触电后从电线杆跌落导致的脊髓损伤。
Spinal cord injury due to fall from electricity poles after electrocution.
作者信息
Zeb Amir, Arsh Aatik, Bahadur Sher, Ilyas Syed Muhammad
机构信息
Amir Zeb, PPDPT, MSPT, Senior Physical Therapist, Paraplegic Center, Peshawar, Pakistan.
Aatik Arsh, DPT, MSPT, Physical Therapist, Paraplegic Center, Peshawar, Pakistan.
出版信息
Pak J Med Sci. 2019 Jul-Aug;35(4):1036-1039. doi: 10.12669/pjms.35.4.241.
OBJECTIVE
The objective of this study was to report epidemiology, complications and rehabilitation outcomes of patients who sustained spinal cord injury (SCI) due to fall from electricity poles after electrocution.
METHODS
A prospective observational study was conducted in which patients admitted to Paraplegic Centre Peshawar from July 2016 to July 2018 who sustained SCI due to fall from electricity poles after electrocution were included. Of total 852 patients, 39 (4.58%) sustained SCI due to fall from electricity poles after electrocution. Two patients were excluded and data of 37 patients was analyzed.
RESULTS
The mean age of the participants was 35.03±13.47 years. Twenty-two (59.4%) patients had associated burns on different parts of body. Twenty-seven (72.9%) had pressure ulcers, 31 (83.8%) had spasticity, 18 (48.6%) had neuropathic pain and 2 (5.4%) had limb amputations due to injury. Mean Spinal cord injury independence measure score at the time of discharge was 53.4±5.7.
CONCLUSION
SCI due to fall from electricity poles after electrocution is rare however combined effect of injury by electricity along with fall from electricity poles are associated with severe complications. Rehabilitation outcomes in these patients are also minimal.
目的
本研究的目的是报告触电后从电线杆上跌落导致脊髓损伤（SCI）患者的流行病学、并发症及康复结局。
方法
进行了一项前瞻性观察性研究，纳入2016年7月至2018年7月入住白沙瓦截瘫中心、因触电后从电线杆上跌落而导致脊髓损伤的患者。在总共852例患者中，39例（4.58%）因触电后从电线杆上跌落而导致脊髓损伤。排除2例患者，对37例患者的数据进行分析。
结果
参与者的平均年龄为35.03±13.47岁。22例（59.4%）患者身体不同部位有烧伤。27例（72.9%）有压疮，31例（83.8%）有痉挛，18例（48.6%）有神经性疼痛，2例（5.4%）因损伤而截肢。出院时脊髓损伤独立测量平均评分为53.4±5.7。
结论
触电后从电线杆上跌落导致的脊髓损伤很少见，然而电击伤与从电线杆上跌落的联合作用会导致严重并发症。这些患者的康复结局也很有限。
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