Objective To construcl an eukaryote expression uector containing bone morphogenetic protein-2(BMP2)mature peptide,Methods Gene splicing by overlapping extension PCR(SOE-PCR)method was used to clone BMP2 signal peptide and mature peptide and their fusion fragment.The fusion fragment was cloned into an eukaryole expressing vector pc DNA3.1/myc-His(-).A .The sequence of the fusion fragment of BMP2 signal peptide and mature peptide was indentified.Results The sequence of the fusion fragment was correct comparing with BMP2 signal peptide and mature peptide published by NCBI.Cconclusion he vector pcDNA3.1/myc-His(-),A-BMP2 sm constructed in this experiment was suitable to applying in eukaryotic expression of BMP2.
Objective To observe influence of fibrin sealant(FS)on osteoinductive ability of inject-type BMP.Method The inject-type BMP power was dissolved in the main glue part or thrombin part of FS,then mixed with the main glue part or thrombin part of FS into gel,observe coagulating time,then implant composite into the thigh muscle puch of mice to evaluate their capacity to induce new bone formation,and compared to the single BMP implant group.Result There was no difference in the coagulating time between two mixing method,the osteoinductive ability of implants BMP dissolved in the main glue part or thrombin part of FS group was higher then that of simply BMP implant group.Conclusion FS was perfect carrier to inject-type,BMP.
Background:The effects that total hip replacement(THR)can alleviate pain,reconstruct function of hip joint and improve patients‘ daily living ability have been proved,success has a direct relationship with postoperative function exercises.Objective:To observe effects of postopervative function exercises after artificial total hip replacement.Unit:Second People‘s Hospital of Binzhou City.Subjects:17 cases of TRs were investigated including 11 males and 6 females,aged 62-81(mean:68.9) years old.Intervention:Postoperative function exerciese consisted of three stages:First stage:one week after operation was passive function exercises stage.(1)When patients came to consciousness,static isometric contraction of quadriceps muscle of thigh was taken;Supine position,tip of foot directed upward to contract muscle of thigh for 9 seconds and relaxed for 1 seconds which was a movement,3 times per day and 2-30 movements every time.2) Flexing and extending of ankle joint:Flexing and extending for 10 seconds at maximal degree as a movement,3 times every day and 20-30 movements every time.(3) ISometric contraction of gluteal muscles:supine position,both legs were extened and both arms laid at body sides natural,gluteal muscles were contracted for 9 seconds and relaxed for 1 which was a movement,3 time per day,20-30 movements every time.(4)Depp breathing:patients breathed at maximal limit and exhaled,3-4 times every day and 10 minutes every time.(5Function exercises with CPM exercise apparatus of lower limbs.Second stage:2 weeks after operation was active function exercise stage.In this stage,active function exercises were taken besides contents of first stage.(1Flexing of knee and hip joints:Supine position,abduction of affected limbs at 15°-30°heel of affeected limb was moved slowly towards buttock with knee flexing.This exercise began with 0°-30°and increased 5° every day with maximal limit under 90°。（2) Muscle exercises of upper limbs,3 times per day and 10 min per time.(3)Upward move ment at supine position:Exercises of upper limbs,head,neck and chest were taken.Head,neck,chest were elevated 10°-30°with help of ring chest-developer,2 times per day and 10 minutes per time.(4)Elevation of affected at sitting psoition;affected limbs hug down,upper part of body was braced with both hands backwards slightly to contract muscles of thigh,affected limbs were elevated to heel,but under bed horizontal line,3 times per day and 10 minutes per time.Third stage:Instruction of right getting up and loading.Patients were encoraged to move with crutch at 7th day,loaded successively with crutch from 2th week and crutches were removed from 12th week.In this stage,exercises began from sitting up and when active flexing and extending of hip joint,atients were in structed to take abducor,extorsion,adductor,intorsion until squatting,3-4 times per day and 10 minutes per time.Result:Modified hip joint function evaluation standards were adopted consisted of pain scores,living ability scores,movement scores,moving distance scores and function of hip joint was divided into:excellent:10 score,good:≥80 scores,fair:≥60 scores,trace:≥40 scores,poor:,40 scores.After 12-24months of follow-up survey,excellent,15 cases ,good,1 case,trace,1 case and no complications were found.Conclusiong:Postoperative function exercises after THR could promote functional recovery of hip joint and prevent complications.
Objective To observe the results of treatment the high level sacral tumors by the surgical technique of approach in anterior with posterior to curettage and local pouring chemotherapy with radiotherapy and to discuss the feasibility of this surgical technique.Methods 24 cases,includde the oncology results,the funmctions of the sacral nerves and the complications were analyzed.Results Average follow-up 56 months,3 malignant cases were died of the tumor metastasis,4 recurrent cases were recurred after treatment between 13 and 32 months.4 cases were found sinuses in the drainage-tube.This surgical technique was not significant influence on the functions of the sacral nerves.Conclusions This method is safe and effeciveness in treatment of elevation sacral tumors.
Background:If patients with temporomandibular joint disease can‘t keep exercise of opening mouth,or such factors as wound injection,insertional shift occurs,which can lead to psotoperative recurrence.Objective:To discuss the effect of temporomandibular arthroplasty with rehabilitation nurse.Unit:Stomatology Hospital,Fourth Military Medical Uuniversity.Subjects:From 1995 to July 2000,there were 48 patients underwent temporomandibular rthroplasty,18 males,30 females aged 8-68 years old.average 38 .Temporomandibular joint stiffness 31 cases.Temporomandibular joint disturbance syndrome 8 cases,condylar process hypertrophy 3 cases,injury 6 cases.Interventions:(1)Mental intervention:Temporomandibular disease occured in patients‘ bodies and minds,so they should know pathogenic cause and pathogenesis,they also should be explaines importance of postoperative function exercises,and should be encoraged to keep exercising after operation.especially for hildren,because they were in growing state,who should be told impotance of opening mouth.(2)Function exercieses:(1)Early stage rehabilitation nurse:1-4 weeks after operation.patients were limited temoromandibular movement and be given liquid food.10 d after operation,patients were encouraged to take opening mouth exerciese,early exercieses was good for preventing recurrence of disease.Patients with muscle filling in psotoperative 2 weeks started opening mouth exercises,patients with bone graft in 3-4 weeks after operation were limited opening mouth movement,who should start exercise after 4 weeks.(2)Later rehabilitation nurse(mainly opening mouth exercises):According to degree of opening mouth,to choose suitable thick rubber or wook lump was used as mouth-gag.Method:Being trained patients should face to mirror,and hook central incisor with index finger,narrow end was put on molar teet region,thinckness of plung was increased gradually,so as to enlarge the opening mouth,1-2 months after operation,mouth-gag was used at night and day,after those time,exercises might only be used on day.the time of opening mouth was more than 6 months.Results:Range of opening mouth before operation:severe opening mouth limited(<0.5cm)12 cases,moderate(<1.0cm)20 cases,mild(<2.0cm)16cases,movement range of opening mouth after operation 3.0-4.5cm.Conclusion:Rehabilitation nurse after temporomandibular arthroplasty is pledge to operative effect,it is not only mportant to stop recurrence and prevent malocclusion deformity,but also essential to recover opening mouth and occlusion.
