高压氧治疗减轻肢体撕脱伤肿胀、疼痛效果的临床分析

Background: In recent years, most major avulsion of limb skin were caused by traffic accidents, industry accidents and mechanical traumas, the tissue damage, the operational elimination of subcutaneous fat or skin flap transfer may cause ischemia and hypoxia at the wound, the limb swelling and pain were obvious, the routine treatment was slow and of long recovering time. Objective: To discuss the effects of hyperbaric oxygen to reduce the swelling and pain caused by limb avulsion. Unit: The People's Hospital of Sanshui.     

Evaluation the limb and joint function after treatment of pelvic bone tumors by the microwave hyperthermia

Objective To evaluate the limb and joint function after treatment the pelvic bone tumors by the microwave hyperthermia inserted antenna arrays .Methods 51 patients were treated by inserted microwave antenna arrays induced hyperthermia. All patient limb and joint functions were observed and analyzed from oncology,function and complications. Results There were 9 recurred cases and 7 of them died. Among the remaining 42 patients, 26 patients had excellent and good limb and joint function, 6 patients had fair function. Conclusions By the method of inserted microwave antenna arrays induced hyperthermia to treat the pelvic tumors the limb and joint function was excellent.     

Functional training of knee joint after fracture of lower limb

BACKGROUND: In treatment of fracture of lower limb, clinical healing of fracture needs a long time after replace and immobilization. But clinical healing does not represent complete recovery of joint function. Knee ankylosis or stiffness could happen if not treated properly in this term.OBJECTIVE: To discuss the effects of functional training on knee joint function after fracture of lower limb.     

脊髓损伤大鼠核因子kappa B与细胞凋亡及肢体功能间的相关性分析

Objective To investigate the relationship of nuclear factor kappa B(NF-κB),Bcl-2 and Bax with limb function after acute spinal cord injury in rats. Methods Forty-eight rats were divided at random into a control group and an experimental group with 24 rats in each.The spinal cords of the rats in the experimental group were injured at the T8,9,10 level through moderate compression.Four hours,8 h,and 1,3,7 and 14 days after the injury,4 rats were selected randomly from each group and graded with a BBB score.They were then sacrificed and their spinal cords were collected.Immunohistochemical measurements were used to observe the expression of NF-κB, Bcl-2 and Bax. Results NF-κB,Bcl-2 and Bax were observed in the injured spinal nerve cells of rats in the exper imental group but were absent in the control group.After injury,the expression of these factors increased at first and then decreased.BBB scores for limb function increased gradually.No correlation was found between the changes in NF-κB and Bcl-2,but the expression of NF-κB was positively correlated with that of Bax.There was negative correla tion between NF-kB levels and BBB scores,and between NF-kB levels and the ratio of Bcl-2 to Bax. Conclusion In rats,there is a close negative correlation between NF-kappa B levels,the ratio of Bcl-2/Bax and limb function after acute spinaI cord iujury.     

Effects of contralaterally controlled functional electrical stimulation on upper limb functions in patients with stroke北大核心CSCD

Objective: To investigate the effects of contralaterally controlled functional electrical stimulation (CCFES) on upper limb functions in subjects with stroke.; Method: Sixty subjects with stroke were randomly assigned to treatment group (n=30) and control group (n=30). Subjects in treatment group received CCFES to the affected wrist extensors, while control group received neuromuscular electrical stimulation (NMES). The parameters of two kinds of electrical stimulation were square wave with pulse width of 200μs and frequency of 60Hz, and these electrical stimulation treatments lasted for 20min per session, 5 sessions per week for 3 weeks. The two groups all received traditional rehabilitation therapy in addition to the electrical stimulation treatment. The stimulation intensity of CCFES was based on myoelectric value got from the unaffected side while subjects voluntarily extended their wrist with minimal contraction (less than 10% maximal voluntary contraction[MVC]), moderate contraction (about 50% MVC) and complete contraction (=MVC). The myoelectric intensities of these 3 kinds contractions were recorded. Then during treatment, the unaffected wrist extended voluntarily to trigger affected wrist 3 contractions with the same amplitude by regulating the stimulation. Fugl-Meyer assessment (FMA) for upper limb function, upper limb motricity index (MI), FTHUE-HK score and active ROM (AROM) of wrist extension were measured before and after 3 weeks treatment.; Result: After treatment, subjects in treatment group showed significant improvements in all the measurements (P<0.05); subjects in control group showed obviously improvements in upper limb FMA, MI and FTHUE-HK scores (P<0.05). And subjects in treatment group showed significant higher FMA and FTHUE- HK scores than those in control group(P<0.05).; Conclusion: The CCFES could facilitate the improvement of upper limb function in stroke subjects, and had better effects than NMES. ©, 2014, Chinese Journal of Rehabilitation Medicine. All right reserved.     

Effect of postoperative exercises after fracture of ankle joint on function re-covery

BACKGROUND: Ankle joint is weight loading joint, the key should be laid on anatomic reduction of articular surface and therapeutic ultimate aim is complete recovery of joint function.OBJECTIVE: To observe the effect of postoperative function exercises on recovery of limb function in comminuted fracture of ankle joint.UNIT: Department of Orthopaedics, People' s Hospital of Henyang County     

下肢外伤术后康复治疗促肢体功能恢复

BACKGROUND: With the development of medicine, rehabilitation treatment from early stage to later stage tends to systematization and specialization that are very important to function recovery of severe limb injury.     

