摘要
目的制订脊柱脊髓损伤临床及康复治疗路径。方法总结中国康复研究中心在脊柱脊髓损伤临床及康复治疗领域的经验、患者住院流程及住院费用情况,同时参考ICF Core sets相关内容。结果脊柱脊髓损伤临床及康复治疗路径适用于胸、腰、骶椎损伤并发脊髓神经损伤患者。内容包括急性期的外科治疗(伤后2周内)和亚急性期及后期的脊髓损伤临床及康复治疗(伤后2周～6个月)。急性期的外科治疗路径体现了重建脊柱稳定性及神经减压等核心治疗内容;亚急性及后期脊髓损伤治疗路径体现以康复为主的综合治疗特点。结论本路径的制订及实施基于疾病发展时间进程及脊髓损伤后神经恢复和治疗的阶段性特点,目的是提高医疗服务质量、降低医疗消耗。
Objective To establish the proposals of clinic and rehabilitation pamway riences in clinic and rehabilitation treatment fields, the flow path of admission and the costs of hospitalization for spine and spinal cord inju- ry patients in Chinese Rehabilitation Research Center were retrospectively summarized and analyzed. Related data in International Classifi- cation of Functioning, Disability and Health （ICF） core sets were also referred. Results The present proposals were applied to patients suf- fered from thoracic, lumbar or sacral spine injury with spinal cord injury. The proposals consisted of two parts： the surgical interventions in acute stage （within 2 weeks after injury） and clinic and rehabilitation treatments of spinal cord injury in sub acute and later stages （2 weeks to 6 months after injury）. The criteria of surgical interventions in acute stage materialized the core therapies such as reconstruction of spine stability and neural decompression, etc. The criteria of treating spinal cord injury in subacute and later stages demonstrated the characteristic of combined therapy in which rehabilitation was the central element. Conclusion The establishment and implement of the present pathways were based on the time course of disease development and the staging feature of neural recovery and treatment after spinal cord injury. The purpose of this work is to improve the quality of medical service and reduce medical consumption.
出处
《中国康复理论与实践》
CSCD
北大核心
2012年第8期791-796,共6页
Chinese Journal of Rehabilitation Theory and Practice
基金
国家十一五科技支撑计划课题(2008BAI52B03)
关键词
脊柱损伤
脊髓损伤
临床路径
临床治疗
康复
spinal injury
spinal cord injury
clinical pathway
clinical treatment
rehabilitation
作者简介
杨明亮（1967-），男，湖南泪罗市人，硕士，副主任医师，主要研究方向：脊柱脊髓疾患、脊髓神经修复、拴系综合征、神经康复。
通讯作者：李建军。
