关节腔灌洗联合康复训练对膝骨性关节炎疗效的影响

目的 探讨关节腔灌洗联合康复训练对膝骨性关节炎疗效的影响。方法 将82例膝骨性关节炎患者随机分为观察组和对照组各41例，对照组采用关节腔灌洗后予以常规护理，观察组在此基础上予以早期功能锻炼。采用目测类比定级法（VAS和膝关节日常活动（ADL）能力评分，比较患者治疗前后患膝疼痛程度并对膝关节日常活动（ADL）能力进行评定。结果 治疗30d后，两组患者症状均减轻，但观察组VAS及ADL能力评分显著优于对照组（均P〈0．01）。结论 关节腔灌洗联合康复训练可明显提高膝骨性关节炎患者的日常活动能力，并减轻疼痛。     

Effect of electro-acupuncture combined with early rehabilitation on motor function and expressions of CD11b/CD18 and tumor necrosis factor-α in patients with acute cerebral infarction

Objective To observe the effect of electro-acupuncture combined with early rehabilitation on the motor function and expressions of the adhesion molecules CD11b and CD18 in the polymorphonuclear leucocytes (PMN) and monocytes and serum tumor necrosis factor-α (TNF-α) levels in patients with acute cerebral infarction (ACI). Methods A total of 165 ACI patients were randomly divided into control group (group A, n=50), conventional rehabilitation group (group B, n=50) and comprehensive rehabilitation group (group C, n=65). The expressions of CD11b and CD18 in the PMN and monocytes and serum TNF-α levels were determined before and at 1, 2, and 4 weeks after the treatment. Thirty-two healthy subjects were also recruited as the normal control group (group N). The neurological function of the subjects was evaluated by modified Edinburgh-Scandinavia stroke scale (MESSS) and Fugi-Meyer Assessment (FMA), and their activity of daily living (ADL) was assessed using Barthel index (BI). Results The CD11b/CD18 expression in the PMN and MN and serum TNF-α level in groups A, B and C were significantly higher than those in group N before and 1 week after the treatment (P<0.05). CD11b/CD18 expression and serum TNF-α level were significantly lower in groups B and C than in the group A at 1 week after the treatment, and significantly lower in group C than in group B (P<0.05). At 2 weeks of treatment, CD11b/CD18 and TNF-α were significantly lower in groups B and C than in the group A, being the lowest in group C (P<0.05). The scores of mESSS in both groups B and C were lower than that in group A, and the scores were lower in group C than in group B. Group C showed higher FMA scores than group B, both having higher scores than group A. At 4 weeks of treatment, the mESSS scores were significantly lower, hut the FMA and ADL score significantly higher in groups B and C than in the control group (P<0.05), and the differences were more obvious in group C. Groups B and C had greater effective rate than group A (P<0.05), and the rate was the highest in group C (P<0.05). Conclusion Electro-acupuncture combined with early rehabilitation promotes the recovery of motor function in ACI patients probably by regulating the expressions of the adhesion molecules CD11b and CD18 on the PMN and monocytes and the serum levels of TNF-α.     

Ponseti方法治疗小儿先天性马蹄内翻足的护理

目的：探讨Ponseti方法治疗小儿先天性马蹄内翻足的护理方法及效果,矫正马蹄内翻畸形,减少并发症,提高生活质量,减少残疾。方法：对我科2006～2009年68例先天性马蹄内翻足患儿采用Ponseti方法治疗期间的临床护理资料进行回顾性分析。结果：随访68例94足畸形患儿均获得满意的矫正,活动功能良好,未出现护理并发症。结论：对用Ponseti治疗的患儿进行科学的护理和良好的康复训练,方法简单,伤害低,有效减少和避免了治疗过程中并发症的发生,对小儿先天性马蹄内翻足的康复起着积极的作用。     

脑卒中后吞咽障碍患者吞咽肌群的康复训练

目的观察吞咽肌群康复训练对脑卒中吞咽障碍的疗效。方法采用随机区组法将80例脑卒中后吞咽障碍患者分为观察组和对照组各40例。对照组采用吞咽治疗仪常规治疗及一般的口腔护理,观察组在此基础上增加吞咽肌群的功能训练。结果观察组临床疗效显著优于对照组(P<0.01)。结论吞咽治疗仪治疗的基础上增加吞咽肌群的康复训练能明显改善脑卒中患者的吞咽障碍。     

