| 刘守国,励建安,艾金飞,张 霞,程 静.四川省北川中学地震伤员康复状况调查分析[J].中国康复医学杂志,2009,24(8):680~683 |
| 四川省北川中学地震伤员康复状况调查分析 点此下载全文 |
| 刘守国 励建安 艾金飞 张 霞 程 静 |
| 南京医科大学第一附属医院康复医学科，南京，210009 |
| 基金项目： |
| DOI： |
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| 摘要： |
| 目的：分析北川中学地震伤员的人数、伤情及功能障碍、康复现状及需求，为下一步康复医疗工作提供依据。方法：对100例在校伤员和住院伤员进行现场功能评估，利用创伤后应激障碍（PTSD）症状清单平民版（PCL-C）对随机抽样的20例伤员进行问卷调查。结果：100例伤员中，骨折36%、截肢33%、挤压伤31%。其中56例（56%）伤员仍然存在一定的功能障碍。在抽样调查的20例伤员中3例（15%）发生PTSD。结论：北川中学的地震伤员目前仍有不同程度的功能障碍，需要接受进一步的康复治疗；截肢后功能障碍是康复重点；需要特别关注伤员的心理状况。 |
| 关键词：地震伤 康复 截肢 功能障碍 创伤后应激障碍 |
| Investigation of rehabilitation needs for the earthquake victims in Sichuan-Beichuan secondary school Download Fulltext |
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| Department of Rehabilitation Medicine, the First Affiliated Hospital of Nanjing Medical University, Nanjing, 210029 |
| Fund Project: |
| Abstract: |
| Objective: To investigate the status of dysfunction and rehabilitation needs in the injured earthquake victims in Sichuan-Beichuan secondary school as a guideline for further rehabilitation. Method: Scene investigation was performed for 100 wounded in school or hospital. PTSD Checklist-Civilian Version (PLC-C) was used for 20 randomly chosen victims as psychological assessment instrument. Result: Among the 100 wounded, 56 （56%） still had significant limitation in activities of daily living(ADL) and participation due to severe physical dysfunction. The main classification of injuries included fracture（36%）, amputation（33%） and crush injury(31%). In the random sample of 20 victims there were three cases (15%) with PTSD. Conclusion: Large portion of the injured earthquake victims early urgent rehabilitation. The main focus is amputation rehabilitation. Intensive attention should be paid to those wounded with psychological problem. |
| Keywords:earthquake injury rehabilitation amputation dysfunction post-traumatic stress disorder |
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