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目的探索脊髓损伤(spinal cord injury,SCI)患者的社区康复转介模式,建立上级医院与社区医院SCI康复的绿色通道。方法对2013年2月—2014年6月四川大学华西医院康复医学中心转介到社区医院的30例SCI患者进行康复评定,包括SCI神经学分类标准评定、日常生活活动能力评定、工具性日常生活活动能力评定。依据评定结果制定康复方案,并进行社区康复。结果 30例转介到社区医院的SCI患者经社区康复治疗后,与转介时比较,SCI神经学分级运动评分、日常生活活动能力和工具性日常生活活动能力评分提高,差异有统计学意义(P<0.001)。结论 SCI患者可以在有条件的社区医院进行康复;该实践为大型综合性医院与社区医院康复无缝衔接提供了新型的SCI社区康复转介模式。
Objective To explore the community rehabilitation referral mode in patients with spinal cord injury (SCI) and to establish a green channel for SCI rehabilitation in superior hospitals and community hospitals. Methods Retrospective evaluation of 30 SCI patients referred to the Community Hospital from the Department of Rehabilitation Medicine, Huaxi Hospital, Sichuan University from February 2013 to June 2014 included assessment of SCI criteria for neurological classification, evaluation of activities of daily living, instrumental daily life Assessment of activity ability. Develop rehabilitation programs based on the assessment results and conduct community rehabilitation. Results After 30 cases of SCI patients referred to community hospitals were compared with the time of referral, SCI scores of neurological grading, activities of daily living and activities of daily living were improved, and the difference was statistically significant ( P <0.001). Conclusion The SCI patients can be rehabilitated in community hospitals. The practice provides a new SCI community rehab referral model for the seamless integration between large general hospitals and community hospitals.