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  • Cnstruction of a eukaryote expression vector containing bone morphogenetic protein-2 mature petptide by SOE-PCR method 下载全文
  • 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.
  • Influence of fibrin sealant on osteoinductive ability of inject-type bone morphogenetic protein 下载全文
  • 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.
  • Function exercises after artificial total hip replacement 下载全文
  • 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.
  • Approach in anterio with posterior to curettage and local puring chemotherapy with radiotherapy to treatment elevation sacral tumors 下载全文
  • 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.
  • Rehabilitation nurse after temporomandibular arthroplasty 下载全文
  • 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.
  • Treatment of dislocation of distal radioulnar articulation by reconstruction of ulnar collateral ligament from pediculated partial ulnar flexor tendon of wrist 下载全文
  • 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.
  • Rehabilitation instruction to families of patients with traumatic fracture 下载全文
  • 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.
  • Clinical effect of hyperbaric mixed oxygen after replantation of severed finger 下载全文
  • 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.
  • Etiologic investigation and postoperative instruction of 75 cases of avulsion of scalp 下载全文
  • Complex treatment of 87 cases of muscle tendon adhesion after replantation of severed fingers 下载全文
  • 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.
  • Mvement training of shoulder after radical clearance of cervical lymph nodes on malignant tumor of maxillofacial region 下载全文
  • 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.
  • Acupuncture and moxibustion combined with Chinese herbs on 18 cases of calcaneodynia 下载全文
  • 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.
  • Postoperative depression analysis and nursing in breast cancer 下载全文
  • 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.
  • 现代截肢观念及现代截肢术后康复 下载全文
  • 截肢康复是指从截肢手术到术后处理,康复训练,临时与正式假肢的安装和使用,直到重返家庭与社会的全过程。文章重点论述了截肢部位的选择,现代截肢手术的改进,儿童截肢的特点,大腿截肢手术特点以及影响假肢穿载的非理想残肢的康复。
  • 下肢永久性假肢装配后的功能训练和步态分析 下载全文
  • 下肢永久性假肢装配后,步态训练是最重要的。在实际训练中,患者穿戴下肢永久性假肢的步行模式应该尽可能接近于正常人的步行模式。文章着重讨论了下肢永久性假肢装配后的功能训练和步态分析方法。以期在临床工作中更好的发挥假肢的替代功能。
  • 截肢术后的康复医疗特点 下载全文
  • 截肢后安装假肢是重建肢体功能的重要手段,及时正确的康复训练有助于充分发挥假肢的代偿作用,让患者尽早回归社会。文章就截肢康复的重要性,我国截肢康复的现状,现代截肢康复的特点及主要方法等作一综述。
  • 穿戴临时假肢训练 下载全文
  • 文章概述了下肢截肢后临时假肢的使用,主要包括穿戴临时假肢的方法训练,站立位平衡训练,迈步训练和步行训练,并对使用临时假肢的重要性,具体的训练方法和训练中容易出现的问题加以总结。
  • 假肢穿戴后的适合性检查 下载全文
  • 假肢装配是个非常复杂的人-机-环境相结合的过程。截肢者需要终生使用假肢。假肢装配后,穿载在截肢得身上进行了反复的适合检查,修修改,调整是保证假肢装配质量,尽量减少长期使用假肢引起并发症的重要方法。假肢适合检查分为初检,终检两个阶段。初检的假肢是初步组装的半成品,便于修改,调整,应当反复检查,反复修改。终检的假肢是已完成的产品。文章介绍了小腿假肢,大腿假肢适合检查的主要内容,检查方法,基本要求和常见问题。
  • 清华大学康复工程研究20年 下载全文
  • 乳腺癌术后患者人格与生存质量的相关分析 下载全文
  • 目的 探讨大连市乳腺癌患者放疗期间人格与生存质量的相关性。方法 采用已经过检查的美国希望城(hope city)医学研究中心编制的《乳腺癌患者生活质量评定量表》和艾森克人格量表(EPQ)。于2001年3-12月对正在大连市综合医院和肿瘤专科医院放射治疗的71例女性乳腺癌根治术后的患者进行问卷调查。统计学方法采用单因素相关分析。结果 乳腺癌患者在放疗前,中,后人格分值与生存质量分值呈正相关。在放疗前,中,后人格的N因子与生存质量的躯体,心理,社会因子呈正相关;放疗前,中P因子与生存质量的精神因子呈正相关,放疗后与躯体因子呈正相关:L因子在放疗前,后与精神因子呈负相关。结论 乳腺癌患者人格与生存质量之间存在密切的关系,而相关的主要因素是N因子(神经质),其次是P因子(精神质)和L因子(掩饰);与E因子(内外向)无关。
  • 集体支持下的乳腺癌患者生存质量及影响因素的分析 下载全文
  • 目的 探讨对集体支持下的乳腺癌患者生存质量的影响因素。方法 通过乳腺癌患者调查,选择74例受试者分为两组:实验组(集体支持组)为连续参加抗癌乐园活动半年以上的乳腺癌患者38例;对照组为经医院治疗后回家半年到一年面未参加抗癌乐园活动的乳腺癌患者36例。结果 参加集体支持活动的乳腺癌患者的生存质量明显好于未参加者,且人格因素,文化程度对患者的生存质量有显著的影响。结论 积极参加集体支持活动有助于提高乳腺癌患者的生存质量,而患者的文化程度较低,情绪不稳定,焦虑,仰郁,易怒的程度越重,患者的生存质量越差。
  • 学前聋儿康复实践中全纳性教育策略的研究 下载全文
  • 目的 揭示在学前聋儿康复领域开展和实施“全纳性教育”的可能与应注意的问题。方法 比较分析在训五六岁20例聋儿分组实施不同教育策略后的有关能力发展的变异系数。结果 实验组聋儿多数能力发展的变异系烽指标回落到20%以下水平。结论 (1)全纳性教育策略较传育策略效果明显,但需要个别化教育技术作为支持,才可能取得最佳的康复效果。(2)全纳性教育思想是一个双赢策略,同样可以促进参与对口活动的正常儿童的社会性能力的发展。
  • 水浴和药浴对骨退行性关节炎疗效及其作用机制 下载全文
  • 目的 研究水浴和药浴对骨退行性变关节炎的治疗效果及其作用机制。方法 制作兔膝关节退行性变模型,用水浴和和药浴方法对其进行治疗,观察疗效。用免疫组化学方法对膝关节软组织中血管的血管内皮细胞在子和增殖性细胞核抗原的表达进行研究。结果 水浴和药浴对膝关节病匀有明显的疗效,有效率均为100%,但药浴疗效更显著。用两种方法治疗后,虽然膝关节软组织中血管内皮细胞生长因子和增殖性细胞核抗原表达均明显增强,但药浴后阳性细胞率高于水浴。结论 水浴和药浴对骨关节退行性变均有疗效,但药浴疗效更强。两种疗法可能引起相关基因的调节增强。
