Bedbrook G
Paraplegia. 1992 Jan;30(1):10-3. doi: 10.1038/sc.1992.6.
The fundamentals of care in spinal cord injury were laid down many years ago. Prevention----therapy----follow up is basic in medicine. In spinal cord injury, admission to a comprehensive unit then application of simple, repetitive disciplines for patient and staff, and education are the fundamentals to be emphasised. The great pioneers, Munro, Guttmann and Botterell achieved advances long before sophisticated technology moved to a stage when now it could swamp hensive units catering for acute care but, more importantly, lifetime care with acceptance of the fundamental medical axis of prevention, therapy and follow up. The details of fundamental care include secondary and tertiary prevention techniques in hospital and community, and an acceptance by staff as well as spinal men and women of their simplicity, their repetitiveness, the need for disciplined action and the requirement for education at all levels. In the future, primary prevention must be given more emphasis as cure is many decades away even with the volume of basic research now being undertaken.
脊髓损伤护理的基本原则早在多年前就已确立。预防——治疗——随访是医学的基础。在脊髓损伤方面，入住综合治疗单元，然后对患者和医护人员应用简单、重复的规范，以及开展教育，是需要强调的基本原则。伟大的先驱者门罗、古特曼和博特雷尔早在复杂技术发展到如今可能会淹没提供急性护理的综合治疗单元的阶段之前，就取得了进展，但更重要的是，他们实现了终身护理，并接受了预防、治疗和随访这一基本医疗轴心。基本护理的细节包括医院和社区的二级及三级预防技术，以及工作人员和脊髓损伤患者都要接受这些技术的简单性、重复性、采取规范行动的必要性以及各级教育的要求。未来，即使目前正在进行大量基础研究，但距离治愈仍有数十年之遥，因此必须更加重视一级预防。
