目的：通过比较脊髓损伤整体康复不同的工作模式，寻求适合脊髓损伤患者康复的有效模式。方法：选取上海市某康复医院2013年脊髓损伤患者133名，通过简单随机化分组，分成3种不同工作模式的康复小组。在入院基线及出院时分别进行功能独立性评价FIM、症状清单SCL－90及生存质量量表SF－36评估，分析3组在上述评价指标上的差异。结果：3组治疗后功能独立性FIM均有提高，SCL－90均有下降，且差异有统计学意义（P＜0．05）。3组治疗后在SF－36评分方面总分及部分因子评分有改善，但组间差异无统计学意义（P＞0．05）。结论：针对脊髓损伤的3套整体康复工作模式总体是有效的，侧重作业治疗及社会融合、心理干预偏向于心理教育可能更有利于康复，但同时有增加并发症的风险，需要做好预防工作。%Objective:By comparing the rehabilitation of spinal cord injury in different operating modes of conduct , to form an effective mode is suitable for rehabilitation of patients with spinal cord injury .Methods:A total of 133 patients were randomly switched into three different rehabili-tation groups, all the patients accepted the evaluation, including motor FIM, SCL-90 and SF-36 at baseline and discharge.Results: The im-provement on motor FIM and SCL-90 were significant in all three groups, the total score of SF-36 and some factors showed the same result.There was no significant difference in all of the evaluation among three groups.Conclusion: The three different models of rehabilitation in SCI halfway house are effective in general.To focus on occupational therapy, social integration and psychological education may be more conducive on outcome . On the other hand, when we take these therapies above might increase the risk of complication, so the additional prevention is necessary.
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