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护理干预对乳腺癌病人术后患肢功能锻炼依从性的影响
乳腺癌是女性常见的恶性肿瘤之一,近年来发病率呈上升趋势且逐渐年轻化.我国乳腺癌发病率居女性恶性肿瘤的首位[1].目前乳腺癌改良根治术是主要治疗方法,手术需要切除乳腺并进行同侧腋窝淋巴结清扫,会引起患肢功能障碍,严重者可导致患肢肿胀,使生活质量严重下降.因此,乳腺癌术后患肢功能锻炼是病人康复治疗的主要环节,关系到病人今后的生活方式和生活质量[1].
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呼吸功能锻炼对重症肌无力病人术后拔管时间的影响
重症肌无力(myasthenia graves,MG)是神经肌的疾病导致肌肉颤动、软弱及容易疲劳,发病率逐年增长.胸腔镜下胸腺扩大切除术是迄今公认的外科治疗MG的有效方法.术后常规留置胸腔闭式引流管,以引流胸腔内的积液、积气,维持胸膜腔内负压,促使肺迅速膨胀,防止感染,然而胸腔闭式引流管的留置给病人带来了诸多不良后果.近年来,就尽可能缩短胸外科术后闭式引流管的留置时间的研究较多,但是就如何缩短重症肌无力病人行胸腔镜下胸腺扩大切除术后闭式引流管留置时间的相关研究甚少,本研究就相关内容进行探讨.
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功能锻炼在脑卒中瘫痪治疗中的作用
Background: Incidence of paralysis in stroke is very high and drug therapy is often adopted. But ignorance of function exercise will influence prognosis of disease, even lead to relapse.
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功能锻炼对无骨折脱位颈髓损伤术后患者的影响
BACKGROUND:Although neural function can't recovered by function exercise in patients with cervicospinal cord injury,motor function can still achieved obvious improvement.
关键词： 功能锻炼 无骨折脱位 颈髓损伤 术后患者 function exercise -
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.
关键词： 老年人 股骨颈骨折 function exercise -
影响胫骨平台骨折疗效的因素
64 cases of tibia platform fracture were received and treated from February1994 to December 2000. The patients were guided for rehabilitation treatment as early function exercise and herb washing esc, the effects were satisfactory and it is reported as following. 1 Objects and methods 1.1 Objects 64 cases,39 male,25 female, aged 16～ 72 years, 35 cases were at the left and 29 were at the right. 52 cases were treated in one week and 12 were from one week to two weeks.The fractures were of three types: There were 37 cases of exstrophy type, Degree I: Split fracture or compress fracture of tibia external condyle with little or no transportation. The indented articular facet of the compress was no more than 0.5 cm. There were 15 cases of Degree I in the group. Degree II: 1/3 articular facet at the outside of the external condyle was of split fracture and there were external transportation, the indentation of the internal 2/3 articular facet caused by the external condyle of the femur was no more than 1.0 cm. There were 13 cases of degree II in the group. Degree III: Fracture on both condyles and there were 7 cases of Degree III in the group. There were 18 cases of entropion type and 9 cases of vertical type in the group. 1.2 Methods ( 1) Non- operation treatment ① The lower limbs were fixed with plaster support for two weeks, after swelling at the knee joints disappeared, legs were fixed for another 2～ 4 weeks with plaster support or tube support, there were 30 cases in the group and the method was suitable for Degree I and II of the exstrophy type and entropion or vertical types with little transportation.② Bone traction for 2 weeks, and 2～ 4 weeks of lower limb plaster support or tube support, or continual bone traction combined with early function exercise, there were 9 cases in the group and the method was suitable for Degree III and IV of the exstrophy type, entropion and vertical types with major transportation.( 2) Operation treatment ① Open reduction and inner fixation: 25 cases.② Treating the knee joint combined wounds: 3 cases of meniscus extirpation, 3 cases of inner collateral ligament repairing, one case of external collateral ligament repairing, 2 cases of anterior cruciate ligament repairing and one case of posterior cruciate ligament repairing.( 3) Rehabilitation treatment:① Quadriceps femoris muscle isometric contraction exercises from the third day after operation and plaster fixation, 20～ 30 times for each group and 40～ 60 groups for each day. The intensity was added gradually. ② Herb washing was added, it may be performed in two weeks after stitches taking out or plaster fixing, the prescript was as the following:Chuan qiong 15g,Red peony root 15g,Chinese angelica 15g,Cassia twig 15g,Two tooth achyranthes root 15g,Safflower 20g,Halite 15g,Licorice root 15g,Frankincense 15g,Myrrh 15g,Staghorn clubmoss herb 25g and Tuberculate speranskia herb 25g. Twice a day and 30 minutes for each time, each dose may be used for two days. ③ Knee joint function exercise with the help of the CPM two weeks after plaster fixation or operation, slight passive movement at early period may enhance local blood circulation and reduce the possibility of joint adhesion, passive exercise with greater ranges may be performed for the knee joints after four weeks.
