ICF在儿童脑外伤康复评定及随访中的应用

中国儿童保健杂志 ›› 2012, Vol. 20 ›› Issue (1): 66-70.

ICF在儿童脑外伤康复评定及随访中的应用

于梅¹,王然²,吕文强¹,李会会¹,吴丽慧^2,1

1 温州医学院附属第二医院,浙江温州 325027;
2 浙江医学高等专科学校,浙江杭州 310053

收稿日期:2011-11-25 发布日期:2012-12-06 出版日期:2012-01-06
通讯作者: 吴丽慧,E-mail:599197477@qq.com
作者简介:于梅(1984-),女,在读硕士研究生,研究方向为儿童保健

Application of ICF to rehabilitation evaluation and follow-up study of children with traumatic brain injury

YU Mei¹,WANG Ran²,LV Wen-qiang¹,LI Hui-hui¹,WU Li-hui^2,1

1 The Second Affiliated Hospital of Wenzhou Medical College,Wenzhou,Zhejiang 325027,China;
2 Zhejiang Medical College,Hangzhou,Zhejiang 310053,China

Received:2011-11-25 Online:2012-01-06 Published:2012-12-06

摘要/Abstract

摘要： 【目的】探讨《国际功能、残疾和健康分类》ICF在儿童脑外伤康复功能评定和随访中的作用。【方法】对照国际疾病分类(ICD-10)对儿童脑外伤的疾病分类,运用脑外伤ICF简要核心组合表对本院2006年5月-2011年5月期间儿童脑外伤的住院病人进行功能评定和随访,分析儿童脑外伤的年龄分布与病因特点。【结果】 1)儿童脑外伤的致伤原因与各年龄阶段的发育特征相关,0~6岁以高处坠落伤为主,7~12岁以高处坠落伤和车祸伤为主,13~18岁以自我伤害和他人伤害为主。 2)年龄越小,平均ICF得分越高;车祸伤、高处坠落伤、自我伤害和他人伤害平均ICF得分依次降低。【结论】 ICF能有效、全面地评定、随访和指导儿童脑外伤的治疗和康复,ICF对功能的评定和ICD-10对病因的诊断相互补充。儿童脑外伤在0~6岁预防重点是高处坠落,7~12岁预防重点是高处坠落和车祸,13~18岁预防重点是自我伤害和他人伤害。

关键词: ICF, 儿童脑外伤, 康复

Abstract: 【Objective】 Application of ICF to Rehabilitation evaluation and follow-up study of children with traumatic brain injury. 【Methods】 From May 2006 to May 2011,48 traumatic brain injury children acceptted the rehabilitation therapy were measured by ICF in the second affiliated hospital of Wenzhou Medical College and the disease were diagnosised by ICD-10;Application of ICF to follow-up study for all the children with traumatic brain injury and the 144 children were analyzed by distribution of age and the reason of wounds. 【Results】 1)The reason for children with traumatic brain injury was relate to ages stage and developmental characteristics,0 to 6 years old children with traumatic nrain injury primarily by high fall injury,7 to 12 years old by high fall injury and traffic accident wound,13 to 18 years old by self-harm and other people injury.2)The younger age with traumatic brain injury was,the score was higher in ICF.The average ICF score decreased by turns from in traffic accident,high fall injury,to self-harm and other people injury. 【Conclusions】 ICF can effectively and comprehensively assess the rehabilitation and follow-up study of brain injury children,and guiding opinions for rehabilitation treatment.The ICF complements the information provided by the ICD-10 by classifying information on functioning and disability,Thus,ICD-10 and ICF are complementary classifications.Prevention traumatic brain injury in 0 to 6 years old,7 to 12 years old,13 to 18 years old respectively is high place crash,high place crash and traffic accident,self-harm and other people injury.

Key words: international classification of functioning, children traumatic brain injury, rehabilitation

中图分类号:

R722

于梅,王然,吕文强,李会会,吴丽慧. ICF在儿童脑外伤康复评定及随访中的应用[J]. 中国儿童保健杂志, 2012, 20(1): 66-70.

YU Mei,WANG Ran,LV Wen-qiang,LI Hui-hui,WU Li-hui. Application of ICF to rehabilitation evaluation and follow-up study of children with traumatic brain injury[J]. journal1, 2012, 20(1): 66-70.

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