Backround:For the clinical treatment of dislocation of distal radioulner articulation,removal of smaller head of ulna was often adopted.Because this operation damaged ulnar stabilization of wrist,therapeutic effect couldn‘ t be sustained for a long time,even emiluxation of carpal bone appeared.Objective:To investigate therapeutis effect of reconstruction of ulner collateral ligament on dislocation of distal radioulnar articulation.Unit:451st Hospital of PLA.Subjects:12 cases of dislocation of distal radioulnar articulation were investigated including 10 males,2 females aged 15-39(mean:5)years old with disease course 3-9 months.3 cases were at left side,9 cases at right side.Intervention:(1)Position and incision:dorsal position,brachial plexus block anesthesis,“s”incision through styloid process of ulna(8-10cm)was used,exposing distal styloid process of ulna,triangular bone,pisiform bone.(2)Reduction and fixation of distal ratioulnar articulation:supinwation of forearm,pressed distal ulna until reduction of distal radioulnar articulation,the fixed with a 2.5nm Kirschner pin which was removed after 3 weeks.(3) Cutting tendon flap:lateral half of ulnar flexor was transected at transverse zone of tendon and belly of muscle Distal tendon was reserved with freee part,8-10cm.(4)Reconstruction of ulnar colllateral ligament:Tendon was translocated to end part of unlar collateral ligament.Tendon flap was suctured and fixed at end of that ligament with absorbable sucture.From posterial side,tnedon flap was suctured with peripheral bone membrane.(5Postoperation dealing:fixed with plaster support for 3 weeks.Main prognosis indexes and results:Excellent:pain disappeared,normal grip strength,pronation and supination of forearm to 90°,dursal extension and palmar flexion to over 40°.Good: slight pain,subjective increasing of grip strength,pronation and supination of forearm to 45°-60°,dorsa extension and palmar flexion tp 20°-40°;Fair:Slight pain,subjective decrease of grip strength,but improved than preoperation,pronation and supination of forearm tp 30°-45°,dorsal extension and palmar flexion to 10°-20°;Poor:no improvement.In this group,11 cases was excellent,1 good,no fair and poor.Conclusion:Reconstruction of ulnar collateral ligament from pediculated partial ulnar flexion tendon of wrist could reconstruct the ulnar stabilization of wrist,with good reduction and a less trauma.
Backgroung:After critical stage,patients with traumatic fracture may rest at home and most rehabilitation exercieses will be taken under help of families,But patients are often taken care of blindly and randomly due to families‘ lacking of nursing acknowledge and skills.OJbjective:To explore the effects of family rehabilitation instruction on patients with traumatic fracture.Unit:People‘s Hospital of Jaonan City Subjects:101 cases of fractures of limbs were investigated,including 76 males,25 females,aged 5-67(mean:45)years old,among which were 59 fractures of upper limbs,31 fracures of lower limbh and 11 fractures of bot limbs.Intervention:Nursing instruction:(1)Patients in bed should eat vegetables sabundant of vitamin,banana,honey to promote defecation,catharsis drugs were used if necessary.Enough drinking and diuresis were adopted to prevent infection and calculi of urinary system.(2)To patients using plater,plaster should be kept clean.If found dirty,it must be cleaned with toweling with soap and clean water.But softening of plaster should be avoided and contamination by urine and stool should be paid attention to.Rolling were adopted when turning over preventing angled compression on join.When itching appeared,scratching should be inhibited,alcohol was adpted when necessary.(3)Rubbing bath was adopted,once a day,often changing of underwear,loose clother and trousers.(4)Patients rested on plant bed with middle-thick mat and affected limbs were elevated.Instuction of opportunity and methods:(1)Early stage:within 2 weeks,active contracting and relaxing should be taken to promote reflux of deep veins and swelling.(2)Intermediate stage:3-6 weeks after fracture,movement of joints was taken at some adopted when callus began to grow and ripe.(3)Late stage:exopexy was removed when fracture got from.and comprechensive muscle and joint exercises were taken until complete recovery.Nursing process was rowked out,compiled and handed out to families when leaving hospital.Results:After 2-3 months of follow-up survery,no articular stiffness,spasm of muscle,bed sore and infection of urinary system were found.In 101 cases,recover,85 cases,good,12 cases.Minor linit of joint in 4 cases due to joint surface was involved.Conclusiong:Suitable family rehabilitation could promote recovery o fracture and reduce incidence of complications.
Background:In recent years,Success rate of replantion of severed finger is increased every year with developing of fiber surgery.But postoperative local vascular spasm and hypercoagula bility often leads to the incidence of thrombosis and circulatory crisis that were an important reason leading to operation failure.Objective:To observe the clinical effect of hyperbaric mixed oxygen adopted after replantation of severed finger.Unit:First People‘s Hospital of Yancheng City Subjects:28 inpatients transferred from junior hospital were investigated,including 36 males (59fingers)and 12 females(17 fingers),aged 13-64 years old.Reasons:cutting injury,26 fingers;Electric saw injury,11 fingers;Impact injury,6 fingers Avulsion,33 fingers;Exposing of finger bone,14 fingers;Defect of finger belly,2/1-3/2,17 fingers;Complete seperation,29 fingers,incomplete,14 fingers;Defect of thumb,2 fingers.Injury time,0.5to 7 hours.All cases were divided into treatment group (25 cades,38 fingers)and control group(23 cases,38 fingers).Intervention:To exposing of finger bone and defect of finger belly,palmar propelling flip repair was adopted.To severed finger replantation was adopted;To defect of thubh,restoration of toe was adopted.Treatment group:Domestic HKC-18 medical middle-sized oxygen chamber,air was comperessed at 0.2MPa.Face-masked inalation,79% O2 and≥0.2 MPa.Face-masked inhalation,79% O2 and ≥ 3% CO2,15 minutes for 2 times and interval,10 minutes.Then changed to air inhalation,once a day,ten days as a therapeutic course,normally for 1-2 therapeutic courses.Routine drug-taking:antiinfection,anticoagulation and spasmolysis,Natir Pennicillin,amikacin,intravenous drip;Low molecular dextran,intravenous drip;Nefedipine,oral administration,Control group:On base of drug-taking,heparin sodium,16.7 mg muscle injection,was added.Result:In treatment group,35 fingers survived,survival rate,90%:In control group,38 fingers survived,survival rate,79%. There was singnificant statistical difference between two groups(P<0.05).Mean healing periold:10 days in treatment group and 13 days in control group.Conclusion:Compwared with control group,hyperbaric oxygen therapy had following manifestations,less swelling and exudation,rapid detumescence,anti-infection,rapid healing and high survival rate.