  • 低能量氦—氖激光对周围神经再生的运动神经传导速度研究 下载全文
  • 目的 该研究通过对兔腓总神经传导速度等多项目的观察,探索低能量氦-氖激光对周围神经再生的影响。方法 用44只体重2.5kg左右的家兔随机分为4,8,12及16周4个观察组,照射组各用兔6只,对照组各用5只。麻醉后,均切断左侧腓总神经,用9/0尼龙单丝对端吻合神经外膜。照射组在术后1天开始用8318-B型低能量氖-拟激光仪经皮肤照射L5-6脊髓节段,每天照射15min,共照射14d。对照组不照射,均按期观察。结果 术后4周,可在照射看到细小而稀少的再生轴突,对照组术到术后8周才能看到(P<0.01)。照射组的腓总神经运动神经传导速度均优于对照组(P<0.01),支作电位波幅照射组也优于对照组。胫前肌肌纤维横纹,照射组16周时很清楚,对照组不甚清楚。展趾功能到术后16周时,照射组与健侧相同,对照组才恢复到照射组12周的水平。结果 低能量氦-氖激光促进了脊髓运动神经细胞功能,加速了轴突再生,促进了修复后肢体功能的恢复。
  • 组织工程化骨修复材料的弹性模量测定及其临床意义 下载全文
  • 目的 对组织工程化骨形成蛋白-脱钙骨基质颗粒-骨水泥复合材料进行弹性模量测定并探讨其临床意义。方法 提取牛骨形成蛋白(bBMP)并进行成骨诱导活性测定,制备人的异体脱钙骨基质颗粒(DBM),将bBMP与DBM以1:25质量比复合后,再与骨水尼(BC)按):10,4:6,5:5,6:4和7.5:2.5的质量比进行复合,对所得的骨形成-脱钙骨基质颗粒-骨水泥复合材料进行弹性模量测定,并与正常人成国性的股骨,股骨下端松质骨的弹性模量相比较。结果 对测定结果进行统计学分析,含bBMP-DBM复合物75%的复合材料和弹性模量与正常成年男性股骨下端松质骨的弹性模量差异无显著性意义,P<0.01,其余各组两两比较均差异有显著性意义,P>0.01。结论 含bBMP-DBM复合物75%的复合材料与成年男性股骨下端松质骨的弹性模量相接近,用其修复靠近关节面附近骨缺损可有效的防止关节的退行性变。
  • 低强度超声促进骨折愈合的实验研究 下载全文
  • 目的 观察低强度超声对骨折愈合的影响。方法 手术造成32只新西兰大白兔双侧桡骨中段3mm标准骨缺损,随机分成两组进行研究。治疗组对其骨折部位施以低强度超声治疗,对照组不加任何治疗。术后第2,4,6,8周进行X线摄片及组织病理学对比观察。结果 实验组的X线摄片,组织学观察显示骨折修复优于对照组。结论 低强度超声能够刺激骨痂形成,促进骨折愈合可望成为一种非手术治疗骨不连和骨折延迟愈合的新方法。
  • 骨髓基质细胞的成骨分化 下载全文
  • 目的 观察兔骨髓基质2细胞的生长特点及诱导条件下的成骨能力。方法 使用密度梯度离心分离兔骨髓基质细胞进行培养,保留贴壁细胞传代,观察在培养液中添加地塞米松,维生素C,β-甘油磷酸钠条件下骨髓基质细胞生长及成骨分化情况。结果 骨髓基质细胞呈成纤维细胞增表现,增殖能力强。诱导条件下第2代细胞的碱性磷酸酶活性明显增高,10-12d达到最高峰,并且出现矿化结节。结论 使用本实验方法,获得的骨髓基质细胞可作为骨组织工程的种子细胞。
  • β—磷酸三钙/聚乳酸叠层复合骨组织工程支架的制备、性能及其应用评价 下载全文
  • 目的 进行β-磷酸三钙/聚乳酸叠层复合支架的应用评价。方法 在体外37℃生理盐水中降解过程中,观察该材料的重量,力学强度,聚乳酸分子量,材料周围环境的pH值,Ca^2+浓度等参数随时间的变化情况,以及将该支架材料和骨髓基质细胞复合后,植入中国青山羊胫骨段缺损处进行修复实验。结果 对修复效果进行观察,发现其成骨能力较强。结论 此种材料在骨组织工程领域有一定的应用前景。
  • 腰椎滑脱患者关节突关节形态的评价 下载全文
  • 目的 文章探讨关节突关节形态对腰椎滑脱的影响。方法 L4-5节段退变性滑脱25例(均年龄55岁),后滑脱12例(均年龄53岁)和峡部裂滑脱11例(均年龄44岁)与32例(均年龄47岁)正常人进行对照检查,CT轴向扫描关节突关节,测量L3-4,L-4,5L5-S1关节突关节角度,关节宽度,的深度和关节面形态。结果 由上向下关节角度逐步从矢状向冠状转化。在L4-5节段退变性滑脱患者关节角度方向与对照组相比明显偏向矢状(P<0.01),退变性滑脱组和后滑脱组的关节宽度均大于对照组(P<0.01),退变性滑脱组的关节面深度比有显著差异,峡部裂滑脱组的唯一差异是关节宽度显著减少(P<0.01)。结论 结果提示关节突变状排列可能是生长过程中形成的,某些患者发生腰椎退变性时可能会出现滑脱。
  • 人重组骨形成蛋白—2对骨髓成骨细胞增睡碱性磷酸酶活性的影响 下载全文
  • 目的 探讨人重组骨形成蛋白-2(rhBMP-2)对人骨髓成骨细胞增殖和分化的影响以及剂量效应关系。方法 以改良方法培养的骨髓成骨2细胞为作用底物,加入梯度浓度的rhBMP-2溶液,应用MTT法和碱性磷酸酶(ALP)染色法检测其对细胞增殖和ALP活性的影响。结果 rhBMP-2浓度低于1μg/ml时对人骨髓成骨细胞的增殖无明显影响,高于此浓度时有细胞的增殖有明显的促进作用,但无显著的剂量效应关系。从0.1-10μg/ml,ALP与rhBMP-2具有剂量依赖性促进关系,rhBMP-2浓度为10μg/ml时,其ALP活性是对照组的4倍,在高于10μg/ml时ALP活性没有进一步显著提高。结论 rhBMP-2对骨髓成骨2细胞的增殖的碱性磷酸酶活性人有促进作用,其最佳效应浓度为10μg/ml。
  • 肱骨骨折的三维有限元分析与内固定植入物的选择 下载全文
  • 目的 探讨三维建模及有限元分析对肱骨骨折治疗的临床意义,为肱骨骨折治疗轴向加载提供一定理论依据。方法 以肱骨横截面CT图像为基础,建立肱骨模型,利用ANSYS5.6软件进行计算,选取三维十结点四面体单元,共划分2729个结点,49041个单元,分析骨折断面轴线成30°,45°,90°及X,Y,Z3方向固定时肱骨轴向受压的应力分布及大小。结果 肱骨断面与非断面处应力差异较大,断面处应力较集中,且以断面为中心呈非严格对称分布,应力较大区域分布在距骨折部位10mm左右,是其它应力区的两三倍。结论 肱骨骨折治疗中应视不同情况估算所需载荷大小以选择合适内固定植入物。
  • 不同培养条件及相同对黑素细胞生物学特性的影响 下载全文
  • 目的 观察不同培养条件及时相对体外培养的正常人黑素细胞生物学特性的影响。方法 分离正常成人包皮黑素细胞,分别在添加有碱性成纤维细胞生长因子(bFGF)和霍乱霉素(CT)的RPMI 1640培养基及角质形成细胞条件培养基中培养。培养的细胞用L-Dopa染色及S-100蛋白染色鉴定。观察其形态,增殖特性。结果 培养细胞经生物学鉴定为黑素细胞。原代培养及条件培养基传代培养中黑素细胞有多个突起,而bFGF/CT培养基中传代培养时黑素细胞多呈梭形。两种培养条件下黑素细胞增殖特性无明显区别。结论 两种方法均可稳定获得黑素细胞的体生纯培养,角质形成细胞可通过细胞间接触及分泌细胞外因子影响黑素细胞的树突形成。
  • 不同年龄增生性瘢痕转化生长因子β1表达的检测及其意义 下载全文
  • 目的 通过观察不同年龄增生性瘢痕与正常皮肤组织中转化生长因子β1(TGF-β1)的表达初步探讨TGF-β1的表达与增生性瘢痕形成的年龄因素的关系。方法 以增生性瘢为对象,正常皮肤组织为对照,采用SABC免疫组化方法观察1-19岁,20-50岁增生性瘢痕与各年龄组正常皮肤的细胞因子TGF-β1的表达。结果 增生性瘢痕组织的TGF-β1含量显著大于正常皮肤。1-19岁增生性瘢痕组TGF-β1表达较20-50岁增生性瘢痕组的增高差异有显著性意义(P<0.01)。胎儿皮肤TGF-β1表达低于正常皮肤(P<0.01)。结论 TGF-β1表达增高是增生性瘢痕形成的原因之一。
  • 正常皮肤和瘢痕组织表皮干细胞定位与增殖分化特征的比较性研究 下载全文
  • 目的 采研究少儿与成年人大面积重度烧伤后瘢痕组织表皮干细胞分布与表达β1整合素和角蛋白19,14,10(K19,K14,K10)的特征与规律,方法 分别取4-12岁少儿及4-12岁少儿及35-53岁成年人2组健康皮肤及大面积深度烧伤后瘢痕组织,采用免疫组织化学SP检测表皮干细胞,短暂扩充细胞特异表达的β1整合素和K19以及分化表皮细胞表达的K14和K10。结果 瘢痕组织表以基底层表达β1整合素与K19的阳性细胞数较健康皮肤明显减少,阳性强度降低。瘢痕组织表皮中表达K14的阳性细胞仅位于表皮底部二三层,明显少于健康皮肤,而K10表达阳性细胞则较健康皮肤分布广泛。结论 瘢痕组织表皮的增殖能力下降,细胞的分化行为紊乱,这可能是瘢痕组织表皮结构与功能改变,愈合能力下降的原因之一。
  • 瘢痕疙瘩及周围皮肤成纤维细胞生长差异的生物学研究 下载全文
