Characteristics and functional status of victims with fractured injury in Lushan earthquake

Abstract

目的:分析芦山地震骨折伤员的伤情特点和功能受限情况,为地震后骨折患者的康复提供指导依据。 方法:采用四川大学华西医院康复医学科自制的《四川省雅安市420地震伤员功能评定表》,对2013年4月20~30日在四川大学华西医院就诊的113例芦山地震骨折伤员进行早期调查和评估。 结果 :113例地震骨折伤员中,坠落伤是最常见的受伤原因,占总例数的39.82%;椎体骨折是最常见类型,占26.55%;损伤以轻度为主,占80.53%;合并症发生率高,占89.37%。运动功能受限主要是关节活动度受限、平衡功能受限和肌力下降,分别占97.35%、89.38%和87.61%;心肺功能受限的比例为19.47%;循环功能受限的比例为18.58%;日常生活活动能力受限比例为76.11%,其中,洗澡、上下楼梯和行走功能受限分别为96.46%、86.73%和78.76%;疼痛发生率高,为97.35%,其中VAS值在4~6分区间的比例最大,占40.71%,心理功能、职业功能和社会交往功能受限比例分别为46.02%、99.12%和100%。 结论:芦山地震骨折伤员有其自身的伤情特点和功能受限情况。根据功能受限情况,优化地震后骨折的康复方案,注重心理功能、职业功能以及社会交往功能的康复,使患者早日回归家庭和社会。 Objective: To analyze the functional limitations and characteristics of victims with fractured injury in Lushan Earthquake. Methods: A total of 113 patients admitted to the hospital from April 20th to 30th 2013 for treatment of fractured injury in Lushan Earthquake were recruited for this study. They were evaluated by the department of rehabilitation medicine in West China Hospital using a questionnaire. Results: The most common. cause of injury was falling (39.82%). Vertebral fractures (26.55%) was the most common type of injury. Most injure was light (80.53%), but incidence of complications was high (89.37%). Motor functional limitations included restricted range of motion (97.35%), balance functional limitation (89.38%) and decreased muscle force (87.61%). Limited cardiopulmonary function and limited circular function occurred in about 19.47% of patients. About 76.11% patients had restricted activities of daily living capacities, predominantly in bathing (96.46%), stair climbing (86.73%), and walking (78.76%). Pain symptoms were common (97.35%), with 4-6 in visual analogue scale (VAS) values accounting for 40.71% of those reporting pains. Limited psychological function, professional function and social function was reported by 46.02%, 99.12% and 100% patients, respectively. Conclusion: Fractured injury of Lushan earthquake victims has its own characteristics. Increased attention should be paid to the restoration of psychological function, professional function and social function.