Drewes A M, Andreasen A, Olsson A T, Slot O
Ugeskr Laeger. 1989 Nov 27;151(48):3233-6.
Epidemiologic data from 109 patients admitted to hospital in the period 1/1/1980-/31/12/1984 with spinal cord injuries are presented. The mean age was 29 years, there was a preponderance of males and the most frequent cause of the spinal cord injury was road accidents. The material was compared with the epidemiologic and social data of other studies. A total of 58 patients, chiefly users of wheelchairs, were followed up on average six years after the first admission. It was thus possible to form an idea of the complications of the spinal cord injury and the effectiveness of the treatment. The premorbid educational level of the patients was relatively low. The most frequent complications were spasms (74%), pressure sores (67%), pains (58%), and frequent urinary tract infections (71%). The consumption of medicine reflected the pattern of complications. The most common method of micturition was reflex voiding by tapping. These results were comparable with previous studies. It is concluded that the treatment of spinal cord injuries is a specialised task and only continuous evaluation can ensure optimum treatment.
本文呈现了1980年1月1日至1984年12月31日期间收治入院的109例脊髓损伤患者的流行病学数据。平均年龄为29岁，男性居多，脊髓损伤最常见的原因是道路交通事故。该资料与其他研究的流行病学和社会数据进行了比较。共有58例患者，主要是轮椅使用者，在首次入院后平均随访了6年。由此得以了解脊髓损伤的并发症及治疗效果。患者病前教育水平相对较低。最常见的并发症是痉挛（74%）、压疮（67%）、疼痛（58%）和频繁的尿路感染（71%）。药物消耗反映了并发症情况。最常见的排尿方法是通过轻拍进行反射性排尿。这些结果与先前的研究相当。结论是脊髓损伤的治疗是一项专业任务，只有持续评估才能确保最佳治疗。