  • 目的 探讨正常皮肤,增生性瘢痕,瘢痕疙瘩周边部和中央部及瘢痕疙瘩周围皮肤(距瘢痕疙瘩边缘0.5cm范围内)的成纤维细胞呈现不同生物学性状的细胞生物学机理。方法 取手术切除的正常皮肤,增生性瘢痕和瘢痕疙瘩组织及周围皮肤各6例为标本,通过细胞培养6-10代后,应用流式细胞仪不同来源的成纤维细胞细胞周期的分布,同时比较它们在无血清培养条件下和在不同浓度FasMcAb作用下的细胞凋亡率。MTT比色法比较其细胞增殖活性。结果 正常皮肤成纤维细胞增殖及凋亡正常。增生性瘢痕增殖活跃且细胞凋亡状况不良,瘢痕疙瘩中央部成纤维细胞处于低增殖-不凋亡状况,瘢痕疙瘩周边部成纤维细胞处于高增殖-无凋亡状况;瘢痕疙瘩周围正常皮肤大量细胞也处于高增殖及低凋亡状况。结论 病理性瘢痕成纤维细胞增殖凋亡状况的异常可能是导致其不同生长特性的细胞生物学机理之一。
  • 端粒酶催化亚单位基因转染对人胚胎成纤维细胞表型及寿命的影响 下载全文
  • 目的 探讨外源性人端粒酶蛋白催化亚单位(hTERT)基因转染对人胚胎成纤维(hEFs)寿命的影响以及基因转染后细胞是否存在恶性表型。方法 应用脂质体法将pIRES2-EGFP-hTERT正义重组质粒及pIRES2-EGFP空载质粒分别导入原代培养hEFs,Western blot检测hTERT蛋白及I,Ⅲ 原表达。染色体核,裸鼠皮下致瘤性实验,DNA倍体实验以及形态学观察分析转染细胞是否存在恶性表型。结果 外源性hTERT基因转染的胚胎成纤维细胞hTERT蛋白格I,Ⅲ型胶原表达增加,体外传代次数增加,传至75供仍保持以2d的倍增周期生长,并且染以体仍为23对,均为正常二倍体细胞;裸鼠皮下不具有成瘤的能力;而hEFs和空载转染细胞传至60代左右平均五六天传代1次,出现生长停滞现象。结论 外源性hTERT基因转染使胎儿成纤维2细胞增殖旺,成因延长,且不具有恶性表现。
  • 深Ⅱ度烫伤大鼠创面血管内皮细胞增殖与凋亡的变化在创伤修复中的作用 下载全文
  • 目的 观察大鼠深Ⅱ度烫伤创面愈合过程中创基微小血管内皮细胞增殖与凋亡的特征,探讨血管的形成与退缩在创伤修复中的作用。方法 利用大鼠5%深Ⅱ度烫伤模型,将72只Wistar大鼠随机分为正常对照和单纯烫伤两组。于伤后0.5,1,3,7,14d和21d采集创面皮肤标本,行HE染色,并用免疫组织化学技术检测创面组织真皮中血管内皮细胞PCNA和TUNEL的表达变化规律。结果:深Ⅱ度烫伤的大鼠伤后3d,伤区出现少量的肉芽组织,7d时肉芽组织已充满伤区,再上皮化速率为30%,14d的再上皮化率达70%,至21d,伤口完全闭合,真皮内小血管的数量减少。大鼠烫伤后3d,伤区基底的真皮组织内出现PCNA阳性的血管内皮细胞,随后阳性表达逐渐增多,14d时达到高峰。至伤后21d,PCNA的阳性表达略有下降。而创伤愈合初期罕见TUNEL阳性的细胞,21d时,TUNEL标记阳性的细胞显著增多。结论 烫伤大鼠创面中血管内皮细胞的增殖与凋亡活动与创面的愈合进程有密切的关系。血管形成与 退缩在时序上的协调变化是组织正常修复的重要步骤。
  • 复合壳多糖人工皮肤生物学功能初步研究 下载全文
  • 目的 研制一种新型的胶原凝胶类人工皮肤。方法 制备壳多糖-胶原-糖胺聚糖(GAGs)-成纤维2细胞真皮替代物(DE),观察成纤维细胞(FB)在凝胶中的生长情况。研究不同含量壳多糖对FB和角质形成细胞(KC)生长的影响,不同含量壳多糖DE的抗感染能力以及DE裸鼠全层皮肤缺失移植试验,组织学研究其重建情况。随后在DE表面接种KC,先浸没培养,再气液界面培养,构建完善的人工皮肤。对DE和人工皮肤行组织学和电镜分析。结果 FB在凝胶中2-9d呈指数增生。DE基质配方对FB的生长无抑制作用,但可促进KC的生长,对金黄色葡萄球菌的抑制作用随壳多糖含量增大而增强。DE移植后支持早期真皮重建和血管化。扫描电镜示DE有丰富的微孔结构。结论 复合壳多糖人工皮肤是生物相容性好,有一定抗感染能力的新型胶原凝胶类活人工皮肤。
  • 苯经呼吸道吸入对大鼠胚胎的致畸毒性 下载全文
  • 目的 探讨经呼吸道吸入苯,对大鼠胚胎是否有致畸作用及其剂量效应。方法 孕鼠随机分组后采用静式吸入染毒柜(500L),于妊娠第5-16天(胎鼠器官形成期)每剂量组分别每日以下不同浓度染毒1次,90min/次,妊娠第20天处死母鼠,剖腹观察对胚胎的影响程度。结果 经呼吸道吸入一定量的苯(浓度15mg/m^3,90min/次,1次/d)对大鼠胚胎发育有明显影响,与对照组比较差异有显著性意义。结论 苯经呼吸道吸入对大鼠胚胎有致畸作用。
  • 针刺对偏头痛大鼠脑内降钙素基因相关肽基因表达的影响 下载全文
  • 目的 探讨偏头痛大鼠脑内降钙素基因相关肽(CGRP)的表达强度及针刺对CGRP基因表达的调控机制及针刺防治偏头痛的作用机制。方法 参照Knyihar-Csillik方法复制大鼠偏头痛模型,将动物随机分成正常对照组,模型对照组,针刺预防组和针刺治疗组,每组10只,采用放射免疫分析法测定CGRP浓度;采用RT-PCR法测定CGRP mRNA表达。结果 颈静脉血CGRP含量;正常大鼠保持低水平恒定量,模型对照组大鼠CGRP含量显著升高(P<0.01),针刺预防组及针刺治疗组与正常大鼠相近,但与模型对照组比较,显著降低(P<0.01);脑干及三叉神经节CGRP mRNA的表达变化;正常对照组表达在较低水平,模型对照组表达显著增强(P<0.01),针刺治疗组及针刺预防组与模型对照组比较,表达显著减弱(P<0.01)。结论 实验性偏头痛大鼠脑内CGRP的过度表达,可能是偏头痛发作的分子机制之一,针刺调控CGRP mRNA表达可能是针刺防治偏头痛的机制之一。
  • 成年大鼠同源盒基因Lhx4在外周和中枢神经损伤 下载全文
  • 目的:揭示作为发育基因之一的LIM同源盒基因是否参与调控成年动物神经损伤修复过程。方法 利用坐骨神经夹伤的外周神经损伤模型,采用RT-PCR结合HPLC方法,比较分析外周和中枢神经损伤后Lhx4同源盒基因的表达变化规律。结果 成年大鼠在外周和中枢神经损伤后Lhx4的mRNA表达量均有改变,坐骨神经夹伤3,7d后,损伤侧脊髓运动神经元Lhx4mRNA表达量比对照侧明显增高;而脊髓半横断后损伤对侧的大脑皮层运动区中Lhx4mRNA的表达量即刻便发生改变,较对照侧有明显增高,且在脊髓损伤14d时仍可被检测。结论 LIM同源盒基因家族中的Lhx4基因可能与成年动物外周和中枢运动神经元的损伤修复有关。
  • 采用Guo绳肌肌腱和微型钢板纽扣重建后十字韧带后的康复训练 下载全文
  • 目的 介绍采用Guo绳肌肌腱和微型钢板纽扣重建后十字韧带后的康复训练方法,总结其近期效果。方法 对21例采用Guo绳肌肌腱和微型钢板纽扣进行重建的单纯后十字韧带损伤的患者,进行1年以上系统的康复指导。术前Lysholm膝关节功能评分为85.65±2.78(n=18)。结果 术后3个月,膝关节屈膝活动度均大于120°。术后1年,患肢的股四头肌-Guo绳肌峰力矩比超过正常侧的90%;屈膝70°时后抽屉试验I度阳性2例,其余均为阴性,胫骨结节I度固定后后坠1例;屈膝30°时后抽屉试验I度阳性6例,其余为阴性;95.83%的患者都能够恢复正常步态,Lysholm膝关节功能评分为90.7±2.3。术后与术前评分相比差异有非常显著性意义(P<0.01)。结论 对于单纯后十字韧带损伤,在采用Guo绳肌肌腱和微型钢板纽扣进行重建后,采用该方法进行康复训练是实可行有效的。
  • 小儿神经源性尿失禁的外科治疗与康复训练 下载全文
  • 目的 探讨小儿神经源性尿失禁的治疗方法及康复训练方法。方法 对4-14岁206例神经源性尿失禁患儿,在改良的髂腰肌加强盆底肌,回肠去黏膜带血管蒂浆肌层补片加强膀胱逼尿肌的基础上行膀胱扩大和膀胱包裹术进行治疗。术后3周开始进行长期康复功能。训练。结果 术后随访半年至7年,尿控制明显改善183例,术后经过训练又有改善23例。结论 此方法是治疗小儿神经源性尿失禁的较好方法,康复功能训练也是治疗的重要措施。
  • 脑性瘫痪患儿周围神经损伤的电生理改变 下载全文
  • 颅内电极监测癫痫发作初始期脑电定位意义 下载全文
  • 目的 探讨颅内电极监测癫痫发作初始期脑电对致痫灶的定位价值。方法 14例难治性癫痫患者,其临床,影像学检查及头皮脑电记录等不能精确定位致痫灶,经颅骨钻孔,埋置颅内深部和/或皮层电极,长程脑电监测并分析发作初始期脑电的异常放电节律和范围,对比术后病理学检查和随访结果,分析发作初期脑电定位致痫灶的准确性。结果 记录到47次临床发作。发作初期异常放电可分为4种形式;低幅愉节律,尖波节律,高幅棘波节律和棘慢波节律。按异常放电范围可分为:局限性放电,区域性放电和广泛性放电,11例(78.5%),患者准确定位了致痫灶,术后癫痫发作消失(64.3%)或极少发作(14.2%),2例(14.2%)发作减少90%以上,1例(7.1%)术后无改善。结论 颅内埋置电极脑电监测癫痫发作初始期异常放电形式,部位和异常放电范围是定位致痫灶可靠的方法。
  • P300对闭合性颅脑外伤患者脑认知功能康复的评估价值 下载全文
  • 目的 研究P300对闭合性颅脑外伤患者脑认知功能康复的评估价值。方法 应用Medicid-03E脑诱发电位仪测定91例闭合性颅脑外伤患者的视觉(图像)刺激诱发的异常P300波潜伏期(PL)和波幅(AMP),并对其进行比较分析,同时比较不同伤性,伤后不同时间患者的P300波。结果 伤后不同时间P300波的PL和AMP差异有非常显著性意义(P<0.001);后不同伤情的患者不同时间的P300PL和AMP差异均有显著性意义,尤以原发性昏迷者为突出。结论 P300波的变化可作为判断闭合性颅脑外伤患者脑认知功能康复的一项客观指标。
  • 肘管综合征15例肌电图特征分析 下载全文
