心外科术后吗啡与芬太尼患者自控镇痛效果观察

目的观察吗啡和芬太尼患者自控镇痛 (PCIA)用于心外科术后疼痛康复的疗效和安全性。方法将 70例心脏手术患者随机分为吗啡组和芬太尼组 ,术后在ICU病房用PCIA进行疼痛康复 ,观察镇痛起效时间、效果及满意率 ,以及 2 4h、48h和 72h生命体征及恶心、呕吐等副作用。结果两组患者的镇痛效果及满意率无显著性差异 ,生命体征均平稳 ,但芬太尼组的起效时间明显短于吗啡组 (P <0 .0 5 ) ,患者的恶心、呕吐次数明显少于吗啡组 (P <0 .0 5 )。结论吗啡和芬太尼PCIA均能安全地用于心外科术后患者急性疼痛的康复治疗 ,但芬太尼PCIA明显比吗啡PCIA起效快 ,恶心、呕吐副作用少。     

心理辅助及运动康复指导对急性白血病患者巩固治疗的影响

探讨康复治疗对急性白血病(AL)患者巩固治疗的影响。方法:对初治AL患者进行心理辅助和运动康复指导,以治疗前的AL患者为对照组,分析比较他们在6个月巩固治疗期间的化疗间歇期感染率、按时复治率、半年复发率及精神状态的变化。结果:康复治疗组(康复组)的按时复治率和半年复发率分别为95.00%、10.68%,与对照组的63.15%、36.84%比较差异均有显著性意义(P<0.05),化疗间歇期感染率两组差异无显著性意义。康复组和对照组治疗前后丧失信心患者的比例分别为40%、35%和42.10%、63.15%,两组治疗后比例比较差异有显著性意义(P<0.05)。结论:对AL患者实施心理辅助及运动康复指导有助于改善他们的精神状态,增强对治疗的信心,积极配合治疗,延长缓解期。     

功能性电刺激对成人下肢解痉术后肌力恢复的影响

目的观察下肢痉挛患者术后应用肌兴奋治疗仪的疗效。方法将 49例接受手术治疗的下肢痉挛患者术后分为治疗组 (2 1例 )和对照组 (2 8例 )。两组患者术后均进行常规康复训练 ,但治疗组患者加用肌兴奋治疗仪治疗。于肌兴奋治疗仪治疗前及术后 3个月、6个月时分别对两组患者相应肌肉平均肌力进行评定。结果治疗组患者肌力提高和运动功能改善情况均优于对照组 (P <0 .0 5 ,P <0 .0 1)。结论下肢痉挛患者术后进行康复训练时 ,应用肌兴奋治疗仪可加快肌力恢复和运动功能改善。     

护理干预及早期康复训练对脑卒中后吞咽困难的影响

目的 探讨护理干预及早期进行吞咽功能训练对急性脑卒中后吞咽困难的影响.方法 将我科收治的急性脑卒中后吞咽困难患者112例分为康复治疗组58例与常规治疗组54例.康复治疗组早期进行护理干预及吞咽功能训练;常规治疗组未进行早期康复训练,而是依患者意愿辅助进食.结果 康复治疗组吞咽困难的有效率明显优于常规治疗组,吸入性肺炎发生率显著低于常规治疗组.结论 早期进行护理干预及康复训练能明显改善急性脑卒中后吞咽困难患者的吞咽功能和营养状况,显著降低吸入性肺炎的发生率.     

Effect of rehabilitation treatment during different pe-riod on recovery of patients with spinal cord injury

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围术期加速康复外科护理对脑胶质瘤病人的影响

目的:探讨围术期加速康复外科护理对脑胶质瘤病人的影响。方法:将神经外科收治的114例脑胶质瘤病人采用住院编号奇偶数排列法将其分为观察组和对照组各57例。对照组病人给予常规围术期护理,观察组病人在对照组的基础上给予加速康复外科护理,比较两组病人术后生活自理能力、生活质量及并发症情况。结果:干预后观察组病人术后生活自理能力评分高于对照组(P<0.05),术后生活质量评分高于对照组(P<0.05),术后并发症总发生率低于对照组(P<0.05)。结论:围术期加速康复外科护理干预可提高脑胶质瘤病人术后生活自理水平,加快病人术后康复进程,改善病人生活质量,对病人取得良好预后具有重要的意义。     

新型冠状病毒肺炎疫情期间PCI患者线上精准分层指导的康复效果观察

目的 探讨新型冠状病毒肺炎疫情期间经皮冠状动脉介入术患者线上精准分层指导的康复效果。方法 选取心内科收治的60例行PCI患者,采用随机数字法分为微信精准干预组和对照组各30例。对照组给予常规健康教育,微信精准干预组给予线上精准分层康复指导。比较2组出院后6个月的心脏康复指标水平。结果 微信精准干预组每周运动时间、体质量指数、血压、血脂、血糖控制达标率、戒烟率、药物正确使用率显著长于或高于对照组（P<0.05）,抑郁与焦虑发生率显著低于对照组（P<0.05）,无1例心血管事件致再入院。结论 新型冠状病毒肺炎疫情期间采用线上精准分层指导,显著改善了经皮冠状动脉介入术后患者心脏康复指标水平,避免了心血管事件致再入院。     

Research on teaching reform of rehabilitation nursing major based on modern apprenticeship system

Objective: To determine the specific indicators of nursing students' competency in rehabilitation nursing posts; to form a training mode of competency of nursing students in rehabilitation nursing posts based on a modern apprenticeship system; and to preliminarily explore the effect of this training mode. Methods: The literature review method and the Delphi method were used to determine the specific indicators of nursing students' competency in rehabilitation nursing posts. Based on the competency index results, the training mode of modern apprenticeship in rehabilitation nursing specialty was determined. Taking a university as an example, the modern apprenticeship training model of rehabilitation nursing specialty was put into the operation group, and the students were selected into the experimental group. The nursing students who accepted the traditional training mode were selected as the control group to compare the competency of the two groups of nursing students before graduation. Results: Form a total of 191 indicators of nursing students rehabilitation nursing post competency content. The competency scores of nursing students in the rehabilitation nursing posts of the experimental group were higher than those in the control group in 24 work tasks, and the difference was statistically significant (P < 0.05). Conclusions: Based on the modern apprenticeship system, the training model of nursing students' competency in rehabilitation nursing posts could improve the matching degree of nursing posts of nursing students and may provide a reference for improving the training of rehabilitation nursing talents.     

重复经颅磁刺激联合音乐疗法治疗卒中后抑郁的疗效及机制研究

目的:探索重复经颅磁刺激(rTMS)联合音乐疗法对卒中后抑郁(PSD)的疗效及其可能机制.方法:PSD患者69例纳入研究,分为对照组(23例)、TMS组(21例)和联合组(25例),分别予以常规康复、常规+rTMS康复或常规+rTMS+音乐疗法康复4周.于入院后当天及治疗后第4周采用汉密尔顿抑郁量表(HAMD)评估患者...