Postoperative rehabilitation of senile fracture of neck of femur

Background:Thesenliewithfracturerestinbedforalongtime,andhaven'tsufficientfunctionexercise,allabovewillleadtoosteoporosis,badrepairofbonetissue,muscleatrophyandjointstiffnessoccurs,whichbringsufferingandenconomicburden.Objective:Tosummarizetheeffectofpostoperativefunctionexercisesonrecoveryoffractureofneckoffemur.Unit:OrthopedicsHospitalofShenyang.Subjects:Therewere86patientsoffractureofneckoffemur,including52males,34famles,aged60-84years,average72years.Accordingtopositionoffractureline:sub…     

Analysis of rehabilitation treatment of slippage of lumbar vertebrae

INTRODUCTIONSlippageoflumbarvertebraeisasecondcommondiseaseafterprotrusionofintervertebraldiscs.Althoughsomepatientswerecuredbyconservativetherapy,surgicaltreatmentisneededinsomecases犤1犦.FromMarch1994toMarch2001,weusedstealplateinternalfixationtotreat18casesofslippageandtheeffectwasobvious.Thefollowingisthereport.MATERIALSANDMETHODSMaterial18patientswereinvolvedincluding10malesand8femalesaged41-64(mean:46)years.Slippagelocus:L4-5,11cases;L5-S1,7cases.Clinicalmanifestation:all…     

Series of spinal balance therapy in treatment of 196 cases of protrusion of intervertebraldisc

Background：Protrusionofintervertebraldiscwasaclinicalsyndromresultedfromintervertevraldiscdegeneration，fibrousringrupture，protrusionofpulpiformnucleusthatstimulateandcom－pressesnerveroot，andcomprehensiveconservativetherapywasoftenadopted．Inthisgroupofdata，１９６casesofprotrusionofinterverte－braldisctreatedbyseriesofspinalbalancetherapywerecollectedfromJanuary２０００toDecember２００１．Objective：Toinvestigateeffectofseriesofspinalbalancetherapyintreatmentofprotrusionofintervertebrald…     

Experience of prevention and treatment of deep burn of hand

INTRODUCTIONHowtopreventhanddeformitycausedbyburn,restoreappearanceandworkingabilityhasbeenalwaysthemainproblem,thefollow-ingisthereportaboutcausesofdeformityandexperienceofpre-ventionandtreatment.GENERALDATA2037casesofburntreatedfromJanuary1997toOctober2002amongincluding957casesofburnofhandsandtheincidencewas46.9%amongwhichwere229casesofdeepburnand195pa-tientsreceivedearlysurgicaltreatment.6patients(15fingers)un-derwentfingeramputation.38casesneededplasticsbecauseofscardeformityinlat…     

The rehabilitation treatment of senile fracture of neck of femur

BACKGROUND: Despite of treatment of operation or routine conservation, special psychological and physical characteristics, osteoporosis, recession of muscular strength and long braked time on bed often cause retrograde degeneration of muscle and skeleton and the complications of delayed recovery and other diseases. To above problems, a series of continuous ways of functional rehabilitation are applied and satisfactory effects are achieved.     

Appliance of Tenor system in treatment of fissural olisthe of isthmus of lumbar vertebra

BACKGROUND: Application of Tenor system and is to decompress nerve root, reduction of olisthe, internal fixation and auto-grafts are to restore anatomic structure and stability of spinal column.OBJECTIVE: To observe therapeutic effects of Tenor system on fissural olisthe of isthmus of lumbar vertebra.UNIT: Department of Orthopaedics, General Hospital of Armed Police     

Analysis of difficulty of urination following transurethral electrovaporisation of the prostate

INTRODUCTIONDifficultyofurinationiscommonaftertransurethralelectrovaporisationoftheprostate(TuVP),whichinflictspatientsphysiologicallyandpsychologically.MATERIALSANDMETHODS78patientswithbenignprostatehyperplasiareceivedourtreatmentafterTuVpduring2000and2001.Thesepatientswereof62-84yearsold,withmeanageof72.3.Thefollowupvariedbetween1-2years,averagely1.4years.8casesdevelopeddifficultyinurination,andtheinvolvedcausesweredefinedbyusingfiberscopeofbladderandurethra.Treatmentwascarrie…     

Promoting effect of limb functional exercises on recovery of senile fracture of neck of femur

BACKGROUND：Senilefractureofneckoffemurneedsalong－termrecoveryoutofhospitalevenafterclinicalcure，soclinicalnursingandrehabilitationinstructionareveryimportant．OBJECTIVE：Toobservetheeffectsoflimbfunctionalexer－cisesonsenilefractureofneckoffemur．UNIT：SecondDepartmentofSurgery，People＇sHospitalofFeichengSUBJECTS：２９patientswereinvestigatedfrom１９９９to２００１inourdepartmentincluding１２malesand１７femaleswith１５pa－tientsaged７０－７９yearsoldand１４patientsaged８０－８…     