Background:Replantation of seved fingers had been adopted widely and its survival rate was also increased greatly.But incidence of dysfunction due to muscle tendon adhesion was still very high.Objective:Tox explore treatment of adhesion of muscle tendon after replantation of severed fingers.Unit:eihaiwei People‘s Hospital Subjects:87 males and 36 remales were investigated,aged 19-32(mean:23)years old.All were separtation of phalanx,articular surface was not involved.Injury time,1-8 hours.Intervention:Strict debridement and douche under microscope.Anatomic reposition and internal fixation of phalanx were adopted.To superficial flexor digitorum,Kessler 3/ muscle tendon suture was adopted,and tenosynovium was sutured with nylon suture.Parielal tendon sheath was incised at 1 cm from in cision,extensor muscle tendon was sutured with 3/0 suture,vessels and nerves were sutrued in turn.Kirschner pins were removed after 1 month and internal fixation was adopted.After than active exercises,were taken for 2 weeks and passive exercieses for 8-12 weeks.Relaxing opportunity,3-6 months after operation,combined with microwave.Second relaxing was taken to cases with poor effect.Under local anesthesia ,microneedle was inserted before middle line at lateral region.tendon sheath was explored depending on feel and experiences and adhesive muscle tendon was separated until adhesive part slid.Active and passive function exerciese were taken after operation.Second and third operations were given if effects were poor.Results:All 87 cases were followed up 2,-6(mean:3)months,232 fingers recovered.Adhesion was severe in 4 fingers flexing to 90 degrees after microneedle therapy.After negotiation with patients,open relaxing of adhesive muscle tendon,normal functions of fingers was recovered basically.Total effective rate was 98.3%.Conclusion:By this method,trauma was mild and local anesthesia was adopted.Relaxing degress might be observed in the course of operation.Immediate function exerciese might be taken after operation and good function recovery was achieved.
Background:Radical clearance of cervical lymph nodes is an effective method to treat malignant tumor of maxillofacial region and prevent diffusion and relapses.But postoperative contour and dysfunction of shoulder due to dysfunction of trapezius muscle that is caused by injury of accessory nerve affect patients‘ lining qualinty.Objective:To explore therapeutic method of dysfunction of shoulder after radical clearance of cervical lymph nodes of maxilloracial region.Unit:Oral Medical College,Fourth Military Medical University.Subjects:21 males and 17 females aged 49-71 years old were investigated,among which were 14 cases of carcinoma of tongue,1 cases carcinoma of cheek,9 cases of carcinoma of gingival ,others,5 cases.All cases were treated by radical clear ance of unilateral cervical lymph nodes.Intervention:(1)Local massage:Affected trapezius muscle region was massaged from 2th day after operation.Soft concentric massage and local rubbing were taken by nurses and families,times every day to prevent atrophy or muscles.(2)Passive and active movement training:Moving training began within 1 week,Passive training of shoulder was taken t first,under instruction of nurses and cooperation of families,including shrugging of shoulder,elevation and abduction of upper limb.Same moving was taken under instruction to healthy shoulder to experience voluntary moving.If atrophy of affected trapezius muscle was obsered.active movement training was taken supplied with passive moving and transited to active moving successively,3-5 times every day and 5-10 minutes every time.(3)Occupational training:Occupational training was to take muscle exercises using functional movement of shoulder which effect was superior to simple muscle exerciese.When antagonistic effect was found,fitful external force was adopted to antagonist moving of affected shoulder and promote recovery of muscle.(4)Physical therapy:Local radiation infrared ray was adopted 1 week after operation,once a day,2 weeks as a therapeutic course and kept for 3-5 therapeutic courses.Results:Dysfunction evaluation of affected shoulder after 6 months of follow-up survey.Affected degrees were divided into 4 grades;Grade I,no influence compared with that before operation,3 cases;Grade,Ⅱ,mild influence,20 cases;Grade Ⅲ，moderate influence,13 cases;Grade Ⅳ ,serious influence, cases ,Function evaluation of shrugging,evaluawtion abductor of upper limb,patients could accomplish common moving besides 2 cases of patients with grade Ⅳ.Conchlusion:Systematic rehabilitation nursing could effectively promote recovery of postoperative function of affected shoulder.
Background:Calcaneodynia refers to pain caused by traumatic injuries and is often combined with spur of front edge of calcaneus.Although there are many therapeutic methods to this disease,effects aren‘t satisfying.Object:To observe clinical effects of acupuncture and moxibustion combined with drugs on calcaneodynia.Unit:Seventy People‘s Hospital of Shenyand Ciyt.Subjects:18 cases of calcaneodynia were investigated including 10 males and 22 females aged 43-70(mean:56.5)years old.All cases were diagnosed by X-ray film.10 days were 1 therapeutic course and interval was 3 days. 3 therapeutic courses were taken altogether.Intervention:Acupuncture therapy:Second lateral metacarpal bone therap was adopted to foot region.Taihsi,K‘ unlun and Ah shih 0.5 cun near to front edge of calcaneus were selected and needle was inserted routinely.Zi wu dao jiu needling was adopted.Fumigation and steaming with Chinese herbs:wild aconite root,clematic root,tetrandra root,Sichuan aconite root,psoralea fruit, achyranthes root,decoted to warm and heat.Affected part was fumigated and steamed,30 minutes every time and 1-2 times every day.In the course,patients were told to keep warmth of affected parts ,take small amount of exercises avoiding violent movement and take more rest.Results:Cure:calcaneodynia disappeared completely and patients could walk freely,7cases(39%).Marked:calcaneodynia reduced obviously and a little uncomfortable existed,5 cases(28):Effective:Calcaneodynia reduced,5 cases(28);Ineffective:no reduce or worsed,1 case(6%).Total effective rate was 94%.Discussion:Calcaneus was the part that Urinary Bladder Channel and Kidney Channel went through,According their physical runction these tow channels were selected to achieve anti-inflammation and analgesia and locak Ah shih was combined to inflammation part at the same time to achieve a better anti-inflammation effect.Combination with fumigating and steaming of Chinese herbs might have the effect to remove dampness,promote circulation by removing blood stasis and strengthen the bones and muscles.Acupuncture and moxibustion combined with Chinese herb was an effective method in treatment of calcneodynia.
