摘要目的 观察外伤性截瘫患者综合康复治疗的临床疗效.方法 对25例外伤性截瘫患者在不同病期分别采用药物治疗、运动疗法、反射性膀胱功能的康复训练、中频电疗、电针等综合康复治疗.结果 25例外伤性截瘫患者,失访2例,3个月内死亡2例,其余21例均得到1年以上随访.脊髓功能恢复情况:A级8例中失访2例,死亡2例,3例无变化,1例由A级转为D级;D级1例完全恢复功能;B、C级分别恢复2～3个级别.经1～2年随访,有3例发生Ⅰ度褥疮,1例发生轻度尿路感染,4例瘫痪肌体轻度肌肉萎缩,余患者无并发症发生.结论 及时、合理、正确而系统的康复治疗,可以最大限度地恢复外伤性截瘫患者残存功能,提高患者的生存质量,使其不同程度地达到生活自理,减轻家庭和社会的负担,缩短康复时间,使患者早日回归家庭与社会.

abstractsObjective To observe the efficacy of traumatic paraplegia patients with comprehensive rehabilitation.Methods Twenty-five cases of traumatic paraplegia patients at different stages were treated with medication,exercise therapy,bladder reflex function rehabilitation, electrotherapy frequency, electro-acupuncture, and so on comprehensive rehabilitation treatment. Results Twenty-five cases of traumatic paraplegia patients lost 2 cases to follow, and 2 cases were died in 3 months, the remaining 21 cases were followed up for more than a year. Recovery of spinal cord function: a level in 8 patients lost 2 cases to follow, 2 deaths, 3 cases and no change,one case from A to D grade level. D class 1 case of complete recovery, B, C respec-tively, to restore level 2 to level 3. After 1 to 2-year follow-up, 3 cases of severe bedsores Ⅰ, 1 case occurred in mild urinary tract infection, 4 cases of paralysis body mild disease muscular dystrophy, than patients without complications. Conclusions The timely, reasonable, correct and rehabilitation system, we can maximize the restoration of traumatic paraplegia patients with residual functions, improve the quality of life of patients to achieve varying degrees of self-care, to reduce the burden on the family and society, to shorten recovery time. So that patients with early return to the family and society.