Dougherty Paul J, McFarland Lynne V, Smith Douglas G, Esquenazi Alberto, Blake Donna Jo, Reiber Gayle E
Department of Orthopaedic Surgery, University of Michigan, Ann Arbor, MI 48109, USA.
J Rehabil Res Dev. 2010;47(4):333-48. doi: 10.1682/jrrd.2009.04.0043.
Multiple-limb loss due to war-theater injuries results in a unique group of servicemembers requiring intensive rehabilitation and diverse prosthetic devices. This article compares the Vietnam and the Operation Iraqi Freedom/Operation Enduring Freedom (OIF/OEF) groups with war-theater-associated multiple-limb loss to document significant changes in health status, prosthetic-device use, and long-term prognosis. During 2007 and 2008, a national survey queried 73 Vietnam veterans and 61 OIF/OEF servicemembers sustaining multiple-limb loss. Average years since limb loss are 39 for Vietnam veterans and 3 for OIF/OEF servicemembers. Self-rated health status was excellent or very good in 38.9% of the Vietnam group and 60.7% of the OIF/OEF group (p = 0.01). More of the OIF/OEF group than the Vietnam group reported performing high-impact aerobic activities, 18% versus 3% (p = 0.005). The OIF/OEF group currently uses more diverse prosthetic-device types than the Vietnam group. Based on Vietnam veterans' 39-year experience, the long-term prognosis for OIF/OEF servicemembers with multiple-limb loss is an active, fulfilling life. The healthcare team caring for these patients should carefully address proper prosthesis fit and maintenance of good health and function.
战争地区受伤导致的多肢体缺失造就了一群独特的军人，他们需要强化康复治疗和多样的假肢装置。本文比较了越南战争退伍军人组与伊拉克自由行动/持久自由行动（OIF/OEF）组中因战争地区相关原因导致多肢体缺失的情况，以记录健康状况、假肢装置使用及长期预后方面的显著变化。在2007年和2008年期间，一项全国性调查询问了73名多肢体缺失的越南战争退伍军人和61名OIF/OEF军人。越南战争退伍军人自肢体缺失后的平均年数为39年，OIF/OEF军人则为3年。越南组中有38.9%的人自评健康状况为优秀或非常好，OIF/OEF组中这一比例为60.7%（p = 0.01）。报告进行高强度有氧运动的OIF/OEF组人数多于越南组，分别为18%和3%（p = 0.005）。目前，OIF/OEF组使用的假肢装置类型比越南组更多样。基于越南战争退伍军人39年的经验，OIF/OEF多肢体缺失军人的长期预后是过上积极、充实的生活。照顾这些患者的医疗团队应谨慎处理合适的假肢适配以及保持良好的健康和功能。
