老年人股骨颈骨折术后康复

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.     

髁部骨折致肘关节功能障碍的治疗

0 引言 肱骨髁部骨折行切开复位内固定术后,由于内固定不牢固或术后处理不当,导致肘关节功能障碍,使上肢正常功能受到严重影响。因骨折术后引起肘关节功能障碍,在适当时机施行手术松解,可以部分地改善肘关节功能。     

自体髓核介导兔腰神经根非机械性损伤的实验观察

目的 观察兔自体髓核移植对腰神经根的损伤情况，分析其结构与功能改变的关系。方法 将兔自体L2-3间盘的髓核在无压迫情况下移植于L7神经根处，对照组代以同等大小的自体脂肪组织。术后3，7，15，30d测量神经传导速度，观察神经根组织学结构改变。结果 实验组3d(36&;#177;5)m/s,7d(31&;#177;4)m/s,15d(27&;#177;5)m/s,30d(34&;#177;6)m/s；对照组3d(47&;#177;8)m/s,7d(50&;#177;4)m/s,15d(52&;#177;5)m/s，30d(52&;#177;7)m/s，实验组神经传导速度明显低于对照组（t=-12,-21,-27,-14,P&;lt;0.01）。苏木精-伊红染色可见神经根水肿，炎性细胞浸润。结论 自体髓核在无压迫情况下可造成神经根损伤；非机械性神经根损伤后，结构与功能的改变不平行，提示尚有其他因素影响神经根传导功能。     

自体髓核介导兔腰神经根非机械性损伤的实验观察

目的观察兔自体髓核移植对腰神经根的损伤情况,分析其结构与功能改变的关系。方法将兔自体L2～3间盘的髓核在无压迫情况下移植于L7神经根处,对照组代以同等大小的自体脂肪组织。术后3,7,15,30d测量神经传导速度,观察神经根组织学结构改变。结果实验组3d(36±5)m/s,7d(31±4)m/s,15d(27±5)m/s,30d(34±6)m/s;对照组3d(47±8)m/s,7d(50±4)m/s,15d(52±5)m/s,30d(52±7)m/s,实验组神经传导速度明显低于对照组(t=-12,-21,-27,-14,P<0.01)。苏木精-伊红染色可见神经根水肿,炎性细胞浸润。结论自体髓核在无压迫情况下可造成神经根损伤;非机械性神经根损伤后,结构与功能的改变不平行,提示尚有其他因素影响神经根传导功能。     

Rehabilitation instruction to families of patients with traumatic fracture

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.     

Dupuytren氏骨折的手术治疗

Dupuytren氏骨折是指足在外翻力量作用下腓骨在腔腓关节稍高处骨折,内踝发生水平骨折,且伴有下胫腓韧带断裂,距骨向外侧半脱位.我院1985—1989年共收治24例.均采用手术治疗收到满意效果,现报告如下.临床资料本组24例,男性19例,女性5例.新鲜骨折21例,陈旧骨折3例.闭合性22例,开放性2例,左侧18例,右侧6例.年龄19—54     

胫腓骨外固定器弧形压板等的改进

胫腓骨外固定器自问世以来,因其具有灵活、有效、操作简单、组织损伤小等优点。作者在对52例胫腓骨骨折的治疗中,就应用该固定器过程中发现的问题,加以改进,取得满意疗效,现介绍如下。     

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…     

正交实验优选铁皮石斛多糖提取工艺的研究

目的:通过对铁皮石斛多糖提取方法的实验研究,寻找效果较好的提取条件,为铁皮石斛的开发研究提供参考资料。方法:以水为提取剂,在不同微波功率条件、固液比、浸提时间及提取剂的pH值等条件下进行正交实验,来确定各因素不同水平对石斛多糖提取量的影响。结果:在微波功率400W,pH值为8,微波作用时间6m in;1:50的条件下多糖提取量为17.48%。结论:微波辅助提取铁皮石斛多糖的方法得到了较高的多糖提取率。