糖皮质激素治疗包涵体肌炎患者的护理

对70例包涵体肌炎患者采用糖皮质激素治疗,治疗后,14例呼吸功能受损患者呼吸功能改善;所有患者皮疹症状和肌痛减轻,肌力增加,吞咽功能改善,住院（14.6士5.7）d病情好转出院.提出加强药物不良反应的护理、皮肤护理、饮食护理,保持呼吸道通畅,加强肌力及吞咽功能康复训练,做好出院指导,有利于患者病情缓解,促进患者康复.     

医疗体操路径对腰椎间盘突出症术后残留腰腿痛的影响

目的探讨医疗体操路径应用于腰椎间盘突出症术后患者康复训练的实施效果。方法将86例腰椎间盘突出症患者随机分为观察组和对照组各43例，观察组应用医疗体操路径指导康复训练，对照组应用常规康复训练方法。比较两组术后腰痛、腿痛残留率及直腿抬高试验阳性率和住院天数。结果观察组术后不同时段腰痛、腿痛残留率和直腿抬高试验阳性率显著低于对照组（均P〈0．05），住院天数亦显著缩短（P〈0．01）。结论应用医疗体操路径指导康复训练有利于提高患者康复训练掌握程度，能提高手术远期效果，减少腰腿痛的残留。     

关节镜下半月板部分切除术后患者的早期康复护理

目的 探讨关节镜下半月板部分切除术后早期康复护理的效果.方法 将116例关节镜下半月板部分切除术后患者随机分为对照组和观察组各58例.对照组术后行常规护理,观察组术后早期实施康复训练,术后2周比较两组患肢膝关节恢复效果.结果 观察组患肢膝关节恢复效果优者44例(75.9%),良8例(13.8%);对照组分别为22例(37.9%)和13例(22.4%),两组优良率比较,差异有显著性意义(P＜0.01).结论 早期实施康复训练,可促进患者早日康复.     

排气康复训练对腹腔镜胆囊切除术术后肋肩疼痛的改善作用

<正>腹腔镜胆囊切除术(laparoscopic cholecystectomy,LC)已成为胆囊切除的标准术式,腹腔镜手术较开放性手术创伤更小,术后并发症少,但随着病例基数的扩大,由其引发的肋、肩部疼痛在外科护理领域受到极大重视,这也是腹腔镜手术围手术期护理难点之一。文献报道,LC术后30%～40%的患者出现肋、肩部疼痛,多发生于术后4～6 h~([1])。因此为进一步改善腹腔镜手术患者术后躯体及生理舒适度,我院根据排     

基于微信平台的同伴教育在膝交叉韧带重建患者康复中的应用

目的探讨基于微信平台的同伴教育对膝交叉韧带重建患者康复效果的影响。方法将105例膝交叉韧带重建术患者按照入院时间分为对照组48例,观察组57例。对照组接受常规健康教育,观察组在此基础上实施微信同伴教育。比较两组患者入院、术后1个月、术后3个月的康复自我效能感、康复依从性及膝关节功能评分。结果术后1个月、3个月观察组康复自我效能感、康复训练依从性、膝关节功能评分显著优于对照组(P0.05,P0.01)。结论基于微信平台同伴教育能提高膝交叉韧带重建患者的康复自我效能感及康复训练依从性,促进膝关节功能恢复。     

肺康复训练干预对肺癌术后患者生活质量及肺功能的影响

目的探讨肺康复训练干预对肺癌术后患者生活质量及肺功能的影响。方法随机将82例肺癌术后患者分为2组,每组41例。对照组行常规护理,观察组联合肺康复训练干预。结果出院时,观察组的GQOLI-74各项评分及肺功能各项指标均显著优于对照组,差异具有统计学意义(P0.05)。结论对肺癌术后患者实施肺康复训练干预,可有效提升术后患者生活质量,并可促进其肺功能的良好恢复。