Backround:The common mood reaction in breast cancer was depression and mental test by Zung‘s self-evaluated depression scale showed that different degrees of depression existed in 100% patients,so mental nmursing was necessary.Objectve:To analysis postoperative depression and investigate nursing effect on patients with breast cancer.Unit:Oral Hospital of Fourth Miitwary Medical University Subjects:30 patients with breast cancer were investigated aged 40-68 years old and all cases were 2-5 days after operation.Interention:Mental test was taken before and after nursing,dopting Wiuian W.K.Zung‘s self-evaluated depression scale(SDS).SDS was filled in within 1-2 days after hospitization and depression index was counted to find out related factors and draw up specific nursing measures.(1) Establising good nursing-patient relationship Patients were encouraged to communicate with nurses and questions patients met must be explained imme diately and in detail.(2) Constant mental supporting Manner to patients must be constant.Instuction of social support system must be given including families,relatives,friends,neighbors,col leagues to provoke patients‘ surviving desire and establish confidence to conquer diseases.(3)Systemically health education First,health acknowledges grasped by patients were appraised and directed education was given.(4) Somatic nursing problems Existing and latent somatic nursing problems were evaluated timelyand right nursing measures were drawn up to reduce pain.(5)Experienced mental specialists were engaged to make menlal guidance,drugs were used to individuals.Patients.filled in SDS before leaving and slef-control method was adopted.Results were analyzed and P value was counted.Result:(1)Postoperative SDS scores before and after mental nursing see table 1.Seeing from table 1,depression degrees reduced obviously after mental nursing.(2)Analysis of depres sion-related factors:Worrying about breast incomplete,30 cases (100%);Worrying about metastasis,12 cases(42%);Worrying about metamorphosis,20 cases (68%);Worrying about economics,12 cases (42%);Worrying about family burden,20 cases(680;Worrying about pain,19 cases(65%),Seeing from table 2,in all related factors,worrying prognosis(first 3items)consisted the first place,following were family burden,pain and economic.Conclusion;mental nursing could obviously reduce depression degrees.
Background:Fracture of calcaneus often leads to pain,deformity,function of foot is impaired and even permanent function impairments are left.Many divergence existed in treatment of severe intra-articular fracture existed.but with the development of pedal surgery and deep study of biomechanics anatomy,especially building of BO theory,the therapeutic programs have become clearer.Objective:To discuss and sum up the exprerience for operative treatment and postoperative rehabiliatation of displaced intra-articular fractures of the calcaneus.Unit:Baogang Hospital Shanghai Second Medical University.Subjects:42 cases of displaced intra-articular fracture of calcaneus were investigated including 40 males and 2 females aged 21-62(mean:36.6)years old,among which were 29 cases of unilateral fracture of calcaneus and 13 cases of bilateral fracture of calcaneus.Closed reduction were adopted in 12 calcaneus(these were not included in this study).In 43 cacaneus treated by surgery,29 calcaneus underwent open reduction and bone grafting,and relaining fixation,14 calcaneus underwent open reduction and bone grafting and internal fixation with Kirshner wire.
Objective To study the changes and significance of neuron-specific enolase(NSE)and glial fibrilous acidic protein(GFAP)in rat cerbral concussion,Methods 80 Wistwar male rate were used for animal model of cerebral concussion,which were sacrificed on the 1st,3rd,7th,14th and 30th days after injury and the brain tissue were taken off.The expression of NSE and GFAP were studied in the course of cerebral concussion by means of immunohistochemistry,Results Rats in 100 g-group seen the clinical manifestation for typical concussion.The pathologic changes were the cerebral vascular constriction and dilation,congestion and edema of cerebral tissue and neuronal deganeration and necrosis.NSE was increased on the 1st day,and the positive area was seen in the plasma of the neurons in the cerebral cortex and the cerebellum, and also seen in blood vessels,cerebrospinal fluid in aqueduct and interstital matrix.NSE was obtained at peak on the 7th day,decreased on the 14th day and stil l raised on the 30th day.GFAP was increased on the 1st day,which the positive area was seen in the plasma of astocytes,and obtained at peak on the 3rd day,which fiber-like GFAP was in short,thick and astrocytes increased.GFAP decreased on the 7th day and obtained normal level in 30 days.Conclusion the main pathologic changes of cerebral concussion were blood circulatory disorder nd nervous cells degeneration,apoptosis and necrosis,NSE and GFAP participated in the course of cerebral concussion,may play an important role in the damage of blood-brain barrier,nervous cells degeneration and necrosis.
Background:Epidural injection is an important method in treatment of protrusion of lumbar intervertebral disc.Especially in the recent decade sacral injection is adopted more and more often.Objective:To compare the clinical effects of sacral blocking and massage combined with traction.Unit:Yinhe Hospital of Beijing.Subjects:290 outpatients with grade Ⅱ of ASAI were selected from May,1994 to July,2000.Patients were randomly divided into observation group(n=145)and control group(n=145).Sacral blocking was adopted in observation group and 80 males and 65 females aged 20-78(mean:46.4)years old were included with disease course 3 days to 30 years.Massage combined with treaction was adopted in control group and 74 males and 71 females aged 22-74(mean:44.9)years oled were inmcluded with disease course 2 days to 10 years.Interention:Sacral blocking:Operation was according to sacral blocking and druge(dexamethasone injection,2 mg;0.75% bupivavaine hydrochloride,5 ml;saline,50ml) were injected slowly after success of puncture.Patient rested for 0.5h after injection and left treatment room if no adverse effects occurred.Massage combined with traction:Massage was adopted after traction to every patients.(1)Massage:Patient was seated at square stool and lower limbs separated naturally with same width of shoulders.Doctors sit behind patient.First,thubs of both hands were pressed on projecting part near spinous process(pressing points were selected according to different projecting part).Flexing and extending forward and backward were taken at the same time and extent was ddecided addording to patients‘ maximal endurable degree,5-10 timmes.Upper part of body was turned 45 degrees to left and right.Massage was still taken to affected part,3-t times.(2)Traction:Pelvis was extracted with general physical therapy and massage table.Supine position,chest and treaction bandage were fixed,tractiron wheel was turned slowly until patient felt comfortable with maximal endurance as limit(traction force,20-40kg),After extracting for 5 minutes,massagee switch was turned on to take rolling massage to bck and both lower libmbs.Traction force was increased every5 minutes and limit was still according to patient‘s maximal endurance,30 minutes for every time,once a day and ten times as a therapeutic course.Cohclusion:Effect of sacral blocking on protrusion of lumbar intervertebral disc was positive and fewer therapeutic time were needed.Massage combined with traction was also effective,safe and no adverse effects wer observed,but more therapeutic times were neeeded and inconveinient.