  • 珍珠层在骨替代材料方面的研究进展 下载全文
  • 寻找和研制理想的骨移植,骨修复替代材料一直是医学生物材料领域的重大课题。珍珠层的理化性质及生物学特性与骨组织非常接近,是一种理想的天然成骨材料。文章综述了珍珠层的一般理化特性,有机质的成分分析,生物相容性,生物降解性,矿化成骨特性及其机理的研究和应用现状。
  • 人类胚胎干细胞的研究现状与趋势 下载全文
  • 胚胎干细胞是来源于早期胚胎内细胞团或原始生殖细胞的一种多潜能性细胞,具有自我更新的多向分化的潜能。胚胎干细胞在临床移植医学,细胞治疗,组织工程,生物学基础研究等领域具有重要的科学意义和巨大的应用前景。
  • 新型天然血管支架:猪胸主动脉脱细胞血管基质的制备 下载全文
  • 目的 研究用酶-化学除垢剂联合法制备猪胸主动脉脱细胞血管。方法 猪的新鲜胸主动脉经消毒后,于离心管中经过胰蛋白酶+EDTA,曲拉通X-100溶液作用后取标本。血管体积与各作用溶液体积比为3:7。标本作苏木素-伊红,弹力纤维染色,大体,光镜及扫描电镜观察。结果 胸主动脉中的细胞成分被除去,留下成分主要包括胶原纤维,弹性蛋白等。结论 酶-化学除垢剂联合法可将猪胸主动脉细胞成分除去。胰蛋白酶,曲拉通X-100是制备血管脱细胞基质(ACTM)的良好试剂。
  • 组织工程皮肤中黑色素细胞的培养纯化 下载全文
  • 目的 探讨如何以简便快速的方法获得大量高纯度的黑色素细胞。方法 以包皮组织作为细胞来源,用消化法获得表皮细胞悬液,用该实验室设计的方法对细胞进行纯化,Dopa染色,S010免疫组化和透射电镜鉴定细胞来源。结果 用该实验室的纯化方法培养的黑色素细胞贴壁快,细胞产量高,未见角朊细胞和成纤维细胞污染。结论 结果表明该实验方法可以快速获得大量高纯的黑色素细胞。
  • 血管内皮细胞与聚羟基丁酯细胞相容性的实验研究 下载全文
  • 目的 评价新型可降解生物材料聚羟基丁酯(PHB)与血管内皮细胞的细胞相容性。方法 采用培养的牛血管内皮细胞接种在PHB膜片及胶原包埋的PHB膜片上,并与PGLA和空白对照作比较,用相差显微镜和扫描电镜观察细胞的粘附和生长情况,并对细胞增殖用MTT法进行测定。结果 牛血管内皮细胞在四个实验组中粘附良好,生长符合其生长曲线,胶原包埋PHB较单纯PHB细胞更易粘附生长,较PGLA略关。结论 牛血管内皮细胞与PHB细胞相容性好,其用胶原包埋可增加细胞亲和性。
  • 结肠压力测量方法介绍 下载全文
  • 消化道测压是广泛使用的评价消化道功能的检查手段,对消化道运动障碍疾病的诊断有较高的价值,是其他检查手段不可替供的。文章从结肠压力信号中提取有效的特征,采用学习矢量量化的方法进行结肠压力信号的识别。学习结果表明,这种方法可以将结肠压力信号分为正常与异常两组,与初始的医疗诊断相符合。这一研究为进一步根据结肠压力信号道各段的动力性能奠定了基础。
  • 升软腭语音辅助器对腭裂患者语音功能恢复的效果 下载全文
  • 皮肤组织工程相关问题的研究 下载全文
  • 皮肤组织工程的核心是建立皮肤细胞和生物材料的三维空间复合体,形成具有生命力的皮肤活体组织,对病损组织进行形态,结构和遥重建修复并达到永久特性。本文就皮肤组织工程中的体外培养皮肤细胞的来源,分离和体外培养的方法进行了综合阐述,对皮肤组织工程中的支架生物材料的研究进行了介绍。
  • 临床康复医学的信息检索途径与方法 下载全文
  • 神经导管在周围神经修复中的临床应用 下载全文
  • 应用神经导管的依据是将导管套接于缺损神经的两端,神经再生即可通过管腔来进行,可以预防神经间隙内神经必纤维组织进入,更重要的是,远侧神经支产生的趋化性和营养性因子能在导管内积聚,营养性因子有助于损伤轴突的存活和生长,趋化性因子则对再生轴突的生长方向有重要影响^[1-2]。
  • 截肢患者术后残肢功能重建与综合康复 下载全文
  • 目的 探讨截肢后残肢功能重建的综合康复治疗效果。方法 通过22例截肢者功能训练,肢体理疗,按摩,中药外敷及再手术原因进行分析探讨。结果 22例截肢患者通过综合康复指导治疗,使残端愈合时间,残端定型,关节功能,穿用假肢后肢体功能等诸方面均有明显提高。结论 采用综合康复治疗,使残肢残而不废,尽量发挥最大功能。
  • 足球运动中踝关节损伤的康复治疗 下载全文
  • 股骨干骨折复位后的训练指导 下载全文
  • 人工髋关节置换手术治疗股骨颈骨折27例 下载全文
  • 螺杆撑开器治疗小儿麻痹后遗膝关节屈曲挛缩 下载全文
  • 肘管综合征的肌电图意义 下载全文
  • 中西医结合疗法提高痉挛型脑性瘫痪患儿术后关节功能的作用 下载全文
  • 家兔脊椎与脊髓磁共振成像方法和表现 下载全文
  • 目的 探讨家兔脊椎与脊髓结构的磁共振成像方法和表现。方法 对17只健康家兔的脊椎与脊髓结构进行磁共振矢状面和横断面检查,并总结分析其成像方法和表现。结果 17只家兔在全麻下采用高场MRI扫描仪,头线圈,薄层扫描,成功完成脊椎与脊髓结构的磁共振检查,选用体重≥2.0kg的家兔和采用仰卧体位有利于脊椎与脊髓结构的显示。结论 应用磁共振成像检查家兔的脊椎与脊髓结构是一种有效可行的方法,今后可用来研究家兔脊柱与脊髓病变。
  • 脊髓横断损伤后局部灌注地塞米松对中枢神经系统胶质细胞增殖与神经细胞轴突的影响 下载全文
  • 目的 研究局部使用类固醇激素对损伤后中枢神经系统胶质细胞增殖和神经轴突变性坏死的影响。方法 成年Wistar大鼠18只全部切断T10脊髓,6只横断间隙灌注地塞米松(DXM)为实验组,6只腹腔内注射DXM为全身用药组,另6只脊髓横断间隙灌注生理盐水为对照组。存活鼠5d后灌注固定取材石腊切片。选用神经中丝抗体(anti-neurofiblament,NF)和胶质纤维酸性蛋白抗体(anti-gliaifibriallary acidic protein GFAP)对损伤脊髓的轴突和胶质细胞进行,用图象分析系统分析实验结果并进行分组统计原理。结果 实验组在损伤的脊髓残端GFAP阳性表达下调,而NF阳性表达上调,对照组结果相反,阳性面积均值实验组与对照组相比差异有显著性意义(P<0.01);实验组,腹腔注射组NF阳性表达上调且二者出现差异有显著性意义(P<0.01);实验组,腹腔注射组GFAP表达差异有显著性意义,腹腔注射组与空白对照组GFAP表达结果比较差异也有显著性意义。结论 脊髓损伤局部灌注与全身使用DXM相比可以有效地抑制胶质2细胞增殖,保护神经细胞损伤后的变性坏死。
  • 颈椎病与脊髓空洞症 下载全文
  • 目的 探讨颈椎病与脊髓空洞症并存时二者之间的关系。方法 回顾分析目前相关文献。结果 颈椎商与脊髓空洞症并存时二者之间的关系有不同的观点。结论 颈椎病与脊髓空洞症的相关性仍不清楚,但已引起高度注意。椎管的突出物对脊髓长期压迫是否导致空洞形成,而空洞的临床意义如何等,是仍需进一步观察和探索的问题。
  • 硬膜外注射治疗腰椎间盘突出症的诱发电位研究 下载全文
  • 目的 观察硬膜外注射对腰椎间盘突出症的疗效,探讨体感诱发电位(SEP)在病情及疗效评估中的作用。方法 将52例腰椎间盘突出患者随机分为硬膜外注射组26例和常规治疗组26例,治疗前及治疗1个月后行下肢SEP检查瘩对症,体征进行临床评定,对照分析硬膜外注射的疗效及对神经电生理的影响。结果 硬膜外注射组疗效显著,优良率为88.4%,治疗前SEP异常率为73.1%,SEP异常主要表现为:潜伏期延长及神经传导速度减慢。硬膜外注射治疗可改善马尾电位的潜伏期及神经传导速度,较常规治疗方法差异有显著性意义(P<0.05)。结论 硬2膜外注射对腰椎间盘突出症有较好的临床疗效,SEP可作为腰椎间盘突出症病情及疗效评定的指标。
  • 中药止眩灵对大鼠离体动脉的舒张作用及血液流变学的影响 下载全文
  • 目的 探讨椎动脉型颈椎病的发病机制及中药止眩灵对大鼠离动脉的舒张作用及血液流变学的影响。方法 取SD大鼠50随机分为高浓度组,中浓度组,低浓度组,西比灵对照组。空白组各式10只,观察其血液流血的改变情况;取雄性大鼠20只开胸取主动脉制成长约3-5mm的胸主动脉环,加入不同能浓度的止眩灵观察其舒张作用。结果 不同浓度的止眩灵对大鼠离动脉均有不同程的舒张作用及血液流变学的改变。高浓度组与空白的对照组差异有显著性意义(P<0.01),并受一氧化氮释放浓度的影响。结论 止眩灵具有舒张血管的作用。影响血液流度学的改变,但与一氧化氮的释放浓度有关。
  • 推拿治疗颈性冠心病的效果分析 下载全文
  • 目的 探讨颈性冠心病的推拿康复治疗疗效。方法 选择92例随机分为推拿康复治疗与药物对照组。结果 显示总有效率91.3%,与对照组相比差异有显著性意义(P<0.05)。结论 推拿治疗颈性冠心病具有较好的效果。
  • 腰椎间盘突出症的手术治疗进展及术式选择 下载全文
  • 腰椎间盘突出症的手术治疗主要包括后路手术,前路手术,化学溶核术,经皮穿刺髓核摘除术以及近年来利用椎间盘镜技术治疗腰椎间盘突出症,本文通过对各种术式的论述,比较其优,缺点,探讨最佳的手术治疗方法,为临床工作提供依据。
  • 药酒配合推拿治疗腰椎间盘突出症 下载全文
  • 腰椎间盘突出引起急性坐骨神经痛的康复治疗 下载全文
  • 局部阻滞加手法治疗重症颈椎小关节错位 下载全文
  • A型肉毒毒素治疗痉挛性斜颈14例 下载全文
  • 水疗对腰椎间盘突出症的治疗效应分析 下载全文
