无骨折脱位型颈脊髓损伤疗效相关因素研究.doc

无骨折脱位型颈脊髓损伤疗效相关因素研究 　　【摘要】 目的：探究无骨折脱位型脊髓损伤不同治疗方式的效果以及影响疗效的相关因素分析。方法：选择2011年1月-2013年6月在本院骨科接受治疗的无骨折脱位型颈脊髓损伤患者127例。根据治疗方式分为观察组（手术治疗84例）和对照组（保守治疗43例）。 对所有患者的治疗效果应用JOA评分进行判定，记录受伤至手术时间、伤后脊髓功能状态以及随访结果。结果：观察组JOA改善率高于对照组，且通过Logistic回归性分析得到影响疗效的4个因素：伤后脊髓功能状态为Ⅰ度、伤后至手术时间、是否进行康复训练以及治疗方式。结论：无骨折脱位型颈脊髓损伤应用手术治疗效果好于保守治疗，且及时治疗加以术后适当的康复训练能明显改善疗效。 　　【关键词】 无骨折脱位型颈脊髓损伤； 手术治疗； 疗效； 影响因素 　　The Related Factor Study of Curative Effect of Patients with No Fracture Dislocation Type Cervical Spinal Cord Injury/LI Jie.//Medical Innovation of China，2015，12（15）：100-102 　　【Abstract】 Objective：To explore the related factor analysis of different treatment way effect and affecting curative effect of no fracture dislocation type spinal injury.Method：127 cases of patients with no fracture dislocation type cervical spinal cord injury in department of orthopedics of our hospital were selected from January 2011 to June 2013.According to the treatment methods，they were divided into observation group （73 cases of operation treatment） and control group （54 cases of conservative treatment）.The treatment effect of all the patients were used JOA scoring judgement，the injury time to operation time，spinal cord function after injury and follow-up results were recorded.Result：JOA improvement rate of the observation group was higher than that of the control group，and four factors of influencing the curative effect were got by Logistic regression analysis，these were：the spinal cord function after injury was Ⅰ degree，the injury time to operation time，whether to have recovery training and treatment method.Conclusion：No fracture dislocation cervical spinal cord injury application of operation，its treatment effect is better than conservative treatment，timely treatment and postoperative recovery training can significantly improve the clinical efficacy. 　　【Key words】 No fracture dislocation type cervical spinal cord injury； Operation treatment； Clinical efficacy； Influence factors 　　First-author’s address：Sanshui Dist