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日本国立残疾人康复中心的脊髓损伤康复:脊髓服务概况

Rehabilitation of spinal cord injury in the national rehabilitation center for the disabled of Japan: profile of a spinal service.

作者信息

Suyama T, Nihei R, Kimura T, Yano H, Tobimatsu Y, Hatsuyama Y, Nakamura R, Mizukami M

机构信息

Department of Orthopedics, National Rehabilitation Center for the Disabled Hospital, Saitama Prefecture, Japan.

出版信息

Spinal Cord. 1997 Nov;35(11):720-4. doi: 10.1038/sj.sc.3100534.

Abstract

The National Rehabilitation Center for the Disabled (hereunder abbreviated NRC) in Japan was established in 1979. It consists of four divisions: the hospital, the rehabilitation training center, the research institute, and the information service section. The spinal unit has been functioning and cooperating corelatively with all of these divisions. There were 1047 patients with a spinal cord injury treated in the 15 years from September, 1980 to August, 1994; consisting of 924 males (88.3%), and 123 females (11.7%). The breakdown of causes of injury were traffic accidents 44.9%, having a fall 14.7%, sports accidents 6.7%, and other causes of spinal paralysis 10.5%. The sites of the spinal cord lesions were cervical 372 (35.5%), thoracic 547 (52.5%), and lumbar spinal cord 128 patients (12.3%). The incidence of complete paralysis in those with a cervical spinal cord injury (SCI) was 68.8%, and for thoracic and lumbar SCI 79% each. The time for completion of activities of daily living (ADL) was 12.0 +/- 1.54 months in those with tetraplegia, and 5.6 +/- 1.71 months for those with paraplegia. The rate of employment for reentry into society was 59% in those with a cervical spinal cord injury, and 74% each in those with a thoracic or lumbar spinal cord injury.

摘要

日本国立残疾人康复中心(以下简称NRC)成立于1979年。它由四个部门组成:医院、康复训练中心、研究所和信息服务科。脊髓科一直在与所有这些部门协同运作与合作。在1980年9月至1994年8月的15年里,共治疗了1047例脊髓损伤患者;其中男性924例(88.3%),女性123例(11.7%)。损伤原因分类为:交通事故占44.9%,跌倒占14.7%,运动事故占6.7%,其他脊髓麻痹原因占10.5%。脊髓损伤部位为:颈部372例(35.5%),胸部547例(52.5%),腰部脊髓128例(12.3%)。颈髓损伤(SCI)患者中完全瘫痪的发生率为68.8%,胸髓和腰髓SCI患者的完全瘫痪发生率均为79%。四肢瘫痪患者完成日常生活活动(ADL)的时间为12.0±1.54个月,截瘫患者为5.6±1.71个月。颈髓损伤患者重新融入社会的就业率为59%,胸髓或腰髓损伤患者的就业率均为74%。

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