中国神经再生研究(英文版) ›› 2014, Vol. 9 ›› Issue (2): 129-134.doi: 10.4103/1673-5374.125340

• 原著:脊髓损伤修复保护与再生 • 上一篇    下一篇

早期康复可改善患儿脊髓肿瘤切除后神经再生的功能结局

  

  • 收稿日期:2013-10-06 出版日期:2014-01-10 发布日期:2014-01-10

Early rehabilitation improves neurofunctional outcome after surgery in children with spinal tumors

Nezire Kose¹, Ozge Muezzinoglu¹, Sevil Bilgin¹, Sevilay Karahan², Ilkay Isıkay3, Burcak Bilginer3   

  1. 1 Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey 
    2 Department of Biostatistics, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey
    3 Department of Neurosurgery, Faculty of Medicine, Hacettepe University, Ankara, Turkey 
  • Received:2013-10-06 Online:2014-01-10 Published:2014-01-10
  • Contact: Nezire Kose, P.T., Ph.D., Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey, fztnezire@yahoo.com. Sevil Bilgin, P.T., Ph.D., Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey, sevilcuvalci@yahoo.com.

摘要:

为认识早期康复干预对患儿脊髓肿瘤切除后神经再生的影响。我们对70例行脊髓肿瘤手术患儿出院时功能恢复情况进行了回顾性分析。患儿平均从手术后4 (2-7) d即开始进行康复干预,康复干预的时间为10d。以改良的McCormick量表、韦氏儿童功能独立测量量表、人体机能状态量表评估发现,进行早期康复干预的患儿在出院时感觉、运动功能,以及日常生活能力均明显改善。我们还证实肿瘤部位和级别和临床症状均对神经再生的功能结局无影响。

关键词: 神经再生, 脊髓损伤, 脊髓, 肿瘤, 儿童, 康复, 功能, 感觉, 运动, 回顾分析

Abstract:

To investigate the effect of early rehabilitation on neurofunctional outcome after surgery in children with spinal tumors, this study reviewed the medical charts and radiographic records of 70 pediatric patients (1–17 years old) who received spinal tumor surgical removal. The peddiatric patients received rahabilitation treatment at 4 (range, 2–7) days after surgery for 10 (range, 7–23) days. Results from the Modified McCormick Scale, Functional Independence Measure for Children, American Spinal Injury Association Impairment Scale and Karnofsky Performance Status Scale demonstrated that the sensory function, motor function and activity of daily living of pediatric children who received early rehabilitation were significantly improved. Results also showed that tumor setting and level localization as well as patients’s clinical symptoms have no influences on neurofunctional outcomes.

Key words: nerve regeneration, spinal cord injury, spinal cord, tumor, children, rehabilitation, function, sense, motor, retrospective analysis, neural regeneration