摘要
目的探讨脊柱外伤引起脊髓神经损伤的临床特点及临床诊治体会。方法回顾分析2010-06—2012-01于我院急救科就诊的脊柱损伤患者78例,对其临床特点和治疗情况进行总结。结果男性青壮年居多,交通因素成为致伤的主要原因,经综合治疗后随访8个月发现,不同年龄组ASIA运动和感觉评分差异明显,年龄<50岁的患者ASIA在治疗前后比较差异有统计学意义(P<0.05);而年龄>50岁患者ASIA评分治疗前后比较差异无统计学意义(P>0.05)。结论脊柱外伤以男性青年和交通损伤为主,老年患者损伤后不易恢复。
Objective To explore the clinical characteristics and the clinical diagnosis and treatment of spinal injury. Methods 78 cases with spinal injury from June 2010 to January 2010 in our hospital emergency department were retrospectively analyzed, to summarize its clinical characteristics and treatment. Results Male youths were major of spinal trauma patients of our hospital,and transportation become the main cause of injury. Followed up for 8 months after comprehensive treatment, it was found that ASIA, motor and sensory score distribution were significantly different in different age groups: For patients aged less than 50 years, there was ASIA had a statistically difference of ASIA before and after therapy (P〈0.05). while for patients aged older than 50 years ASIA score before and after treatment had no significant difference (P〉0.05). Conclusion For Spinal trauma, young men and traffic injury are major factors; Through treatment, elderly patients have bad prognosis, whereas young patients have good prognosis.
出处
《中国实用神经疾病杂志》
2013年第20期19-21,共3页
Chinese Journal of Practical Nervous Diseases
关键词
脊柱外伤
年龄
临床分析
Spinal injury
Age
Clinical analysis