction and rehabilitation needs in the injured earthquake victims in Sichuan-Beichuan secondary school as a guideline for further rehabilitation. Method:Scene investigation was performed for 100 wounded in school or hospital. PTSD Checklist-Civilian Version (PLC-C) was used for 20 randomly chosen victims as psychological assessment instrument. Result:Among the 100 wounded,56 (56%) still had significant limitation in activities of daily living (ADL) and participation due to severe physical dysfunction. The main classification of injuries included fracture (36%),amputation (33%) and crush injury (31%). In the random sample of 20 victims there were three cases (15%) with PTSD. Conclusion:Large portion of the injured earthquake victims early urgent rehabilitation. The main focus is amputation rehabilitation. Intensive attention should be paid to those wounded with psychological problem.
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]American Psychiatric Association.Diagnosis and statistic manu-al of mental disorders[M].4th ed.Washington DC:American Psychiatric Association,1994:422—429.
[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]张霞,卞荣,励建安,等.四川江油地震伤员康复状况分析[J].中国康复医学杂志,2009,24(1):5—8.
[6]LEONARD JAJR,MEIER RH.Upper and lower extremity prosthetics[A]//DELISA JA,GANS BM.Rehabilitation medicine:principles and practice[M].New York:Philadelphia,1998:669—696.
[7]崔寿昌.现代截肢观念及现代截肢术后康复[J].中国临床康复,2002,6(24):3627—3637.
[8]Poznanovi MR,Sulen N.Crush syndrome in severe trauma[J].Lijec Vjesn,2007,129(5):142—144.
[9]王相兰.汶川地震灾民的心理健康状况及影响因素[J].中山大学学报,2008,29(4):367—71.
[10]李璐寰.PTSD的诊断标准的比较和评估量表回顾[J].World Health Digest,2007(12):8—11.
[11]Jordan NN,Hoge CW,Tobler SK,et al.Mental health impact of9/11pentagon attack:Validation of a rapid assessment tool[J].Am J Prev Med,2004,26(4):284—293.
[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]American Psychiatric Association.Diagnosis and statistic manu-al of mental disorders[M].4th ed.Washington DC:American Psychiatric Association,1994:422—429.
[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]张霞,卞荣,励建安,等.四川江油地震伤员康复状况分析[J].中国康复医学杂志,2009,24(1):5—8.
[6]LEONARD JAJR,MEIER RH.Upper and lower extremity prosthetics[A]//DELISA JA,GANS BM.Rehabilitation medicine:principles and practice[M].New York:Philadelphia,1998:669—696.
[7]崔寿昌.现代截肢观念及现代截肢术后康复[J].中国临床康复,2002,6(24):3627—3637.
[8]Poznanovi MR,Sulen N.Crush syndrome in severe trauma[J].Lijec Vjesn,2007,129(5):142—144.
[9]王相兰.汶川地震灾民的心理健康状况及影响因素[J].中山大学学报,2008,29(4):367—71.
[10]李璐寰.PTSD的诊断标准的比较和评估量表回顾[J].World Health Digest,2007(12):8—11.
[11]Jordan NN,Hoge CW,Tobler SK,et al.Mental health impact of9/11pentagon attack:Validation of a rapid assessment tool[J].Am J Prev Med,2004,26(4):284—293.
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