目的介绍美国康复医疗统一数据系统(Uniform Data System For Medical Rehabilitation, UDSMR).方法统计和分析UDSMR1995年和1996年资料,重点介绍应用功能独立性评测(functional independence measure,FIM)量表评价脑血管意外和骨关节病病人康复治疗的疗效,以及随访情况,主要包括:病人入院、出院和随访时(出院3个月)FIM的评分,FIM效率(每天进步的分数)及FIM进步程度等.结果美国国内的主要康复医疗单位收治的病人以老年人为主,平均年龄为69岁,住院病人中女性略多于男性.主要康复治疗的病种以骨关节病、脑血管意外等为主.在收住康复病房的病人中90%以上是由其他科室转入,康复医学科住院病人平均住院天数为18~21d,且有缩短趋势.FIM量表各项评分结果表明,康复医学科住院病人中功能障碍最明显的是运动能力和转移能力障碍,而康复治疗后功能改善最明显的同样是运动能力和转移能力的改善.在住院病人中出院与入院相比,FIM评分平均进步20分左右,随访与入院相比,FIM评分平均进步30分左右.结论UDSMR是一种理想的康复治疗病人,包括脑血管意外和骨关节病病人功能评价和随访记录的数据管理系统.
际物理医学与康复医学学会 (International Society of Physical and Rehabilitation Medicine,ISPRM)第一次世界大会于 2001年 7月 7日~ 13日在荷兰阿姆斯特丹 RAI国际会议中心举行 . 这是国际两大康复医学组织 , 即国际物理医学与康复学会 (International Society of Physical Medicine and Rehabilitation,ISPMR)和国际康复医学会 (International Rehabilitation Medicine Association,IRMA)合并后召开的第一次国际学术会议 . 来自 70多个国家的 1050名代表参加了会议 , 大会收到的论文 800余篇 . 中国康复医学会和中华医学会特理医学与康复分会都组团参加了会议 . ……
Background: The diagnosis and treatment of cough variant asthma in young adults could be performed properly. Cough variant asthma of elders was often diagnosed as bronchia- lung infection due to its untypical symptoms. Incorrect diagnosis delayed the condition and aggravated the patients‘ suffering. Cough variant asthma in elders should be cautioned in clinic. Evaluation of broncho- hypereactivity(BHR) should be done when dubious condition encountered.
Objective: To explore the relationship between BHR and pulmonary function, and the improvement of pulmonary function after treatment.……
Background:The development of root of tooth lasted for 3~ 5 years after eruption.Pulpitis and apical periodontitis may contribute to the development stasis of root of tooth,and impair the masticatory function.In order to improve the development of root of tooth and root apiex formation ,the induced formation of cement in root of tooth by drugs was very important in clinic.
Objective:To investigate the effect of ultra- short wave combined with antibiotics in the induction of root apiex and functional recovery of affected teeth.Design:Yung adults with Pulpitis and apical periodontitis were randomly divided into two groups,study group(41 teeth) and control group(20 teeth).All patients recepted the routine root canal preparation.3- year X- ray follow- up was performed after treatment.……
Background: Psychology has developed in China over 80 years, but its system is not very perfecting.Psychological worker may suffer from severe problems while facing press in their life and work, because they are not only an expert but also ordinary person. A hostess of psychology hotline in the south of China suicide herself since not bearing pressure to come from plentiful problems of patients. In fact, She has changed a patient with severe psychological disorder by a psychological worker. If she had psychological supervision to help in those years in time, and she wound can not selet death on this road.
Objective: The psychological supervision is necessary in psychology field and psychological work. It is an important method to solve patient‘s problems, to lighten psychological pressure themselves. The psychological supervision helps patients and psychological worker with putting up new psychological immunity and defending mechanism.……