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題名 | 老人脊髓損傷=Spinal Cord Injury in the Elderly |
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作 者 | 郭家英; 邱文達; 葉高勳; 蘇千田; 李良雄; 黃俊一; 施養性; 陳建志; | 書刊名 | 北醫學報 |
卷期 | 25:1 1996.06[民85.06] |
頁次 | 頁21-26 |
分類號 | 416.292 |
關鍵詞 | 脊髓損傷; 跌落; 車禍; 神經損傷恢復; 功能恢復; Spinal cord injury; Falls; Traffic-related injury; neurological recovery; Functional recovery; |
語文 | 中文(Chinese) |
中文摘要 | 老年脊髓損傷患者的發生情形和預後於成年人和青少年有顯著的差異性。本研究收集1990年7月1日到1993年6月30日的臺北市及花蓮縣所有脊髓損傷病歷,這期間共收集到337名六十五歲以上的老人脊髓損傷病例,男女比例為2:1,值得注意的是其中男性佔了大多數。老人脊髓損傷發生原因以跌落為主(63%),受傷部位以頸椎最多;而青壯年的脊髓損傷發生原因則以車禍為主。脊髓損傷在臺灣是一個嚴重的問題,尤其是老年人的住院天數和復健天數較長且高死亡率特別嚴重,在神經損傷上與功能上的恢復方面老年人也比年輕人差。此導致醫療與社會資源的耗損,影響的層面擴及家庭及社會方面。因此,應急需加強老人脊髓損傷的預防與治療。 |
英文摘要 | The determinants and distributions of spinal cord injury (SCI) in the elderly are different from those of adult and children groups. An epidemiologic study of SCI in Hualien Country and Taipei City was conducted from July 1, 1990 to June 30, 1993. Clinical records from all hospitals in the catchment areas were reviewed. The diagnosis of SCI was based on international criteria. During this period, a total of 337 cases of SCI in the elderly were collected. An overall ratio of 2:1, male predominance, was noted. The leading cause of SCI in the elderly was fall, while the leading cause of SCI in adults and children was traffic-related injury. The elderly group also had poor neurological and functional recovery as compared to younger generations. SCI is a serious problem in Taiwan as it is in other countries. The lengthy hospitalization and rehabilitation periods and the high mortality rate, especially in the elderly group, consume a sizable portion of medical and social resources; and therefore, prevention and treatment strategies for SCI in the elderly should be taken into consideration. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。