Objective To study the effects of low-intensity millimeter wave(MMW)irradiation on the immune adhesion funmction of erythrocytes and lymphocytes in tumor patients.Methodw MMW(36GHz，0.73-1.46mW/cm^2)used to irradiate the vein blood from tumor patients in irradiation group for 30 minutes.Control group received false irradiation using the same method.Then test tumor RBC-C3b receptor rosettes rate(PCR),tumor-RBC rosette rate(TRR)and tumor lmphocyte rosette rate(TLR).Result In irradiation group,the RBC-C3b TRR and TLR were higher than control group‘s (P<0.01).Conclusion Low-intensity MMW irradiation can improve the immune adhesion function of erythrocytes and lymphocytes in tumor patients.
Background:Femoral subtrochanteric fracture means fractures happened 5 cm away from inferior margin level of samll trochanter.Most of this kind of fracure in unstable fractures caused by trauma mostly and characterized with large malposition,splintered and difficult to be treated.It will lead to a series of severe complications if treated improperly.Objective:To evaluate the clinical effect of the remoral interlocking intramedullary nailing for the treatment of subtrochanteric fracture.Unit:Department of Orthopedics,First Hospital of Suzhou Univerisyt Subjects:2 cases combined with fracture of shaft of femur in 10 cases of subtrochanteric fracture,including 7 males and 3 females,age 22-48 years,average age 32.8 years,4 cases suffered left side,6 cases suffered right side.8 cases of road accident,1 case of falling trauma and 1 case of crash trauma.All the cases were treated with closes reduction except 2 cases combined with fracture of shaft of femur.According to Seinsheimer classification:2 cses of ⅡB type,3 cases of ⅡC type,3 cases of Ⅲ A type,2 cases of Ⅳtype,all these 10 cases were closure trauma.Intervention:Patients received traction 5-7 days afte hos pitalization to relieve pain and maintain length of suffered limb.We took full-length X-ray of other side femur to estimate length and diameter of intramedullary pin,After lateral position,we mede 6-8cm incision along near end of femoral larger trochanter to near lateral side obliquely,cut fasciae of gluteus maximus muscle longitudinally along incision,identified level of inferior fasciae of gluteus maximus muscle,touched inside pyriform recess,pored at pyriform recess along longitudinal axis of shaft of femur,pore localizing in the middle of femur,reduced fracture under X-ray,inserted guide to distal end and dilated marrow tp 13cm.Then we put intramedullary pin with proper lentth and diameter at level of the top of larger trochanter,locked distal and approximate ends with interlocked pin.Incision need to be extended to needed length to distal end along larger trochanter,borke partly the starting point of vastus lateralis if patients received incisive reduction,expose fracture and reduce under direct,look.Patients received CPM knee joint function exercises after operation;patients load weight completely after fracture healed.Patients received routine X-ray exams 6 and 12 weeks after operation,if only few callus formed around the fracture,we suggest removing distal interlocked pin.Result:All the patients were followed up for 12-25 months,average 16.3 months.All the fractures were healed.Conclusiong:Femoral interlocked intrameduallary pin treating sbutrochanteric fracture is an ideal nternal fixation method.
Background:Auricular pseudocyst,which is also calles serous perichondritis of thd auricle,is and aseptic local serous inflammatory mass in the perichondrium of the auricle.The cause is unknown,.It is difficult to the cured with a chronic course,and might transform into suppurative perichondritis because of incorrect treatment such as repeated puncture,and even necrosis occurs,resulting in deformation of the external ear.Objective:To study the therapeutic effect of magnetic application.Unit:Jianping County Hospital.Subjects:42 patients were included in this study,including 31 males,11 females aging 10 to 56 years,with unilateral attack in 38 cases,bilateral attack in 4 cases.No obvious cause was found in all of the cases.Local prominences occurred suddenly mostly at the navicular fossa,less at the triangular fossa,least in the cavity of concha.The site is felt hot and swelling with slight tenderness.The locus ranges from 0.5 cm to 1.5cm in diameter.The disease course ranges between 3 and 30 days.Interention:The intracapsular fluid was withdrawn out from the locus in all the pwatients.Two magnetic pieces of 100-170mT in intensity were chosen and fixed on both sides of the locus by wadhesive plaster with the S and N poles opposited.The magnetic pieces of the Npole were applied 24 hours a day.But the S pole should be taken off at night and 5-10 minutes every 1-2 hours in daytime.The application method must be clearly taught to the patients to avoid local ischemic change because of persistent pressure.The poles of the magnetic pieces should also be told to the pwatients lest the pwatients fixed the magnetic pieces in a contrary way.The treatment courese was 1 week but 2 weeks in patients wih larger loci.Result:All the patients were cured with no local induration,thickness,deformation,or dispigmenttation.No recurrence occurred after 3 months of telephone following up.Conclusion:The treatment of magnetic application is easily performed,safe,reliable,cheap and free of side effects with significant therapeutic effect.
Background:The manifestation of senile dementia is irreversible and slowly progressive cognitive decrease.When rehabilitation training is performed,the principle of advancing step by step should be grasped.Objective:To explore the effect of life nursing on dementia after senile cerebral hemorrahge.Unit:Affiliated Hospital to Medical College,Beihua Universiyt.Subjects:50 patients with dementia were investigated including 38 males and 12 females aged 65-78 years old.All patients had cerebrovascular disease and cerebral infarction,lacunar infarction and atrophy were conformed by CT. Internetion:The content included:(1) Enhancement of symptomatic nursing:Kinds of need of patients should be fulfilled.After patients‘ modd got stable,patients were help to resume memory,corresponding questions were asked,inquired repeatedly and induced to help patinents resume memory early.(2)Instruction of disease acknowledge to patients:Administration condition was explained and function exercieses in recovery stage were instructed.Suggestive treatment was adopted to keep healthy mentality and make them take part in rehabilitation process and change their depending mentality.(4)Enhancement of diet nursing:Besides common basal nursing,diet nursing should be taken.Low-salt,low-fat and light diet should be administrated.Non-staple foods selected vegetables,fruits,meat with bone removed.Amount should be limited to polyphagia patients avoiding craputence.Caccagogue was used when constipation appeared.(5)Strenthening of sleep nursing:Patients were told to rest at fixed time,sleep early,wake up early.To patients unable to sleep,sedative drugs was adopted.Because of aderse effect,barbitals should be used carefully and vallium might be used.(6)Enhancement of basal nursing and prevention of complications:Besides basal nursing,patients dependent on others should be helped when walking to avoid accident tumble wound.Condition of disease should be paid attention to.To patients with long rest in bed,bed should be kept neat and clean,often turning over,rubbing pressed site of skin could prevent occurrence of bed sore.Results:After 2 years of follow-up survery,except that 5 cases died for severe pulmonary infection,other 45 cases survived and accompanyed by special person.7 patients were independent and could take part in partial social activities;20 patients were indpendent mostly and could get out bed,but need other‘s help.16 patients need other‘s help in most time;2 patients rested in bed and need other‘s help completely.Conclustion:Life nursing to patients with dementia can improve patients‘ mood and suitability to surroundings and motive coordination.
