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亚急性康复环境中地震幸存者的临床特征和康复需求。

Clinical properties and rehabilitation needs of earthquake survivors in a subacute rehabilitation setting.

机构信息

Departmant of Physical Medicine and Rehabilitation, Ankara Bilkent City Hospital, Ankara-Türkiye.

Department of Physical Medicine and Rehabilitation, Univercity of Health Sciences Gulhane Faculty of Medicine, Ankara City Hospital, Ankara-Türkiye.

出版信息

Ulus Travma Acil Cerrahi Derg. 2024 Apr;30(4):297-304. doi: 10.14744/tjtes.2024.27553.

Abstract

BACKGROUND

This descriptive analysis examines the victims of the February 6, 2023, earthquakes in Kahramanmaraş and Elbistan, Türkiye. It aims to detail the injury profiles related to neuro-musculoskeletal trauma, assess the rehabilitation needs of patients, and propose a comprehensive rehabilitation approach.

METHODS

The study included patients injured in the Kahramanmaraş-centered earthquake on February 6, 2023, who were transported to our hospital based on their rehabilitation needs. Data from patients treated at our hospital were recorded retrospectively. This included demographic information, accompanying pathologies, laboratory findings, rehabilitation programs, and treatments received during their hospital stay. Statistical analyses were conducted to examine the data.

RESULTS

A total of 141 patients with musculoskeletal injuries were admitted due to injuries sustained from the earthquake. The mean age of the participants was 39.76 years, with a slight female predominance (56.7%). The majority of patients sustained injuries while trapped under debris (90.1%), with an average duration of 10 hours under rubble. Fractures were the most common form of injury (53.2%), predominantly affecting the lower extremities. Peripheral nerve injuries were present in 41.1% of patients, and amputations were observed in 30.5%. Complications included compartment syndrome (46.1%), crush syndrome (36.2%), and various infections. Pain was prevalent among patients, with somatic pain being the most reported type. Individualized rehabilitation programs were implemented, incorporating physical therapy, wound care, pain management, and psychosocial support.

CONCLUSION

This study highlights the critical rehabilitation needs of earthquake survivors and emphasizes the importance of early and comprehensive rehabilitation interventions. Multidisciplinary rehabilitation programs were crucial in addressing medical issues, functional limitations, and psychological challenges faced by the survivors. The findings contribute to a deeper understanding of earthquake-related injuries and underscore the significance of well-coordinated rehabilitation strategies in disaster responses.

摘要

背景

本描述性分析研究了 2023 年 2 月 6 日土耳其卡赫拉曼马拉什和埃尔比斯坦地震的受害者。旨在详细描述与神经肌肉骨骼创伤相关的损伤情况,评估患者的康复需求,并提出全面的康复方法。

方法

本研究纳入了根据康复需求转运至我院的 2023 年 2 月 6 日卡赫拉曼马拉什地震中受伤的患者。回顾性地记录了在我院接受治疗的患者的数据。这些数据包括人口统计学信息、伴随的疾病、实验室检查结果、康复计划以及住院期间的治疗。对数据进行了统计学分析。

结果

共有 141 名因地震受伤的肌肉骨骼损伤患者入院。参与者的平均年龄为 39.76 岁,女性略占优势(56.7%)。大多数患者是在被困在废墟下受伤的(90.1%),平均被困时间为 10 小时。骨折是最常见的损伤类型(53.2%),主要影响下肢。周围神经损伤见于 41.1%的患者,截肢见于 30.5%的患者。并发症包括筋膜间室综合征(46.1%)、挤压综合征(36.2%)和各种感染。疼痛是患者普遍存在的问题,躯体疼痛是最常见的类型。实施了个体化的康复计划,包括物理治疗、伤口护理、疼痛管理和社会心理支持。

结论

本研究强调了地震幸存者的关键康复需求,强调了早期和全面康复干预的重要性。多学科康复方案对于解决幸存者面临的医疗问题、功能限制和心理挑战至关重要。研究结果有助于深入了解地震相关损伤,并强调了在灾害应对中协调良好的康复策略的重要性。

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