Clinical research of early rehabilitation intervention in Stanford type A aortic dissection patients with postoperative spinal cord injury
10.3760/cma.j.cn112434-20200410-00202
- VernacularTitle:Stanford A型主动脉夹层术后并发脊髓损伤早期康复介入研究
- Author:
Rongfeng QIN
1
;
Xianling ZHU
;
Haiping WANG
;
Yan LI
;
Xuepeng XU
;
Peng LIU
;
Debo JIANG
Author Information
1. 青岛阜外心血管病医院康复医学科 266034
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2020;36(8):489-492
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To observe the effects of early rehabilitation intervention on the short-term outcome of patients with postoperative spinal cord injury after Stanford type A aortic dissection.Methods:Patients with postoperative spinal cord injury after Stanford type A aortic dissection admitted in our hospital from January 2009 to December 2019 were selected. There were 29 males and 8 females. Age ranged from 29 to 54, with an average age of(41.37±12.21) years. The observation group(16 cases) received early rehabilitation treatment in ICU after surgery, while the control group(21 cases) started after admission to rehabilitation center. The Modified Ashworth Scale(MAS), ASIA Lower Extremity Motor Scores(LEMS), Spinal Cord Independence Measure(SCIM Ⅲ) and Modified Barthel Index(MBI) were analyzed to compare the differences of short-term outcome between the two groups.Results:After 28 days, the scores of MAS, SCIM Ⅲ and MBI in the observation group were obviously better than the control group. Compared to the time of admission, the improvements of LEMS, SCIM Ⅲ and MBI in the observation group were significantly greater than that of the control group.Conclusion:Early rehabilitation intervention can further enhance clinical efficacy and improve short-term functional outcome.
