目的：研究四川汶川大地震骨折傷員的日常生活活動（ADL）能力受限的特點，為地震骨折傷員的康復治療提供依據。方法：對因2008年5月12日四川汶川地震后1月仍在華西醫院骨科病房診治的36例骨折傷員，進行生活狀況問卷，記錄其早期并發癥，根據Barthel指數評定不同性別和不同部位骨折傷員各項ADL能力，統計傷員各項ADL等級構成比，比較不同性別和不同部位骨折傷員總ADL評分。結果：本次地震骨折傷員以下肢骨折多見，其次是軀干骨折（主要是脊柱骨折），上肢骨折相對少見；且ADL下降明顯，尤其是軀干骨折和下肢骨折傷員；而早期并發癥以傷口感染為主。結論：地震骨折傷員ADL明顯下降，加強ADL能力訓練尤其重要，臨床康復措施主要集中于下肢和脊柱骨折的康復；早期并發癥的防治主要是預防傷口感染。
Citation：
LUO Qinglu,ZHOU Zongke,SHEN Bin,et al. The Clinical Research on Limitation of Activities of Daily Living of the Fracture Patients in Wenchuan Earthquake. West China Medical Journal, 2009, 24(3): 529-531. doi:
Copy
Copyright ? the editorial department of West China Medical Journal of West China Medical Publisher. All rights reserved
| 1. |
GUJARAT K. One year after the Gujarat earthquake[J]. Lancet，2002,359：26..
|
| 2. |
NAGHI T M， KAMBIZ K， SHAHRIAR J M， et al. Musculoskeletalinjuries associated with earthquake A report of injuries of Iran’s December 26， 2003 Bam earthquake casualties managed in tertiary referral centers[J]. Int J Care Injured，2005,36：27-32..
|
| 3. |
BOZKURT M, OCGUDER A, TURKTAS M, et al. The evaluation of trauma patients in Turkish Red Crescent Field Hospital following the Pakistan earthquake in 2005[J]. Injury,2007,38 (3):290-297..
|
| 4. |
EMAMI M J， TAVAKOLI A R， ALEMZADEH H， et al. Strategies in evaluation and management of Bam earthquake victims[J]. Prehosp Disaster Med，2005,20 （5）：327-330.
|
- 1. GUJARAT K. One year after the Gujarat earthquake[J]. Lancet，2002,359：26..
- 2. NAGHI T M， KAMBIZ K， SHAHRIAR J M， et al. Musculoskeletalinjuries associated with earthquake A report of injuries of Iran’s December 26， 2003 Bam earthquake casualties managed in tertiary referral centers[J]. Int J Care Injured，2005,36：27-32..
- 3. BOZKURT M, OCGUDER A, TURKTAS M, et al. The evaluation of trauma patients in Turkish Red Crescent Field Hospital following the Pakistan earthquake in 2005[J]. Injury,2007,38 (3):290-297..
- 4. EMAMI M J， TAVAKOLI A R， ALEMZADEH H， et al. Strategies in evaluation and management of Bam earthquake victims[J]. Prehosp Disaster Med，2005,20 （5）：327-330.
