Department of Physical Medicine, West China Hospital, Sichuan University, China.
J Rehabil Med. 2014 Apr;46(4):289-93. doi: 10.2340/16501977-1799.
To investigate the functional status of fracture victims 4 years after the 2008 Wenchuan earthquake.
A total of 374 fracture victims who were admitted to the rehabilitation department of 5 municipal hospitals in the hardest hit areas in 2008 were interviewed face to face in 2012. Functional assessments, including muscle strength, range of motion, pain, activities of daily living and working status, were conducted.
Approximately one-third (33.2%) of the fracture victims had decreased muscle strength and 29.4% had limited range of motion. Among the 55.3% of subjects who still experienced pain, the proportions of mild, moderate and severe pain were 65.7%, 28.5% and 5.8%, respectively. The majority (83.4%) of fracture victims were independent in caring for themselves. However, 1.6% of subjects were highly dependent or totally dependent. Single-fracture victims had better muscle strength, range of motion, pain and independence than those with multiple fractures. The degrees of pain, muscle strength and dependency were worse in the older age group, and better in those with a higher level of education. In addition 17.1% were jobless and 22.2% received economic support mainly from family members. The mean unemployment rate was significantly higher and the annual household income (USD 3,086 (standard deviation 1,985) was lower than in the general population in rural Sichuan province.
The prevalence of functional disorders, including pain, limited range of motion, decreased muscle strength and dependency in activities of daily living, remained high among fracture victims 4 years after the Wenchuan earthquake. Unemployment rate was high and annual household income was low in this population.
调查 2008 年汶川地震 4 年后骨折患者的功能状况。
2012 年，对 2008 年入住 5 家市级医院康复科的 374 名骨折患者进行了面对面访谈。进行了功能评估，包括肌肉力量、活动范围、疼痛、日常生活活动和工作状态。
大约三分之一（33.2%）的骨折患者肌肉力量下降，29.4%活动范围受限。在仍有疼痛的 55.3%的患者中，轻度、中度和重度疼痛的比例分别为 65.7%、28.5%和 5.8%。大多数（83.4%）骨折患者能自理。但仍有 1.6%的患者高度依赖或完全依赖。单处骨折患者的肌肉力量、活动范围、疼痛和自理能力均优于多处骨折患者。年龄较大组疼痛、肌肉力量和依赖性程度较差，文化程度较高组疼痛、肌肉力量和依赖性程度较好。此外，17.1%失业，22.2%主要依靠家庭成员获得经济支持。失业率明显较高，年家庭收入（3086 美元（标准差 1985 美元）低于四川省农村地区一般人群。
汶川地震 4 年后，骨折患者仍存在较高的功能障碍发生率，包括疼痛、活动范围受限、肌肉力量下降和日常生活活动依赖。该人群的失业率较高，年家庭收入较低。
