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150例脊髓损伤伴痉挛患者特点分析OA

Characteristics of 150 patients with spinal cord injury complicated with spasticity

中文摘要英文摘要

目的 对150例脊髓损伤伴痉挛患者特点进行分析. 方法 对2019年9月至2024年12月北京博爱医院脊髓损伤伴痉挛患者150例进行横断面调查.记录年龄、性别、致伤原因、损伤部位、损伤程度、痉挛分级和患病时间等,分析不同特征之间的关系,并对患病时间、痉挛分级、损伤平面、损伤程度和年龄进行相关性分析. 结果 四肢瘫与截瘫患者年龄分布无显著性差异(Z=0.806,P=0.420).男性外伤(χ2=3.982,P=0.046)和四肢瘫(χ2=10.559,P=0.010)比例均高于女性.四肢瘫、截瘫患者致伤原因均以外伤为主;外伤患者中四肢瘫高于截瘫,非外伤患者中截瘫高于四肢瘫(χ2=11.885,P<0.001).四肢瘫患者以不完全性损伤为主,截瘫患者以完全性损伤为主(χ2=10.885,P=0.012).外伤患者中A级损伤居多(P=0.003).痉挛分级与患病时间(r=0.175,P=0.032)和年龄(r=0.168,P=0.040)均呈极弱正相关,损伤程度与年龄呈极弱正相关(r=0.183,P=0.025). 结论 脊髓损伤后痉挛的特点因患者性别、致伤原因、损伤平面和神经损伤水平等有显著差异.

Objective To analyze the characteristics of 150 patients with spinal cord injury complicated with spasticity. Methods A cross-sectional survey was conducted on 150 patients with spinal cord injury accompanied by spasticity from September,2019 to December,2024.Their age,gender,cause of injury,injury site,severity of injury,spasticity severity and other indicators were recorded.The relationships between different characteristics were analyzed,and a correlation analysis of disease duration,spasticity grade,injury level,injury severity and age were conduct-ed. Results There was no significant difference in age distribution between patients with tetraplegia and paraplegia(Z=0.806,P=0.420).The proportions of trauma(χ2=3.982,P=0.046)and tetraplegia(χ2=10.559,P=0.010)were higher in males than in females.Trauma was the main cause of injury in both tetraplegia and paraplegia patients;the proportion of tetraplegia was higher than paraplegia in trauma patients,while paraplegia was higher than tetra-plegia in non-trauma patients(χ2=11.885,P<0.001).Patients with tetraplegia was dominated by incomplete in-jury,whereas patients with paraplegia was dominated by complete injury(χ2=10.885,P=0.012).Grade A injury was predominant in trauma patients(P=0.003).Spasticity grade showed a very weak positive correlation with disease duration(r=0.175,P=0.032)and age(r=0.168,P=0.040).Injury severity showed a very weak posi-tive correlation with age(r=0.183,P=0.025). Conclusion Characteristics of patients with spinal cord injury complicated with spasticity is different with gender,cause of injury,injury level,injury severity.

逯晓蕾;周红俊;王一吉;刘根林;郑樱;郝春霞;张缨;康海琼;卫波;蒙倩茹

中国康复研究中心北京博爱医院脊髓损伤康复科,北京市 100068||首都医科大学康复医学院,北京市 100068中国康复研究中心北京博爱医院脊髓损伤康复科,北京市 100068||首都医科大学康复医学院,北京市 100068中国康复研究中心北京博爱医院脊髓损伤康复科,北京市 100068||首都医科大学康复医学院,北京市 100068中国康复研究中心北京博爱医院脊髓损伤康复科,北京市 100068||首都医科大学康复医学院,北京市 100068中国康复研究中心北京博爱医院脊髓损伤康复科,北京市 100068||首都医科大学康复医学院,北京市 100068中国康复研究中心北京博爱医院脊髓损伤康复科,北京市 100068||首都医科大学康复医学院,北京市 100068中国康复研究中心北京博爱医院脊髓损伤康复科,北京市 100068||首都医科大学康复医学院,北京市 100068中国康复研究中心北京博爱医院脊髓损伤康复科,北京市 100068||首都医科大学康复医学院,北京市 100068中国康复研究中心北京博爱医院脊髓损伤康复科,北京市 100068||首都医科大学康复医学院,北京市 100068中国康复研究中心北京博爱医院脊髓损伤康复科,北京市 100068||首都医科大学康复医学院,北京市 100068

医药卫生

脊髓损伤痉挛损伤平面损伤程度美国脊柱损伤协会残损分级

spinal cord injuryspasticityinjury levelinjury severityAmerican Spinal Injury Association Impairment Scale

《中国康复理论与实践》 2026 (4)

393-398,6

10.3969/j.issn.1006-9771.2026.04.003

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