四川江油地震伤员康复状况分析

关键词：地震伤  医疗康复  骨折  功能障碍

Keywords:earthquake injury  medical rehabilitation  fracture  dysfunction

摘要：

      目的: 分析江油地区地震伤员的人数、伤情及功能障碍、康复现状及需求，指导下一步康复医疗工作。方法: 对江油地区8所医院、卫生院188例伤员进行现场调查与分析。结果：伤员分类为：骨折86.2%、截肢2.1%、颅脑损伤2.7%、脊髓损伤1.1%、其他8.0%。部分伤员已经全部恢复功能，仍然有104例伤员(55.3%)有显著日常生活活动能力和参与能力障碍，需要进一步康复医疗；162例骨折伤员中15%需要再次手术。结论: 地震伤员目前仍然有很大的比例需要继续康复医疗。骨折后功能障碍是康复重点。需要高度重视骨折不愈合的再次手术和康复问题。

Abstract:

      Objective: To investigate the status of dysfunction and rehabilitation needs in the injured victims of earthquake in Sichuan-Jiangyou district as guideline for further medical rehabilitation. Method: On site investigation of the 188 wounded was performed in 8 local hospitals. Result: Among the wounded, 104（55.3%） remained in significant limitation in daily living activities and participation due to severe physical dysfunction, which requires intensive medical rehabilitation. The main classification of injuries were fracture（86.2%），amputation（2.1%）, traumatic brain injury(2.7%), SCI(1.1%). In addition, 15% of the 162 victims with fractures required further orthopedic management and long term medical rehabilitation. Conclusion:Large portion of the injured people from earthquake needs medical rehabilitation in urgency. The main focus will be fracture rehabilitation. Secondary orthopedic surgery and relevant medical rehabilitation for the delayed healing of fractures should be emphasized.