  • 目的 分析水疗对腰椎间盘突出症的效果。资料 对60例确诊为腰椎间盘突出症患者,分别以水疗和牵引为主治疗3周及1年内的随访。方法 将60例腰椎间盘突出的患者随机分两组,分别以水疗和牵引为主要治疗方法住院治疗,3周后再评估,1年内随访。结果 在临床症状缓解时间,步态恢复时间和1年内复发中,水疗组优于牵引组。结论 牵引和水疗的作用,都可降低椎间盘内压力,使疼痛和麻木缓解,但水疗中可同时进行腰背肌及步态训练,使腰背肌的协调性和柔韧性更快的得到恢复。
  • 银质针治疗腰源性腹痛25例 下载全文
  • 龙虎交战针法治疗腰三横突综合征 下载全文
  • 组织工程化皮肤在烧伤外科的应用与进展 下载全文
  • 组织工程化皮肤研究的3大要素是:(1)组织外基质替代物;(2)种子细胞;(3)生长因子。介绍了组织工程化皮肤目前在临床的应用进展情况,指出异体/异种脱细胞真皮基质在治疗创面修复,瘢痕控制方面前途大人可为,复合皮肤的质量相当于全厚皮移植的效果。
  • 双下肢烧伤老年人康复护理辅助程序 下载全文
  • 烧伤患者生存质量测评的进展 下载全文
  • 早期活动预防屈指肌腱修复术后粘连 下载全文
  • 目的 探讨临床早期活动预防屈指肌腱修复术后粘连的疗效。方法 对112列246例指肌腱损伤行改良Kessler修复,30例36指肌腱粘连行肌腱松解,术后行早期控制被动活动及早期活动预防肌腱粘连,经6-36月随访,采用国际手外科联合会肌腱损伤委员会的评价方法进行疗效的评定。结果 修复肌腱顺利愈合,没有发现肌腱断裂现象,屈指肌腱功能恢复优级72.36%,良级17.50%。结论 早期活动可以预防屈指肌腱修复术后粘连。
  • 血管内治疗老年动脉瘤降低致残率的随访分析 下载全文
  • 目的 探讨老年动脉瘤电解可脱性簧圈血管内栓塞治疗颅内动脉瘤技术要点及降低致残率效果。方法 对34例老年动脉瘤应用微导管技术,在数字减影血管造影监视下行血管内栓塞治疗,采用电解式可脱性(GDC)栓塞。2例巨大动脉瘤用可脱性球囊闭塞载瘤动脉。结果 成功栓塞34例36个动脉瘤,32例痊愈,1例需人照顾,1例重残,明显降低致残率。栓塞程度:100%栓塞28个(包括载瘤动脉闭塞者),95%栓塞3个,90%栓塞3个,80%栓塞2个。结论 老年动脉瘤患者常合并心,肺,肾等其他器官疾病及高血压,高脂血症,糖尿病等并发症,脑血管硬化,迂曲明显,但血管内栓塞治疗是一种比较安全,可靠,有效的治疗手段,可明显降低患者残疾程度。
  • 颈上交感神经节后纤维束切断治疗脑卒中后遗症 下载全文
  • 系统化护理对颅脑损伤偏瘫患者生存质量的影响 下载全文
  • 偏瘫早期康复程序的临床应用 下载全文
  • 目的 观察康复程序在偏瘫早期应用的疗效。方法 随机分为观察组53例和对照组52例。观察组应用主动与被动功能训练,对照组常规神经内科治疗。结果 观察组有被动功能训练,对照组常规神经内科治疗。结果 观察组有效率为96.2%,高于对照组的80.8%,住院日20.4d少于对照组的30.1d。结论 偏瘫早期康复程序效果较好。
  • 晚期帕金森患者苍白球深部长期刺激治疗 下载全文
  • 星状神经节阻滞术的不良反应及并发症 下载全文
  • 目的 对星状神经节阻滞的不良反应及其并发症加以观察,并提出预防及处理的方法。方法 观察患有头面部,上肢,胸部及交感神经生疾病患者526例,在2382例次的星状神经节阻滞术中出现的不良反应,并发症的发生率及相关因素。结果 穿刺针损伤引起:一过性上肢麻木1.76%(42/2382),误穿血管,出血3.4%(82/2382),无气胸发生;局麻药引起的相关不良反应:头晕,耳鸣7.8%(816/2382),寒战0.08%(2/2382);穿刺部位不当引起的并发症;臂丛神经阻滞8.9%(212/2382),高位硬膜外腔阻滞0.04%(1/2382);其他相关的不良反应即并发症:声音嘶哑8.1%(192/2382,策蜕位疼痛3.0%)72/2382),异物感3.6%(86/2382),未出现感染。结论 熟悉相关解剖,准确定位,摸清并固定C6横突前结节,垂直进针,避免向内向上进针,使用少量有效的局麻药,备好急救设备,方可避免严重的不良反应和并发症。
  • 小关节内缘穿刺侧隐窝注射治疗腰椎间盘突出症 下载全文
  • 局部阻滞联合微波照射治疗软组织损伤痛 下载全文
  • 目的 观察局部阻滞和微波炎症治疗机照射治疗软组织损伤痛的效果。方法 选择软组织损伤痛患者90例,随机分为3组,每组30例,分别接受局部阻滞(L组),微波炎症治疗机照射(M组)和二者联合应用(L+M组)。疗效判定采用视觉模拟评分方法(VAS)。分别记录每个患者治疗前后的最高VAS值,治疗次数及副反应发生情况。随访3-8个月,记录复发情况。结果 3种治疗方法对慢性软组织损伤痛均有较好疗效,总有效率均在80%以上。但L+M组在治疗后VAS下降率及总有效率明显好于L组和M组;L+M组的局部阻滞次数明显少于L组的次数,复发率明显低于L组和M组,P<0.05。结论 3种治疗方法对该类疾病均有良好的效果,但相比较而言,局部阻滞和微波照射联合应用优于单独应用。
  • 创伤后反射性交感神经萎缩症综合疗法治疗26例 下载全文
  • 目的 探讨创伤后反射性交感神经萎缩症(RSD)患者的临床治疗方法。方法 26例患者均为术后慢性顽固性疼痛,采用神经阻滞(NB),心理治疗,经皮神经电热刺激,同时配合镇痛药物及抗抑郁性药物综合治疗。结果 由于病史长短,疼痛部位及患者心理因素不同,所以治疗疗程均不同,一般3个疗程(5次NB/疗程),以上,最长8个疗程。结论 由于该病发病机制尚不完全清楚,单一治疗手段效果欠佳,经临床观察采用综合治疗效果较好。
  • 硬膜外腔自控镇痛疗法的临床应用 下载全文
  • 棘突过敏症误诊原因探讨 下载全文
  • 冈下肌综合征治疗60例 下载全文
  • 卵巢切除术后心理障碍的循证干预 下载全文
  • 复发性骨巨细胞瘤的手术及术后康复干预治疗 下载全文
  • 影响乳癌术后患肢功能康复的原因 下载全文
  • 交流高压电位治疗研究进展 下载全文
  • 文章回顾了近几十年来国内外学者对高压电位疗法的治疗作用机制所做的研究。研究表明:(1)高压电位作用于神经,内分泌系统有改善脑组织的营养状态,减轻或消除神经细胞因能量消耗而产生的功能紊乱,降低大脑皮质病理的兴奋性,有助于改善肾上腺皮质功能。(2)高压电位作用于植物神经系统有助于末梢血管的正常开放促进血液循环调整血压。(3)高压电位可影响血中过氧化脂的增加和与老化有关活性酶的变化。临床病例表明高压电场血脂代谢可能具有双向调整功能的作用。(4)高压电位可促进骨折后早期骨痂形成。
  • 分段压力型弹力循环驱动袜治疗下肢静脉曲张80例 下载全文
  • 高压氧对血管性痴呆患者学习与生活能力的影响 下载全文
  • 目的 探讨高压氧治疗血管性痴呆(VD)的有效性。方法 该研究将36例VD患者随即分为高压氧治疗组和常规治疗组,HBO治疗组进行2个疗程HBO治疗。常规治疗包括神经营养药,针灸,理疗和康复功能训练等,疗程与HBO组相同,两组患者在治疗前后分别进行韦氏记忆量表(WMS),日常生活活动能力(ADL)-Barthel指数的评定。结果 治疗2个疗程后,两组均有疗效,但HBO治疗组在记忆及日常生活活动能力方面均优于常规治疗组。结论 高压氧治疗能显著改善VD患者记忆及日常生活活动能力。
  • 婴幼儿氧舱的操作方法介绍 下载全文
  • 丹参和透明质酸钠恢复膝关节功能的对比研究 下载全文
  • 目的 通过对丹参和透明质酸钠注射液关节腔内治疗膝骨关节炎临床疗效的比较,客观评价中药丹参治疗膝骨关节炎的疗效。方法:将68例(85膝)膝骨关节炎患者,随机分为两组,分别在膝关节内注射丹参和透明质酸钠注射液,并在用药后5间,丹参组和透明质酸钠组分别有37膝(84.1%)和34膝(82.9%)一直未出现关节疼痛;两组分别有33膝(75.0%)和31膝(75.6%)未出现任何不适,在短期效果和疗效维持方面两组间差异无显著性意义(P>0.05)。结论 两组在早期治疗膝骨关节炎方面同样有良好的疗效,且12月连续随访也有较好的疗效维持。丹参膝关节腔内注射治疗膝骨关节炎,具有安全,有效,方便和廉价的优点,值得临床推广应用。
  • 胶原载体在药物递送系统中的应用 下载全文
  • 胶原具有良好的生物特征,在组织和器官形成中具有重要作用,且涉及到不同细胞功能的表达。作为一种很好的表面活性剂,已经证明其有 游离脂质体界面的能力,目前大多数药物递送系统主要成份由胶原组成,文章就此作以介绍。
  • 氟西汀氧化代谢酶的鉴定及临床个体化给药剂量 下载全文
  • 氟西汀是临床上常用的选择性5-羟色胺重摄取抑制剂,用于抗抑郁症的治疗。氟西汀在肝脏由细胞色素P450酶进行氧化代谢。现已知N-去甲基代谢是主要代谢途径,其次为O-脱烷基代谢,文内所述的体内和体外研究表明,CYP2C19和CYP2C9是催化氟西汀N-去甲基代谢的主要CYP酶,而CYP2C19和CYP3A4是催化O-脱烷基代谢的主要CYP酶;多态性CYP2C19对氟西汀代谢的作用均呈底物剂量依赖性和基因剂量效应,这些研究结果将为临床上合理使用氟西汀提供重要的实验依据。
  • 磺胺嘧啶银悬液与皮维碘治疗儿童烧伤的效果比较 下载全文