Background:The operation of orthomorphia of lateral curvature is complicated and traumatic.Its preoperative preparation is long and the general reaction of patients is large.The postoperative effect of operation will be influenced if patients are not nursed properly.Objective:To summarize preoperative and postoperative nursing key points and understandings of orthomorphia of lateral curvature and prevent kinds of complications.Unit:Department of spinal surg.General Hospital of Lanzhou Military Region.Subjects:112 patients.68 males and 44 females,aged -22 years,average 13 years.84 cases of idiopathic lateral curvature and 28 cases congenital.Cobb angle of lateral curvature was 45 to 60 in 43 cases and 60 to 90 in 51 cases.8 cases were with posterior curvature and 21 cases with spine injured and partial palsy.Intervntion:(1)Preoperative nursing:(1)Pshyocological nursing;(2)assessing the general conditions of patients and measuring cobb angle and spine soft extent;(3)traction nursing:we should observe traction symptoms of brachial plexus,cranial nerves and spine and notice the existance of headache,salivation,stuttering,strabismus,dyskinesia of limbs‘ feelings and dyschesia in traction course.Once occurred,the traction ring should be relaxed timely and traction continued after injured nerves recovered.The traction sty should be kept drying and clean.We alse should notic of there was leakage of cerebrosipnal.(2)Postoperative nursing;(1)Keeping axial movements when moving patients;(2)keeping unobstruction of respiratory tract and cleaning secretions of respiratory tract in time;(3) turning over on time;(4)encouraging patients to do joint movements of limbs on bed and avoiding activities outside bed before plaster immobilization.(3)Home rehabilitative instructions:(1)Doing functional exercieses often after plaster immobilization;(2)knowing about fusion conditions of spine through photo;(3)keeping intaction of plaster exopexy and avoiding strenuous exercises in two years after operation.Main evaluation indexes:Correctrive rate of lateral cruvature,number of statural growth,incidence rater of complications.Results:corrective rate average 47 per cent and statural growed 8-14cm.The occurrence of hyper-traction of brachial plexus and cranial nerves was all two cases.Strabismus 2 cases and stuttering 4 cases,sty infarction 8 cases,late palsy 1 case after operation.Conclusion:We should observe carfully nerve symptome and life signs in the nursing course of orthomorphia of lateral curvature and give healthy instructions directly to avoid kind of complications.
Backround:The effect f drugs therapy on scapulohumeral periarhritis is not obvious and medical gymnastics is an effective method for preventing and curing some patients.Objectve:To intoduce the rehabilitative effect of medical gymnastics on scapulohumeral periarthritis.Unit:Central China Normal Univeristy Interventions:(1)Guasha treasment:The guasha treatment is to dredge the channel and promote blood cirulation by removing blood stasis,which is the most effective natural rehabilitative treatment of scapulohumeral periarthritis.One time guasha in acute stage can make arms work freely which cannot raise and turn back and the patient often is cured after 3 to 6 times of guasha.The scraper should choose that made by ubffalo horn material,which is not easily becoming hot when rubbing with skin during the course of scraping and can decrease mechanical injury on skin.In addition,oil agent can be daubed on skin as medium of guasha,which can lubricate but also make medicine permeating under subcutaneous tissue to enhance effect.Scraping positions as following (1)back neck:scraping neck from above shoulder to Chinehching (2)shoulder:scraping the belt of P‘ ohu,geohuang,T‘ ientsung and Kekuan,scraping Chungfu in anterior shoulder and Chienchen in psot shoulder.(3)deltoid muscle:scraping Chineyu and pain spots of Ah shih (4)upper limbs:scraping from Ch‘ uech‘ ih to Waikuan(2)Rod gymnastics:choosing gymnastic stick of bamboo pole,the patiet seperates wtwo feet in the width same to shoulder and grasps stick to do actions like raising anterosuperiorly,raising superiorly,torsion,encircling and bending arms behind posterior neck.Above joint repeats eight beats for 2-4 times.(4) dumbbell gymnastics:the patient separates two feet in the width same to shoulder and grasps Dumbbed with both hands,do actions like pushing and raising,bending arms laterally and so on.Above joints repeat eight beats for 2-4 times,once or twice per day.(4)Function practices of shoulder joint:the patient bends his body and winds bare-handed.(5)Massage of scapulohumeral periarthritis:relxing massage on shoulder,neck,back,then pointing Hoku,Ch‘uech‘ ih,Chienliao and T‘ientsung and plucking axilla.Conclusion;Medical gymnastics can improve partial blood circulation,enhance metabolism,relieve muscle spasm and reach the goal of diminishing inflammation and stopping pain and recover functions.The effect of drugs therapy on scapulohumeral periarthritis is not better than medical gymnastics which can achieve obvious effect.
