伴随性疾病和非假肢住院患者的康复结果,后的Dysvascular下肢截肢截肢
M G Marquez1, M Kowgier2, W S Journeay3,4
1Department of Anatomy and Cell Biology, McGill University, Montreal, Canada.
Canadian prosthetics & orthotics journal
|August 24, 2023
概括
经过康复治疗的患有血管障碍肢体损失的患者,无论他们的并发症负担如何,都会获得类似的功能收益. 然而,增加年龄与手术后功能独立性得分较低有关.
科学领域:
- 整形外科 整形外科 整形外科
- 康复医学 康复医学 康复医学
- 血管外科 血管外科
背景情况:
- 由于外周血管疾病和糖尿病导致的血管切断是普遍存在的.
- 截肢患者的并发症可能会影响手术恢复和功能独立.
- 术后住院康复对于改善这些患者的功能结果至关重要.
研究的目的:
- 使用查尔森并发症指数 (CCI) 鉴定患者的并发症.
- 调查在非假肢住院患者康复中并发症负担和功能结果之间的关联.
主要方法:
- 对143名患者进行回顾性队列研究,其中143名患者患有单边失血性肢体损失,正在接受住院康复治疗.
- 收集的数据包括年龄,性别,截肢细节,停留时间,手术后的时间和功能独立度量 (FIM) 评分.
- 查尔森并发症指数 (CCI) 评分被用于量化并发症负担.
主要成果:
- 在总或特定的并发症和功能性结果或停留时间之间没有发现任何关联.
- 增加的年龄与入院和出院时的FIM分数 (总和运动) 相反相关.
- 痴呆症与FIM分数呈负相关性,尽管由于样本规模较小,需要进一步研究.
结论:
- 患有动脉障碍肢体损失的患者同样受益于非假肢住院康复,无论伴随疾病负担如何.
- 在康复中,即使有显著的并发症,也可以实现功能性收益.
- 年龄是影响该患者群体功能结果的重要因素.
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