肠康复治疗和短肠综合征

目的探讨对短肠综合征患者进行肠康复治疗的策略。方法采用文献复习的方法对肠康复治疗在短肠综合征患者中的应用加以综述。结果肠康复治疗是指重建肠道功能从而摆脱肠外营养的过程,通常包括膳食和内科保守治疗手段,有时还包括外科治疗。最近的研究显示,药物治疗、特需营养素、生长因子等的使用促进了肠代偿和吸收功能。结论肠康复治疗有益于短肠综合征患者的恢复,并将发挥更重要的作用。     

等速技术原理及其在骨科康复中的临床应用

等速运动是一项新的肌肉功能评价和肌力训练方法，作为骨科康复的一项技术，其在肌肉功能评价方面具有较好的准确性和可重复性。等速肌力训练时，运动速度预先在等速仪器上设定，运动中阻力与肌肉实际力量相匹配，是一种顺应性阻力，这使肌肉在整个活动范围内始终承受最大阻力，产生最大肌力。因此，等速肌力训练在骨科康复治疗中即有效又安全。     

Exercise tolerance after anaemia correction with recombinant human erythropoietin in end-stage renal disease

The aim of this study was to evaluate the effect of correction of chronic anaemia on the physical performance and the cardiovascular response to effort in children with end-stage renal disease (ESRD) maintained by haemodialysis. Seven patients (mean age 13.9 years) underwent triangular-type treadmill exercise testing before [haemoglobin (Hb) 6.3±0.9 g/dl] and after (Hb 11.2±1.2 g/dl) anaemia correction with recombinant human erythropoietin (rHuEPO). After treatment, the work-load reached, the peak oxygen uptake and average ventilatory anaerobic threshold (VAT) values were significantly increased (P<0.01,P<0.001,P<0.05 respectively). VAT values, expressed as a percentage of normal values, increased from 55.7±16.6% to 82.4±21%. This improvement correlated well with the increase in Hb (r=0.79). Oxygen pulse also increased significantly, when tested after anacmia correction. In conclusion, these data demonstrate that when the anaemia of children with ESRD is corrected with rHuEPO, there is a clear improvement in acrobic work capacity and effort tolerance.     

心绞痛PTCA术后患者以步行为主的康复训练

１４例不稳定性心绞痛患者，男性１２例，女性２例，平均年龄５５岁，均因药物治疗无效而进行ＰＴＣＡ治疗。总计１６个血管段、前降支９段，回旋支４段，右冠状动脉３段。术后执行以步行为主要内容的一周康复训练程度，全部病例均顺利完成，表明以步为主的非监护康复训练对不稳定性心绞痛ＰＴＣＡ术后和是安全可行的。