Background:Traction of cervical vertebrae is an effective method in treatment of cervical spondlopathy.Manual therapy can correct dysfunction,has the effects of function exercises and has an active significance to the rehabilitation of mixed cervical spondylopathy.Combination of these two methods could enhance therapeutic effects and do good to functional recovery.Objective:To observe effects of traction combined with nanual therapy on mixed cervical spondylopathy.Subjects:70 cases of mixed cervical spondylopathy from January 2000 to January 2001 were investigated including 49 males and 21 females,aged 21-48(mean:34.8)years old with disease course 1 week t 6 months.All cases were treated by non-operative therapy.Among these patients,numbness of upper limbs,22 cases,pain at neck,shoulder,back,40 cases.Pressure measurement by compression of neck was positive in 10 cases,brachial plexus pulling test was positive in 5 cases and lowering head test was positive in 11 cases.X-ray and CT examination showed abnormal curvature,hypertrophy of front and back edges of vertebrae,narrow intervertebral fossa in 51 cases,protrusion of intervertebral disc in 35 cases,prolapse in 25 cases,calcification of posterior langitudinal ligament in 48 cases.All cases were randomly divided into treatment group(n=36) and control group(n=34).there was comparability between two groups at age,sex,disease condition.brae:Traction began with 6 kg and 1 kg was increased every day.Maximal weight to male was 17 kg and female was 15 kg.Intermittent traction was wadopted,relaxing for 5 seconds after 5 seconds of traction.(2)Manual therapy:relaxing neck,pulling neck,lifting neck.Corresponding acupoints were compressed with thumb along brachial nerve.If the acupoint were selected correctly and “De qi” was felt,the patient,might feel comfortable after manual therapy.In the end.rolling and rotating manipulation,beating were adopted at neck,back and relaxing manipulation was adopted to upper libs 2 weeks was 1 therapeutic course.Simple manual therapy was adopted in control group.Main evaluation indexes:Marked:Clinical symptons disappeared,nedk could move freely and function recovered;Effective:Clinical symptoms disappeared basically and neck could take basic movement freely;Ineffective:no obvious alternation after treatment.Result:Marked:33 cases(92%)in treatment and 29 cases (85%)in control group;Effective:3 cases(8%)in treatment group and 4 cases(12%)in control group,Inefective:0 case in treatment group and 1 case(3%)in control group.Therapeutic effect in treatment group were superior to that in control group.Conclusion:Traction of cervical vertoebrae combined with manual therapy had an obvious effect on mixed cervical spondylopathy in relieving spasm of neck muscle and restoring of articular tunction.
Background:The senlie with fracture rest in bed for a long time,and haven‘t sufficient function exercise,all above will lead to osteoporosis,bad repair of bone tissue,muscle atrophy and joint stiffness occurs,which bring suffering and enconomic burden.Objective:To summarize the effect of postoperative function exercises on recovery of fracture of neck of femur.Unit:Orthopedics Hospital of Shenyang.Subjects:There were 86 patients of fracture of neck of femur,including 52 males,34 famles,aged 60-84 years,average 72 years.According to position of fracture line:subcapital type 14 cases,head-neck type 26 cases,mid-neck type 38 cases,base type 8 cases.Interention:(1)Quadriceps femorsis contracting,ankle joint dorsiflexed,toes exercised,passive movement of patella was assisted at the same time,according to degrees of tumefaction,3-6times per day,5-10 min per time.It would go on gradually.(2)To postoperative patients,their affected limbs should keep position of abduction of 20°-30°，a soft pillow was put between two legs,affected limbs such as ankle joint and toes might be exerciesed when sensation of lower extremity recovered,muscle of remoral head should contract at the same time.Knee joint was extended,heel was kick forwards as far as possible,so as that muscle of lower extremity was exerciesed,then relaxed,relaxation and contraction exercise of muscle could accelerate local blood cycle and avoid muscular atrophy.Hip joint movement exercise:24-48h after operation.After disease state was stawble,patients might be in semirclining position,2-3 times per day,till tp 3-4 weeks,until they might sit up straight,hip joint was flexed 90°.Exercises intensity was increased after 4 weeks,Patients were assisted to take away traction in 3-4 weeks,abudting 30°-40°and adduction 5°-10°,then being treacted again.Results:After function exercises,recovery state:Excellent:ther was no pain or occasional pain in hip,motor range of hip joint accouted for over 80% of healthy side,no claudication occured, X-ray showed traumatic change,39 cases;Good:occasionwal pain of hip occured,no or a little claudication,motor range of hip joint accouted for 61%-80% of healthy side,X-ray showed a few traumatic changes,30 cases; Fair;usual pain of hip occured,a little claudication,motor range of hip joint accouted for 50%-60% of healthy side,X-ray showed obvious traumatic change,11 cases chaludication,motor range of hip joint accouted for less than 50% of healthy side,X-ray showed obvious traumatic changes and ischemic necrosis of femoral head,3 cases.Conclusion:Postoperative function exercises can accelerate local reflux,recovering of blood cycle as quickl as pobbible,relivere edema,promote local metabolism,prevent muscle atrophy affectively and accelerate fracture healing.
Ojbecte To investigate the effects of lumbar-sacral selective posterior thizotomy on spasticity of upper limbs,epilepsy,strabismus,sialorrhea and dysarthria of patients with spastic cerebral palsy.Methods 825 patients with cerebral palsy who had received SPR between 1990 and 1998 were followed up for two years at least.Results Of 328 cases with spasticity of upper limbs,67(20.4%) had partial ame lioration of spasticity of upper limbs.Of 35 cases with epilepsy,31 (88.6%) had lower frequency of onset or needed to take lower dose drug to control than ever,Of 386 cases with strabismus,132(34.2%)had improved.Of 73 cases with sialorrhea,49(67.1%)had improved,21(28.8%)had found sialorrhea disappeararnce.Of 456 cases with dysarthria.72(15.8%)had improved.Conclusion Selective Posterior rhizotomy has curative effect on combined symptoms in some of patients with cerebral plasy.
Objective To study the effect of total body irradiation on the quantity and activity of P65,TNF-α and IL-1 in irradiated rat wounds.Methods Tumor necrosis factor-α（TNFα）and interlleukin-1(IL-1) in wound fluids were quantified by ELISA and their biological activities were me;asured by L929 cell lysis and thymocyte proliferation,respectively.The expression of P65 protein in wounded tissue was determined by western blotting.Results The biological activities of TNF-α and IL-1 in wound fluid decreased significantly after irradiation,while their quantities in wound fluids did not decrease significantly.The expression of P65 protein in wounded tissue also did not decrease obviously after irradiation.Conclusion These results suggestted that total body irradiation may inhibit the biological activities of TNF-α,IL-1 and nuclear factor-B,there may exist negative factors to disturb the protein functions in wound environments.