  • 目的 观察磺胺嘧啶银(SD-Ag)与皮维碘对儿童烧伤后减轻疼痛,防止瘢痕形成的疗效并进行效果分析。方法 将440例儿童烧伤随机分为2组,每组220例,治疗组外用20% SD-Ag悬液,对照组外用10%皮维碘软膏,观察疼痛反应,平均愈合天数及功能恢复。结果 SD-Ag组用于浅Ⅱ度,深Ⅱ度早期在各项观察指标方面均优于皮维碘(P<0.05)。结论 外用SD-Ag是儿童烧伤较为理想的方法。
  • 运动疗法配合眼针治疗脑出血等重症偏瘫68例体会 下载全文
  • 中医辨证分型治疗强直性脊柱炎疗效观察 下载全文
  • 子午流注推拿疗法治疗骨伤后运动障碍165例 下载全文
  • 体外反搏配合中药薰蒸治疗腰椎间盘突出症1000例 下载全文
  • 响针刺法治疗软组织损伤急性疼痛近期疗效探讨 下载全文
  • “风湿灸”敷贴治疗风湿痹 下载全文
  • 营养支持对喉癌术后吻合口恢复的效果观察 下载全文
  • 硅胶管与橡胶胃管对脑外伤后植物状态患者鼻咽黏膜的影响 下载全文
  • 脑性瘫痪患儿术后家属的康复指导 下载全文
  • 颅脑损伤后持续性植物状态促醒治疗中刺激性的护理技巧 下载全文
  • 采用情感刺激检查和自传记忆检测评定恢复期烧伤患者认知功能 下载全文
  • 背景及目的:有研究显示外伤患者有创伤特异的注意力偏差,应激潜伏期延长及特定的记忆缺失。本研究的目的是探讨恢复期烧伤患者的认知异常。对象及方法:18例烧伤患者,病史5-19年,与之相配的18例患者为对照组,对两组患者分别进行情感刺激检查。(包括烧和所有创伤相关的词汇)及自我情况记忆检查(AMT)。同时对语言的流畅性,生活事件及目前的情绪进行评定。结果:情感刺激检测中,恢复期患者对烧伤词汇比中性及创伤性词汇反应潜伏期更长,而对照组没有这样的差异。在AMT中,两组记忆特异性没有区别。总之,与对照组比较,烧伤组患者有更长的潜伏期及更差的语言流畅性。本项研究显示恢复期烧伤患者表现为注意力偏差,而与损伤发生的时间无关。这可能意味着恢复期烧伤患者认为烧伤是他们生活中的一件重要的事件。与对照组比较,烧伤后患者也表现一种轻度的认知缓慢。结论:这种发现在烧伤患者的康复中值得重视。
  • 有目的的活动与机械运动对烧伤患儿效果的比较 下载全文
  • 目的:对比烧伤患儿进行有目的活动尤其是玩要活动与进行机械运行时的疼痛评估。方法:2例6岁患儿参与本研究,采用单向随机多重治疗设计对比有目的的活动及机械运动。每次训练收集4个相关的指标,治疗次数,训练中明显的疼痛类型及次数,疼痛强度自评量表评分及活动中的整体快乐程度。结果;对图表数据进行视觉评价提示,在康复程序的早期,玩要活动比机械运动获得的4项独立的指标效果要好。另外,本结果也有这样的含义,即烧伤患儿的康复在某一点后玩要治疗与机械治疗的效果是一致的。结论:这项研究支持有目的的活动与机械运动相比可相同的或更好的效果。
  • 对比20%下肢烧伤患者与相配的健康个体在跑台运动中生理压力的差异 下载全文
  • 背景:烧伤患者在伤后的几天内要进行康复训练,而且要鼓励其进行早期行走及功能训练。但许多患者在静息时即处于高代谢状态,康复训练是在原有的高代谢状态基础上再增加能量消耗,必然提高总的能量需要及一些生理检测指标的改变。目前治疗性活动强加于烧伤患者生理压力的报告限于低水平低水平代谢需要(≤2个METS)。对于功能活动如行走(3METS)及爬楼梯(5METS)强加给成年烧伤患者的生理压力程度不太清楚。目的:报告1例下肢20%烧伤患者在爬楼梯极限运动中心肌及生理应激的临床评定。方法:患才男,40岁,肥胖体态,下肢烧伤后3周进行平板运动试验前及运动中的生理学参数进行评定。将评定结果与62例健康对照者的平均值及6例年龄,性别及健康状况相配的患者进行比较。结果:烧伤患者基线时及运动中心率,收缩期血压,率压积和自感用力度分级均高于62例健康具体的平均值及6例相配患者的平均值。运动6min时烧伤患者心率,收缩期血压,率压积和和自感用力度分级分别为189次/min,190mmHg,3591及17,6个相配患者分别为111次/min,259mmHg,1680和11.7。运动中烧伤患者的通气也比相配的患者增高,分别为3/4和1/4。烧伤患者的疼痛体验随着运动的进行而减轻(在15cm的尺子上从9.8降到7.3)。对于这些静息时即处于高代谢的患者,平板运动中多数生理指标接近最大值。结论:我们的研究为治疗师提供了规范的数据去处理相似的烧伤患者。
  • 运动训练与传统的门诊治疗对严重烧伤患儿康复效果比较 下载全文
  • 目的:对比运动训练及传统的门诊康复程序对严重烧伤患儿的康复效果。对象及方法:21例严重烧伤患2儿,男13例,女8例,平均(10.6±0.9),岁,烧伤后6及9个月时平均煤伤体表面积为59.7±3.1%,随机分为两组,进行前瞻性研究,研究组11例,家庭康复组10例。研究组在标准的康复治疗程序基础上加12周中等渐进性有氧训练程序,每周3次,每次1h。结果:两组患者肌力及功能均明显改善(P<0.05)。研究组肌力(80.1%),及步行距离(39.5%)的改善明显高于家庭康复组(分别为37.7%,12.5%),P<0.05。结论:对于严重烧伤患者,在标准康复程序的基础上加运动训练是安全有效的,并可增中肌力,改善功能结局。
  • 烧伤患儿12周骨骼肌阻抗力量训练效果 下载全文
  • 背景:烧伤后的创伤反应常导致明显及持续时间很长的骨骼肌分解代谢增强及肌力的减弱,而与标准的作业疗法及物理治疗的康复程序无关。目的:调查阻抗训练程序是否可以减少热损伤患2儿肌肉的分解及肌力的减弱。方法:对严重烧伤患儿(烧伤面积大于40%体表面积)腿部肌力及无脂肪体重进行评定。患儿随机分为两组,第一组在标准的医院内12周康复程序的基础上加运动训练,共19例,第二组进行没有运动训练的家庭康复程序,共16例。康复训练前后进行腿部肌力评定,运动训练组以150°/s的等速肌力训练。无脂肪体重采用无能X线吸收比色法进行评定。结果:进行阻抗训练的患儿比采用标准康复程序训练者有更明显的肌力改善及无脂肪体重的增加。
  • 运动训练对热损伤患儿肺功能的影响 下载全文
  • 背景及目的:严重热损伤患儿常引起肺功能下降,经常持续到恢复期。运动疗法可成功改善慢性阻塞性肺疾病患者肺功能,但能否改善烧伤患儿的肺功能目前还不太清楚。本研究的目的是评定运动训练对烧伤必肺功能的影响。对象:对照组为20例非烧伤患儿,年龄7-18岁,研究组为31例严重烧伤患儿,年龄7-18岁,烧伤面积均超过体表面积的40%。烧伤患儿又随机分为两组,第1组17例,为运动训练组,患儿在医院内参加包括运动训练运动训练在内的躯体康复程序,第2组14例,为非运动训练组,患儿在家进行不包括运动训练的躯体康复程序。研究开始时,对3组患者进行肺功能检测,运动训练组及非运动训练组12周后进行再次检测。结果:研究开始时对照组的肺功能政党,运动组及非运动组肺功能没有,但与对照组相比,烧伤患儿肺功能下降。12周后运动组患儿的肺功能有明显的改善,非运动组的肺功能相对没有改变。结论:运动训练可改善严重烧伤患儿肺功能,因此运动训练应成为热损伤患者多学科门诊程序的重要组成部分。
  • 成年烧伤患者随访服务中心理治疗需要的调查 下载全文
  • 背景:临床心理医生已逐渐被纳入作为急性期护理及康复小组的成员。目的:为随访期烧伤患者提供心理治疗的必要性寻找依据。方法:对68例在门诊治疗的连续入院烧伤患者心理问题的发生率及对心理治疗和需要进行调查,并与44例同一门诊连续入院的整形及创伤患者进行对比。结果:采用医院焦虑及抑郁量表及疾病影响量表评定结果显示,有情感问题的烧伤患者明显比整形及创伤患者更多,烧伤患者缺乏相应的心理支持,这提示支持性服务对患者可能是有益的。本研究支持烧伤患者需要综合的随访服务,以便使院后的患者更容易获得专家对身体及心理治疗的意见。另外,在一次常规的随访会诊中,医务人员对21例烧伤亚组患者心理问题判定的准确率为58%,提示心理服务的会诊是十分必要的。
  • 糖尿病与烧伤:回顾性的群体研究 下载全文
  • 背景及目的:烧伤常伴有多系统的并发症,对于糖尿病患者,随之而来的血液供应的病理生理,周围神经病变及免疫功能的改变对患者结局有深度的毁坏性的影响。这项回顾性研究的目的是对比糖尿病烧伤患者与非糖尿病烧伤患者的临床结局。方法:回顾性分析1996年1月到2000年5月间入院的糖尿病患者181例,非糖尿病患者190例,两组性别及入院时间相匹配。对两组患者的烧伤原因,烧伤程度,入院时间,病程及结局进行评定。由于年龄是一个影响因素,所以分三个年龄段进行分析,即小于18岁组,18到65岁组,大于65岁组。在18到65岁组中,糖尿病患者占51%,而大于65岁组中84%为糖尿病患者,而小于18岁组中只有4%为糖尿病患者,小于18岁组及大于65岁组中糖尿病患者比例失调,所以对这些患者不进行评定。结果:糖尿病患者易易因洗澡或淋溶喷头而引起烫伤,而不是因为热液体的溢出(糖尿病组为33%,而非糖尿病组为15%,P≤0.01)。各组烧伤面积没有差异。糖尿病患者比非糖尿病患者全层烧伤(分别为51%和31%,P=0.025),皮肤移植(50%和28%,P=0.01),烧伤相关的措施(57%和32%,P=0.001),感染(65%和51%,P=0.05),的发生率明显更高,住院时间更长(23d和12d,P=0.001)。两组特定感染的发生率虽然统计学上没有差异,但糖尿病患者蜂窝织炎,伤口感染,尿路感染,血系感染,骨髓炎的发病率均高。糖尿病患者移植坏死的发生率为6%,行再次移植率为3%,而非糖尿病患者再移植发生率为1%。对糖水病组血糖控制患者与血糖未控制患者进行对比,发现血糖未控制患者感染发生率更高(72%和55%,P<或=0.025),所有烧伤相关程序更多(68%和45%,P<或=0.025),及ICU病心观察时间更长(24d和10d,P=0.048)。糖尿病组及非糖尿病组的死亡率均为2%。结论:糖尿病烧伤患者有更差的结局,尤其在老年人群中。