Terrorist attacks in the largest metropolitan city of Pakistan: Profile of soft tissue and skeletal injuries from a single trauma center

BACKGROUND: Pakistan has been hugely struck with massive bomb explosions(car and suicide bombs) resulting in multiple casualties in the past few years. The aim of this study is to present the patterns of skeletal and soft tissue injuries and to review the outcome of the victims who presented to our hospital.METHODS: This is a retrospective chart review from January 2008 to December 2012. The medical record numbers of patients were obtained from the hospital Health Information and Management Sciences(HIMS) as per the ICD-9 coding.RESULTS: During the study period, more than 100 suicide and implanted bomb blast attacks took place in the public proceedings, government offices, residential areas and other places of the city. Altogether 262 patients were enrolled in the study. The mean age of the patients was 31±14 years. The shrapnel inflicted wounds were present on to the upper limb in 24 patients and the lower limb in 50.CONCLUSION: Long bone fractures were the most common skeletal injuries. The fractures were complicated by penetrating fragments and nails which result in post operative infections and prolonged hospital stay.     

华中科技大学同济医学院附属协和医院骨科(英文)

全国首批硕士点全国首批博士点全国重点学科和博士后流动站First Batch of Master ProgramFirst Batch of Doctoral ProgramNotional Key Disciplines and Post-doctoral StationWith the long history, the Department of Orthopedics in the Union Hospital early launched xenoma joint replacement, artificial joint replacement, hemipelvectomy, focal cleaning of tuberculosis of bone joint, focus clearance of tuberculosis of spine, freeing toes reconstruction for thumbs domestically. The first limb replantati…     

The characteristics of interpretation of results of analysis of protein amount in urine of pregnant women

The adequacy of implementation of present proteinuria diagnostic thresholds under examination of pregnant women was examined. The analysis was applied to all urine samples of pregnant women from December 2009 to March 20010. The amount of protein in urine was concurrently evaluated by turbidimetric analysis with sulfosalicylic acid, colorimetric analysis with pyrogallol red, "dry chemistry" technology (the diagnostic strips). It is established that the mentioned techniques of analysis of protein in urine provide independent results. The results of colorimetric analysis are characterized by better precision and adequacy. However, in case of pregnant women the diagnostic threshold of protein concentration should be shifted from 0.120 to 0.150 g/l.     

超声评价放疗对颈动脉溃疡斑块形成的影响

目的 探讨超声在评价放疗对颈动脉溃疡斑块形成的影响的价值。方法 回顾性收集经病理学证实为头颈部肿瘤、放疗前后的颈动脉超声资料以及其他基线资料完整的患者93例,比较放疗前后放疗侧颈动脉和非放疗侧颈动脉粥样硬化斑块和溃疡斑块的总数量、平均内膜-中膜厚度、最大斑块面积、最大溃疡斑块的面积、最大溃疡口的面积。结果 放疗前后颈动脉超声检查的平均间隔时间为（6.1±1.9）年;放疗前放疗侧斑块总数量、平均内膜-中膜厚度、最大斑块面积、溃疡斑块的总数量、最大溃疡斑块的面积、最大溃疡口的面积与非放疗侧比较差异均无统计学意义（P均>0.05）;放疗后放疗侧斑块总数量、平均内膜-中膜厚度、最大斑块面积、溃疡斑块的总数量、最大溃疡斑块的面积、最大溃疡口的面积均较非放疗侧加重,差异有统计学意义（P均<0.05）。结论 放疗可导致头颈部肿瘤患者颈动脉粥样硬化斑块的形成和进展,且斑块具有易损性特点。     

《中国内镜杂志》主编雷光华教授简介

雷光华男,1970年12月生,骨科学博士,一级主任医师,二级教授,博士生/后导师。国家"万人计划"领军人才,教育部"长江学者"特聘教授,科技部"中青年科技创新领军人才",国家卫生计生突出贡献中青年专家,享受国务院政府特殊津贴专家,国家临床重点专科骨科和运动医学学科带头人,全国青年岗位能手,湖南省"芙蓉学者"特聘教授,湖南省科技领军人才和骨科学科领军人才,湖南省普通高校学科带头人,湖南省首届"优秀科技工作者",中南大学"湘雅名医"。     

超声诊断主动脉窦瘤

本文报告31例主动脉窦瘤患者,全部用二维超声(2DE)和多普勒超声检查。其中手术治疗24例,超声符合22例,符合率为92％。误诊2例,误诊率为8％。故超声实际诊断主动脉窦瘤29例中右冠窦瘤18例(62％),无冠窦瘤7例(24％),二叶瓣型主动脉窦瘤4例(14％)。窦瘤破入/膨入右室和右房内的例数分别为16例和13例。本病主要的合并症为主动脉瓣关闭不全和室缺。通过分析我们认为二维加多普勒超声是诊断主动脉窦瘤最有价值的无创技术。