Background:Contracture deformity of scar in late stage of extensive deep burn often neded repeated surgical platics and no fitful auto-skin of lacking were the common problems in clinic.Objective:To explore the effects of microskin graft on contracture deformity of scar after extensive deep burn.Unit:150th Hospital of PLA.Subjects:7 cases,23 locations of contracutre of scar were investigated including 3 males and 4 females,aged 14-46(mean:30)years old.Burn area was 76%-96% TBSA,with deep second degress over 65% and third degree over 90%. Operation regions:neck region,3 locatons,auxillary region,6 locations,elbow region,5 locations.wrist region,2 locations,popliteal fossa region,7 locations.Surgical opportunity:5 months-3 years after healing of wound surface.Source of heterogenous skin:Preserved with liquid nitrogen ,1 case:Fresh heterogenous skin,2 cases;From directly-related families,4 cases.Intervention:Adhesion was relaxed completely from contracture region to deep fascia at articular regions of limbs to achieve maximal degree of flexing and extending with no tension at edges of incision.If contracture of muscle and tendon affecting extending of joints was observed,muscle tendon might be pro longed.Exposing muscle tendon,nerve,vessels might be covered with peripheral tissues.Scars at neck,auxillary region must be removed or relaxed completely to restore function to normal or near to normal.Hemostasis must be complete.According to the ration of areas of providing and accepted skin,1 tp 6-8,intermediate thickness auto-skin was incised with rolling dermatome and clipped into 1 mm^2 of microskin that was sprinkled evenly on fitfully clipped heteropenous dermis.Heterogenous skin with mincroskin was grafted on wound surface,sutured,fixed and bandaged compressively with thick dressing.Neck,madnible,and auxillary region were bandaged with packaged and compressively and fixed with plaster support.After healing of graft wound surface,locak region must be compressed with elastic cover for 6-8 months and function exercises were taken to prevent hypertrophy of scar and second contracture.Resulty:Dressings were changed 7-8 days after operation,auto-skin was observed good,black blotch appeared in part of au toskin at about 3 weeks,fused into flat and sepaated.Auto-skin existed for a longer time and separated successively until wound surface was covereb by microskin in 16 locations,residual wound surface after heterogenous skin seperated in 7 locations healed after dressing was changed.After 1-3 years of follow-up,grafted skin was neat with mild scar,smooth surface and articular moving function and apperance were satisfying thwat was familiar to the effects of free lafge skin graft.Conclusiong:Microskin graft on deformity of joint and functional part was an effective method.
Background:According to small scale of investigation,world health organization(WHO)infers thwat moderate and serious pain is observed in about 1/3 of patients receiving active anti-cancer therapy and 60% in late stage.Cancer-related pain is a threat to patients‘ living quality and confidence,so rehabilition becomes an important part in treatment of cancer.Objective:To observe effect of pharmaologic therapy in management of cancer-related pain.Unit:Affiliated First Hospital of Dalizn Medical University.Subjects:230 cases of cancer diagnosed by pathological and physiochemical examination and complicated with cancer-reated pain were investigated,including 138 males,92 females aged 8-90(mean:67) years old.Somatic pain,81 cases,visceral pain,133 cases,neural pain,16 cases.All cases were the first time to receive ladders pharmacological therapy.NRS method was adopted and degrees of pain were expressed by nubbers(0-10) with 0 expressing painless,10 expressing sever pain.Grading of pain:0:no pain;1-3:minor pain;4-6:moderate(sleep was affected);7-10;severe pain(unable to sleep).Intervention:Different ladders of therapy were taken according to different pain graded.First ladder:suitable to minor and part of moderate grade of pain,non-opium drugs,Fenbid was used.Second ladder:suitable to moderate pain and minor opium was adopted codein/Ap-237.In treatment courses,if pain didn‘t alleviated completely,dosage was added or ladder was in creased.Third ladder:suitable to severe pain or cases not effective by second ladder ,,major opium was used,morphine or fentanyl, dosage of former,60-300mg/d,dosage of later,2.5-5.0mg/72h,dosage was modified according to 30%-50% of former dosage,until obvious effect was achieved.Strict drug-taking time was obeyed.When using fentanyl,if effect wasn‘t satisfying at 2th,3th day,morphine was supplied,dosage of fentanyl was modified by 24h total amount of morphine.Administration way:oral,anal were first choices and muscle injection of morphine was used when ecessary.Result:Alleviatin condition:Minor:before therapy,40 cases,after therapy,2 cases,alleviation rate.95.0%;Moderate before therapy,92 cases ,after therapy,26 cases,alleviation rate,71.7;Severe:before therapy,98 cases,after therapy,19 cases,alleviation rate,80.6% Conclusion:Ladders pharmacologic therapy was and effective method in treatment of cancer-related pain.
Background:The aim of treatment of mastocarcinouma is to lengthen the lifetime of the patients,and improve their quality of life.Function training is very important in postoperative rehabilitation treatment for the mastocarcinoma patients.The degree than functions recover shows direct proportion to the rehabilitation training.Objective:To study the therapeutic effect of rehabilitation training after operation of mastocarcinoma.Unit:First Affiliated Hospital of Fujian Medical University. Subjects:All 58 cades were married females,with 4 cases aging 2-30 years,18 cases 31-40 years.25 cases 40-50 years,11 cases 50-78 years.In order to follow up the recovery degree of the upper limb function of the mastocarcinoma patients before and after operation,all the subjects were photographed by X-ray(LORAD-MIV type,the U.S.A.).in axis and oblique position,and in psoition of small angle or lateral psoition or amplified photograph when necessary.All the 58 cases were treated with operations including 10 cases of halsted,18 cases of improved radical operation I.12 cases of improved radical operation Ⅱ，4 cases of halsted plus cervical lymphadenectomy,14 cases of extensive resection of the tumor plus axillary lymphademectomy with the mammary maintained.Intervention:The patients were told to do motion exercises of the forearms and the elbows and exercises of making a fist both for 5-10 times once and repeat for 5-6 times with equal intervals one or two days after operation.On the 3rd day on the patients were told to lift the hand of the operational side up to the same level of the head by the hadn of healthy side,3 times once,3-4times a day.On the 4th day,the healthy hand grasped the thumb of the attacked hand and lift it up with the attacked arm in an extension state,3 times once,3-4 times a day.On the 5th day,the healthy hand supported the elbow of the attacked arm and lifted it up slowly till it was higher than the head with the attacked arm extending as straight as possible,2 times once,3-4 times a day.On the 6th day,the finger tips of the attacked side slid upward along the wall,and the height was gradually increased,2 times once,for 3-4 times.On the 7-8days,abduction of the subulder was performed.On the 9 th day,rotation of the shoulder was per formed.On the 10th,rope drawing movement was performed com bining the upmentioned exercises.On the 14th,the patients could have exercises,in groups.In order to obtain satisfied effect,each must performed the exercises according to the operation and postoperative time of her own.The functions of up-lifting,abduction,adduction,intorsion,and extorsion were detected and recorded for 3 times i.e.before operation,the 8t day after operation,and before discharge.Result:After functional exercieses,reexamination(1-2 months later)showed that 33 of the 38 patients(86%)had the same functions of up-lifting,abduction,supination,and pronation as that before operation or of the healthy side.5 cases had less extorsion of 20-30 degrees,counted for 9%.2 cases had too late movement because of lymph vessel injury during operation and the edema persisted for 3 years.Conclusion:The new concept of early carcinoma must be set up,susceptible factors and the knowledge of mamman hygiene must be grasped in order to prevent mastocarcinoma and improve the quality of the patients‘ life.The patients‘ limb function exercises should be guided corectly.