Effect of hyperbaric oxygen on healing of chronic ulcer of skin

INTRODUCTIONAtpresent,treatmentofchroniculcerofskininclinicisverydifficult.Effectofcomprehensivetreatmentbyhyperbaricoxygenonchroniculcerisobvious.MATERIALSANDMETHODSMaterials80patientstreatedbyhyperbaricoxygeninourhospitalfromFebruary1987toDecember2000wereinvestigatedincluding59malesand21femalesaged17-72(mean:40)yearswithdiseascourse,1monthto30years.Ulcerareawas1-13cm2andulcelocatedatleftlowerlimb,21cases;bothlimbs,15cases;sacraportion,19cases.Causes:Varicosisoflowerlimbs,23case…     

Investigation of features of hemostasis sponge of collagen and chitosan compound

AIM：To investigate the hemostasis effect of hemostasis sponge of collagen and chitosan compound invitro and in vivo.METHODS:The hemostasis sponge of collagen and chitosan compound was made by mixing collegen I extracted by enzymelytic methods and crosslinked by glutaric dialdeiyde and then lyophilized.The New zealand rabbit were created with a 1cm&;#215;1cm wound in the center artery of the ear.The center artery of the ear were transected and record the hemostasis time since pressured with hemostasis sponge of collagen and chitosan compound and obsevve its effects.In other experiements,1cm&;#215;1cm bleeding wound were established in the liver of the rabbit.Then pressured with hemostasis sponge of collagen and chitosan compound on the wounds and record the hemostasis time;The four corner of the hemostasis sponge of collagen and chitosan compound were sutured to investigate the absorption situation with the control of gelatin treated with same procedures.RESULTS:The bleeding time using hemostasis sponge of collagen and chitosan compound was 120 seconds compared with 600 seconds of using gelatin,and the hemostasis time using hemostasis sponge of collagen and chitosan compound was 40 weconds compared with 75 seconds of using gelatin.Both the hemostasis sponge of collagen and chitosan compound and gelatin can be degradated within 5 months.CONCLUSION:Hemostasis effect of hemostasis sponge of collagen and chitosan compound is better than that of gelatin and it has an promising future in surgery.     

Improvement of plastic operation of enlarging vertebral canal on limbs dysfunction of cervical spondylopathy of spinal cord

Background：Thetreatmentofcervicalspondylopathyhavetwoways，frontandposteriordecompressionoperation．Buttheoperationbyfrontrouteonlyapplyinthecasesof１～２segmentsofvertebralcanal，andtheoperationbyposteriorroutecancausethecompressionofposteriorspinalcordandleadtodysfunctionoflimbsmoreworse．Theplasticoperationofenlargingvertebracanalcanrelievethepressureofspinalcordandavoidre－stenosisofvertebralcanal．Objective：Toevaluatetheeffectofenlargingvertebralcanaloncervicalstiffness．Unit：CenterH…     

Impact of Withdrawal of 450 ml of Blood on Respiration-Induced Oscillations of the Ear Plethysmographic Waveform

Objective It has been widely appreciated that ventilation-induced variations in systolic blood pressure during mechanical ventilation correlate with changes in intravascular volume. The present study assessed whether alterations in volume status likewise can be detected with noninvasive monitoring (ear plethysmograph) in non-intubated subjects (awake volunteers). Methods Eight healthy adults were monitored with EKG, noninvasive blood pressure, an unfiltered ear plethysmograph, and a respiratory force transduction belt before (PRE) and after (POST) withdrawal of 450 ml of blood from an antecubital vein. Spectral-domain analysis was used to determine the peak ventilatory frequency and the power of the associated variation in the ear plethysmographic tracing; Interphase differences in the respiration-induced plethysmographic variations were assessed by Wilcoxon signed rank test. In addition, the changes in the ear plethysmographic tracing were compared to changes in heart rate and blood pressure. Results There was a significant increase in respiratory-associated oscillations at the respiratory frequency between the PRE and POST phases (p = 0.012). These changes were detected despite lack of changes in heart rate or blood pressure. Conclusions Respiration-induced changes of the ear plethysmographic waveform during spontaneous ventilation increase significantly as a consequence of withdrawal of approximately one unit of blood in healthy volunteers. Funded only with departmental funds. Presented, in part, at the annual meeting of the American Society of Anesthesiologists, October, 2004. Implications Statement: Quantification of respiration-induced changes of an ear plethysmographic signal provided an indication of volume loss after withdrawal of 450 ml of blood in healthy, non-intubated volunteers. Gesquiere MJ, Awad AA, Silverman DG, Stout RG, Jablonka DH, Silverman TJ, Shelley KH. Impact of Withdrawal of 450 ml of Blood on Respiration-Induced Oscillations of the Ear Plethysmographic Waveform.