  • 多种方法相结合与渐进性方法治疗烧伤瘢痕挛缩的比较 下载全文
  • 背景及目的:烧伤瘢痕挛缩的治疗在烧伤患者康复中是很重要的。研究表明许多方法都是很有效,但还没有对其中效果最好的方法进行调查。在这项研究中,我们对比采用多方式治疗方法及渐进性的治疗技术对儿童及成年患者的效果,以确定是否存在差异。对象及方法:对52例患者烧伤后瘢痕挛缩的医疗记录及康复治疗参数进行回顾性分析,包括人口统计学信息及治疗瘢痕挛缩的干预类型,尤其烧伤后挛缩出现的时间,运动缺损范围的百分率,治疗挛缩开始的时间,及进行挛缩治疗的时间。结果:在运动范围缺损相同的情况下,渐进性方法组患者挛缩状况改善的时间不超过多种方法相结合组一半的时间,结果与挛缩出现的早晚无关。
  • 严重烧伤患者骨骼肌分解代谢的决定因素 下载全文
  • 背景:分解代谢与严重烧伤有关,常引起体重减轻,伤口治愈不良,康复延迟。目的:确定严重烧伤患者分解代谢程度的决定因素。对象及方法:从1996年到1999年,对102例患儿及21例成年烧伤患者采用稳定同位素蛋白检测运动消耗,患者烧伤面积为20%-99.5%体表面积。对患者的人口统计学参数,烧伤性质及住院期间的变量与大腿骨骼肌蛋白合成和分解进行相关性分析。采用单因素和有代表性的多元回归分析方法,对数据进行系列及累积分析。结果:年龄及体重的增加及决定性外科治疗的延迟预示分解代谢增强(P<0.05)。当烧伤面积小于40%体表面积时,随着烧伤面积增加,分解代谢增强,但超过40%则没有这种相关性。静息时能量消耗及败血病也是蛋白分解代谢增强的预测指标。烧伤类型,肺炎,伤口的污染及伤后时间与分解代谢没有明显相关性。从这些结果作者还推论出,大块肌肉与烧伤后蛋白消耗独立相关。结论:肌肉较发达的患者及决定性外科治疗延迟是烧伤后分解代谢增强最大的危险因素。败血病及高代谢也与蛋白分解代谢相关。
  • Operwative treatment and postoperative rehabilitation of displaced intra—articular fractures of calcaneus 下载全文
  • 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.
  • Expression of neuron—specific enolase and gial fibrilous acidic protein in cerebral tissue of experimental cerebral concussion 下载全文
  • 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.
  • Effect comparison between sacral blocking and massage combined with traction on protrusion of lumbar intervertebral disc 下载全文
  • 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.
  • Effect of low—intensity millimeter wave irradiation on the immune adhesion function of erythrocytes and lymphocytes in tumor patients 下载全文
  • 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.
  • Improvement of articular pain by arthroscopic douche in osteoarthritis of knee joint 下载全文
  • Influence of dynamic condylar screw treating intertrochanteric fracture of the femur on early funtion exercise 下载全文
  • Porgression of study on anterior part of lower jaw horizontal osteotomy and psotoperative sensory disturbance 下载全文
  • Treatment of subtrochanteric fracture with femoral interlocked intramedullary pin and rehabilitation exercise 下载全文
  • 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.
  • Experience on treatment of auricular pseudocyst in 42 cases with magnetic plate application 下载全文
  • 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.
  • Experience of life nursing to dementia after senile cerebral hemorrhage 下载全文
  • 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.
  • Nursing understandings of 112 patients after orthomorphia of lateral curvature 下载全文
  • 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.
  • Medical grmnastics and rehabilitation of scapulohumeral periarthritis 下载全文
  • 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.
  • Traction combined with manual therapy on 70 cases of cervical spondylopathy 下载全文
  • 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.
  • Postoperative rehabilitation of senile fracture of neck of femur 下载全文
  • 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.
  • The effects of selective posterior rhizotomy on combined symptoms of patients with spastic cerebral palsy 下载全文
  • 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.
  • Effect of irradiation on the quantity and activity of P65,TNF— α and IL—1 in rat wounds 下载全文
  • 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.
  • Microskin graft on contracture deformity of scar after extensive deep burn 下载全文
  • 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.
  • Phwarmaclogiic therapy in management of cancer—related pain 下载全文
  • 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.
  • Analysis of local pain after cranial deficiency repair:1 case report 下载全文
  • Mechanism and therapeutic advance of high—pressure injection injuries of hands 下载全文
  • Functional rehabilitation of upper limbs after operation of mastocarcinoma 下载全文
  • 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.
