6. 관절구축은 족관절에서 가장 호발하였으며(40.3%), 재활의학과에 입원한 동안 관절구축의 발생율은(24.6%) 타과에서 보다(42.6%) 현저하게 적었다.
7. 혈색소, 적혈구용적의 값은 손상후 평균 1개월, 3개월, 6개월, 1년에 측정한 결과 점차 정상화 되었으며 혈색소, 적혈구용적의 평균치도 만성화 될수록 높아져서 정상화되는 경향을 보였다.
8. 통증은 대부분이(88.9%) 12개월 이내에 발생하였으며 남녀간에 발생의 차이는 없었다.
[영문]
The complications of spinal cord injury which develop in varying sites can lead to death and can impede rehabilitation as well as adversely affect the activities of daily living physically, socially and economically.
The purpose of this study is to look for means to prevent and manage complications in spinal cord injury through investigation and analysis.
The subjects of this study were 133 spinal cord injury patients who were admitted to the Department of Rehabilitation Medicine, Severance Hospital, Yonsei University, between Mar 1, 1983 and Dec 30, 1989.
The results are as follows:
1. The subjects were 111 male and 22 female patients ranging in age from 4 to 70 years, including 18 complete quadriplegics, 15 incomplete quadriplegics, 71 complete paraplegics, and 29 incomplete paraplegics.
2. The incidence of complications in spinal cord injury were as follows: urinary tract infection 78.2%, spasticity 54.1%, pain 51.8%, pressure sore 45.1%, contracture 33.8%, ortho-static hypotension 27.8%, autonomic hyperreflexia 15.0%,pneumonia 15.0%, heterotopic ossification 9.0%, atelectasis 5.3%, vesicoureteral reflux 5.3%, epididymitis 4.5%, urinary stone 3.0%.
3. The moat common causative organism of urinary tract infection was Escherichia coli(38.3%), followed by Enterococcus fecalis(24.6%).
4. The most common pressure sore site was the sacral area(66.1%) and most sores were mild grade 1 to 2. The development of sores during admission in the Rehabilitation Medicine Department was much lower than other departments.
5. The incidence of orthostatic hypotension in patients with injury at or above 75 spinal cord level was higher than at 70 or below.
The incidence of autonomic hyperreflexia in patients with injury at or above T6 spinal cord level was higher than at T7 or below.
6. Contractures developed most frequently in the ankle joint.
Contracture development during admission in the department of Rehabilitation Medicine was much lower than that of other departments.
7. Below normal values of hemoglobin, hematocrit occuring at one, three, six and twelve months post injury were 83.0%, 74.0%, 59.5% and 34.6% for hemoglobin and 72.3%, 46.0%, 38.1% and 19.2% for hematocrit respectively.
8. Pain developed within 12 months after injury in most cases and the difference in pain incidence between males and females was not statistically significant.