Analysis of related influencing factors of spinal cord injury complicated with spasticity
Objective To clarify the epidemiological characteristics of spasticity and analyze the protective or risk factors of spinal cord injury complicated with spasticity.Methods A retrospective analysis was performed on 183 patients with spinal cord injury who were hospitalized in the Department of Rehabilitation Medicine,Affiliated Hospital of Guizhou Medical Univer-sity from January 2019 to December 2022.Patients with spinal cord injury were divided into spasticity group and non-spasticity group according to whether they were complicated with spasticity or not.The data of age,gender,course of disease,spinal cord injury segment and injury grade,as well as whether they were complicated with anemia,hypoproteinemia,neuropathic pain and deep venous thrombosis of lower limbs were analyzed respectively.The types,characteristics and influencing factors of spastic-ity after spinal cord injury were further analyzed.Results There were statistically significant differences in injury segment and disease course between spasticity group(n=47)and non-spasticity group(n=136)(P＜0.05),but no statistically significant differ-ences in gender,age and ASIA grade(P＞0.05).There were statistically significant differences between the two groups in the combination of pressure ulcer(P＜0.05),but no statistically significant differences in the combination of neuropathic pain,lower extremity deep vein thrombosis,anemia,hypoproteinemia,D-dimer elevation,urinary tract infection and hydronephrosis(P＞0.05).Logistic regression analysis showed that injured segment,disease course and pressure ulcer were independent factors of spinal cord injury combined with spasticity,in which long disease course and pressure ulcer were independent risk factors(OR＞1),and low injured segment was a protective factor(OR＜1).Conclusion Disease course,injured segment and pressure ulcer are independent factors of spasm in patients with spinal cord injury.Prolonged disease course and pressure ulcers are indepen-dent risk factors while low injured segment is a protective factor.
Spinal cord injurySpasticityCorrelative factorsManagement strategy of spasticity
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NSTL
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