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    Influence of fibrin sealant on osteoinductive ability of inject-type bone morphogenetic protein
    Function exercises after artificial total hip replacement
    Approach in anterio with posterior to curettage and local puring chemotherapy with radiotherapy to treatment elevation sacral tumors
    Rehabilitation nurse after temporomandibular arthroplasty
    Treatment of dislocation of distal radioulnar articulation by reconstruction of ulnar collateral ligament from pediculated partial ulnar flexor tendon of wrist
    Rehabilitation instruction to families of patients with traumatic fracture
    Clinical effect of hyperbaric mixed oxygen after replantation of severed finger
    Etiologic investigation and postoperative instruction of 75 cases of avulsion of scalp
    Complex treatment of 87 cases of muscle tendon adhesion after replantation of severed fingers
    Mvement training of shoulder after radical clearance of cervical lymph nodes on malignant tumor of maxillofacial region
    Acupuncture and moxibustion combined with Chinese herbs on 18 cases of calcaneodynia
    Postoperative depression analysis and nursing in breast cancer
    现代截肢观念及现代截肢术后康复(崔寿昌)
    下肢永久性假肢装配后的功能训练和步态分析(翁长水)
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    低能量氦—氖激光对周围神经再生的运动神经传导速度研究(徐新智 吕荣 等)
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    β—磷酸三钙/聚乳酸叠层复合骨组织工程支架的制备、性能及其应用评价
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    不同培养条件及相同对黑素细胞生物学特性的影响(丁国斌 陈璧 等)
    不同年龄增生性瘢痕转化生长因子β1表达的检测及其意义(邱林 金先庆 等)
    正常皮肤和瘢痕组织表皮干细胞定位与增殖分化特征的比较性研究(赵志力 付小兵 等)
    瘢痕疙瘩及周围皮肤成纤维细胞生长差异的生物学研究(鲁峰 高建华 等)
    端粒酶催化亚单位基因转染对人胚胎成纤维细胞表型及寿命的影响(梁光萍 罗向东 等)
    深Ⅱ度烫伤大鼠创面血管内皮细胞增殖与凋亡的变化在创伤修复中的作用
    复合壳多糖人工皮肤生物学功能初步研究
    苯经呼吸道吸入对大鼠胚胎的致畸毒性(刘钧 赵玉元 等)
    针刺对偏头痛大鼠脑内降钙素基因相关肽基因表达的影响
    成年大鼠同源盒基因Lhx4在外周和中枢神经损伤
    采用Guo绳肌肌腱和微型钢板纽扣重建后十字韧带后的康复训练(赵金忠 沈灏 等)
    小儿神经源性尿失禁的外科治疗与康复训练(范应中 王汴云)
    脑性瘫痪患儿周围神经损伤的电生理改变(李润洁)
    颅内电极监测癫痫发作初始期脑电定位意义
    P300对闭合性颅脑外伤患者脑认知功能康复的评估价值(赵向东 张美莲 等)
    肘管综合征15例肌电图特征分析(陈慧娟 王桂风 等)
    珍珠层在骨替代材料方面的研究进展(唐焕章 陈建庭)
    人类胚胎干细胞的研究现状与趋势(华进联 窦忠英 等)
    新型天然血管支架:猪胸主动脉脱细胞血管基质的制备(韩雪峰 杨大平 等)
    组织工程皮肤中黑色素细胞的培养纯化(李媛 王新文 等)
    血管内皮细胞与聚羟基丁酯细胞相容性的实验研究
    结肠压力测量方法介绍
    升软腭语音辅助器对腭裂患者语音功能恢复的效果(关丽 巩宇)
    皮肤组织工程相关问题的研究(李沁华)
    临床康复医学的信息检索途径与方法(曹永晖)
    神经导管在周围神经修复中的临床应用(王相如 钱济先)
    截肢患者术后残肢功能重建与综合康复
    足球运动中踝关节损伤的康复治疗(耿小平)
    股骨干骨折复位后的训练指导(陈枢芹 张少臣)
    人工髋关节置换手术治疗股骨颈骨折27例(尹志良 翟佳)
    螺杆撑开器治疗小儿麻痹后遗膝关节屈曲挛缩(陈秋生 杨建成 等)
    肘管综合征的肌电图意义(郑晓君 李军 等)
    中西医结合疗法提高痉挛型脑性瘫痪患儿术后关节功能的作用
    家兔脊椎与脊髓磁共振成像方法和表现(李鹤平 庄文权 等)
    脊髓横断损伤后局部灌注地塞米松对中枢神经系统胶质细胞增殖与神经细胞轴突的影响(胡大勇 胡兵 等)
    颈椎病与脊髓空洞症(杨立利 贾连顺)
    硬膜外注射治疗腰椎间盘突出症的诱发电位研究(张建宏 范建中 等)
    中药止眩灵对大鼠离体动脉的舒张作用及血液流变学的影响
    推拿治疗颈性冠心病的效果分析
    腰椎间盘突出症的手术治疗进展及术式选择(王旭)
    药酒配合推拿治疗腰椎间盘突出症
    腰椎间盘突出引起急性坐骨神经痛的康复治疗(潘守政 张磊 等)
    局部阻滞加手法治疗重症颈椎小关节错位(张坤全 胡伟民)
    A型肉毒毒素治疗痉挛性斜颈14例(曲芳 胡建华 等)
    水疗对腰椎间盘突出症的治疗效应分析(谢志强 马诚)
    银质针治疗腰源性腹痛25例(吴新红)
    龙虎交战针法治疗腰三横突综合征(兰春燕 孙德芝 等)
    组织工程化皮肤在烧伤外科的应用与进展(冯祥生 谭家驹 等)
    双下肢烧伤老年人康复护理辅助程序(肖康菊 黄贤慧)
    烧伤患者生存质量测评的进展
    早期活动预防屈指肌腱修复术后粘连
    血管内治疗老年动脉瘤降低致残率的随访分析(梁国标 魏学忠 等)
    颈上交感神经节后纤维束切断治疗脑卒中后遗症(梁新强 蒋广元 等)
    系统化护理对颅脑损伤偏瘫患者生存质量的影响(张雪莹)
    偏瘫早期康复程序的临床应用(莫蓓蓉)
    晚期帕金森患者苍白球深部长期刺激治疗
    星状神经节阻滞术的不良反应及并发症(蒋劲 张德仁 等)
    小关节内缘穿刺侧隐窝注射治疗腰椎间盘突出症(车润平 庞秀丽 等)
    局部阻滞联合微波照射治疗软组织损伤痛(沙彤 胡广询 等)
    创伤后反射性交感神经萎缩症综合疗法治疗26例(许建刚 李仲廉 等)
    硬膜外腔自控镇痛疗法的临床应用(周脉涛 郑友之 等)
    棘突过敏症误诊原因探讨(张少臣 王保华)
    冈下肌综合征治疗60例(殷文 张少臣 等)
    卵巢切除术后心理障碍的循证干预(刘凤香)
    复发性骨巨细胞瘤的手术及术后康复干预治疗
    影响乳癌术后患肢功能康复的原因(宋传健 张宏伟 等)
    交流高压电位治疗研究进展(楼惠军 石凤英 等)
    分段压力型弹力循环驱动袜治疗下肢静脉曲张80例(金辉 刘跃英 等)
    高压氧对血管性痴呆患者学习与生活能力的影响(马超 麦明泉 等)
    婴幼儿氧舱的操作方法介绍(吴峰静 彭争荣 等)
    丹参和透明质酸钠恢复膝关节功能的对比研究
    胶原载体在药物递送系统中的应用(吴志谷 付小兵)
    氟西汀氧化代谢酶的鉴定及临床个体化给药剂量(刘昭前 莫玮 等)
    磺胺嘧啶银悬液与皮维碘治疗儿童烧伤的效果比较(张向群)
    运动疗法配合眼针治疗脑出血等重症偏瘫68例体会(陈彦洪 褚立善)
    中医辨证分型治疗强直性脊柱炎疗效观察(陈志军 崔新生 等)
    子午流注推拿疗法治疗骨伤后运动障碍165例(汪永夫)
    体外反搏配合中药薰蒸治疗腰椎间盘突出症1000例(袁春梅 赵伟)
    响针刺法治疗软组织损伤急性疼痛近期疗效探讨(李富平 杨贵涛 等)
    “风湿灸”敷贴治疗风湿痹(汪崇淼 吴耀持)
    营养支持对喉癌术后吻合口恢复的效果观察(梁小丽 莫宋平 等)
    硅胶管与橡胶胃管对脑外伤后植物状态患者鼻咽黏膜的影响(胡庆敏 吴敏杰)
    脑性瘫痪患儿术后家属的康复指导
    颅脑损伤后持续性植物状态促醒治疗中刺激性的护理技巧(刘西梅 周亚琴 等)
    采用情感刺激检查和自传记忆检测评定恢复期烧伤患者认知功能
    有目的的活动与机械运动对烧伤患儿效果的比较
    对比20%下肢烧伤患者与相配的健康个体在跑台运动中生理压力的差异
    运动训练与传统的门诊治疗对严重烧伤患儿康复效果比较
    烧伤患儿12周骨骼肌阻抗力量训练效果
    运动训练对热损伤患儿肺功能的影响
    成年烧伤患者随访服务中心理治疗需要的调查
    糖尿病与烧伤:回顾性的群体研究
    多种方法相结合与渐进性方法治疗烧伤瘢痕挛缩的比较
    严重烧伤患者骨骼肌分解代谢的决定因素
    Operwative treatment and postoperative rehabilitation of displaced intra—articular fractures of calcaneus(金晨 胡小鹏 等)
    Expression of neuron—specific enolase and gial fibrilous acidic protein in cerebral tissue of experimental cerebral concussion
    Effect comparison between sacral blocking and massage combined with traction on protrusion of lumbar intervertebral disc
    Effect of low—intensity millimeter wave irradiation on the immune adhesion function of erythrocytes and lymphocytes in tumor patients(李雪平 陈景藻 等)
    Improvement of articular pain by arthroscopic douche in osteoarthritis of knee joint(王天胜 刘永灿 等)
    Influence of dynamic condylar screw treating intertrochanteric fracture of the femur on early funtion exercise(洪加源 康两期 等)
    Porgression of study on anterior part of lower jaw horizontal osteotomy and psotoperative sensory disturbance(刘妍琼 华泽权)
    Treatment of subtrochanteric fracture with femoral interlocked intramedullary pin and rehabilitation exercise(周峰 姜为民 等)
    Experience on treatment of auricular pseudocyst in 42 cases with magnetic plate application
    Experience of life nursing to dementia after senile cerebral hemorrhage(尹千红)
    Nursing understandings of 112 patients after orthomorphia of lateral curvature(张巧娥 杨晓芳 等)
    Medical grmnastics and rehabilitation of scapulohumeral periarthritis(王大平 窦文强 等)
    Traction combined with manual therapy on 70 cases of cervical spondylopathy(李兴海 李丹)
    Postoperative rehabilitation of senile fracture of neck of femur(王传铭 王莹 等)
    The effects of selective posterior rhizotomy on combined symptoms of patients with spastic cerebral palsy
    Effect of irradiation on the quantity and activity of P65,TNF— α and IL—1 in rat wounds(朱颖 史春梦 等)
    Microskin graft on contracture deformity of scar after extensive deep burn(张云国)
    Phwarmaclogiic therapy in management of cancer—related pain(蔡欣 孙亮新 等)
    Analysis of local pain after cranial deficiency repair:1 case report(黎铁伟)
    Mechanism and therapeutic advance of high—pressure injection injuries of hands
    Functional rehabilitation of upper limbs after operation of mastocarcinoma(陈正挺 陈锦云)
    《中国临床康复》封面

    主管单位:中华人民共和国卫生部

    主办单位:中国康复医学会

    社  长:王莉莎

    主  编:刘昆

    地  址:沈阳1200邮政信箱

    邮政编码:110004

    电  话:024-23384352 23394178

    电子邮件:bwb@crter.org

    国际标准刊号:issn 1671-5926

    国内统一刊号:cn 21-1470/r

    邮发代号:8-587

    单  价:15.00

    定  价:780.00