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find Keyword "康复" 584 results
  • Application of exercise therapy in rehabilitation of maintenance hemodialysis patients

    Most patients with end-stage renal disease choose maintenance hemodialysis to prolong survival. The clinical application of exercise therapy has a definite effect on maintenance hemodialysis patients, and can effectively improve their quality of life and promote rehabilitation. Individualized exercise therapy under the guidance of medical professionals has positive effects on patients’ physical and mental rehabilitation. This paper mainly summarizes the status of exercise, factors affecting exercise, exercise therapy, exercise and rehabilitation of maintenance hemodialysis patients, and reviews the impact of exercise therapy on the physical and mental health of maintenance hemodialysis patients, in order to provide some references for clinical intervention and prognosis studies.

    Release date:2020-08-25 09:57 Export PDF Favorites Scan
  • 快速康复外科理念与胸外科

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  • 脑外伤合并截肢1例报道及康复体会

    目的:探讨早期康复介入对脑外伤重症患者疗效的影响;方法:对该重症脑外伤患者实施早期综合康复介入治疗;结果:患者肢体及认知功能得到极大的提高,出院时达到了安装假肢步行出院的目标;结论:早期康复介入治疗对改善重症脑外伤患者肢体及认知等各方面功能均有很大疗效,可使患者更高更好更快的回归社会。

    Release date:2016-09-08 09:54 Export PDF Favorites Scan
  • Digital drainage system versus traditional drainage system for thoracic drainage after lung surgery: A case control study

    Objective To compare the digital drainage system and the traditional drainage system in the patients after lung surgery, and to evaluate the advantages of digital drainage system. Methods A retrospective analysis of consecutive 42 patients with lung surgery between September 2016 and May 2017 in Beijing University International Hospital was done. There were 30 males and 12 females with a median age of 34 years ranging 19-81 years. After the surgery 21 patients adopted Thopaz digital drainage device (a DDS group), and the other 21 patients adopted traditional drainage (a TDS group). Duration of air leakage and chest tube placement, length of hospital stay, thoracic drainage volume within 48 h and hospitalization expenses in the two groups were compared. Results The patients in the two groups were all successfully discharged. Compared with the TDS group, duration of air leakage and chest tube placement and length of hospital stay significantly shortened in the DDS group (35.6±16.3 h vs. 48.2±20.1 h, P=0.02; 50.0±16.1 h vs. 62.0±20.4 h, P=0.03; 5.9±2.3 d vs. 7.8±3.5 d, P=0.02), and thoracic drainage volume within 48 h and hospitalization expenses showed no significant statistical difference between the two groups. Conclusion Using digital drainage system after lung surgery can significantly shorten the duration of air leakage and the postoperative drainage, at the same time, without increasing the overall hospitalization expenses.

    Release date:2018-03-28 03:22 Export PDF Favorites Scan
  • Application Value of Pre-operative Pulmonary Rehabilitation Exercise Training in Patients with Lung Cancer

    Pulmonary rehabilitation therapy is gaining more attention. The recent systematic review of domestic and foreign relevant literature indicates pre-operative pulmonary rehabilitation exercise training performs an important role in per-operative period. The rehabilitation therapy can efficiently improve exercise tolerance and quality of life of patients with lung cancer, reduce post-operative complications, shorten hospitalization time, and increase opportunity of operation. However, the evidence comes from small samples reported by present clinical study, and a standard treatment guideline of pulmonary rehabilitation has not been established until now. Further researches are expected to provide demonstration and promote pulmonary rehabilitation. It is an important part of comprehensive treatment of lung cancer. The therapy will benefit more patients suffering from lung cancer.

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  • Investigation and Analysis of the Rehabilitative Needs of Old People Wounded in Wenchuan Earthquake

    目的:了解汶川地震老年伤员存在的身体结构与功能受损程度及活动、参与能力受限程度,明确其康复护理需求。方法:方便抽样的方法选取研究对象,采用自行设计的调查表由康复医师在征得其同意后对其完成资料的收集。结果:共选取研究对象40名。伤员存在多系统多器官的结构和功能受损,存在呼吸道感染者4例(10%),截肢者2例(5%),颅脑损伤导致瘫痪者1例(2.5%),骨折者28例(70%)。伤后早期即出现运动功能的下降,26例(65%)患者存在关节活动受限,26例(65%)肌力下降。疼痛是需要解决的一个重要问题,19例(47.5%)患者存在不同程度的疼痛问题。伤后老年伤员日常活动生活能力下降,生活能基本自理者仅13例(32.5%);参与能力受限也是一个不容忽视的问题,职业能力受限者36例(90%),休闲娱乐能力受限者33例(82.5%),社交能力受限者25例(62.5%)。结论:老年伤员的康复现状不容乐观,应该引起重视,康复治疗需要及早进行。

    Release date:2016-09-08 10:00 Export PDF Favorites Scan
  • Correlation between readiness for hospital discharge and short-term quality of life in colorectal cancer patients following enhanced recovery after surgery mode

    ObjectiveTo explore the correlation between readiness for hospital discharge and short-term quality of life among colorectal cancer (CRC) patients following enhanced recovery after surgery (ERAS) mode.MethodsSurveys of 127 CRC patients following ERAS mode were conducted in the West China Hospital of Sichuan University. The Readiness for Hospital Discharge Scale and EORTC QLQ-C30 Scale were issued at the discharge and 1 month after the operation, respectively.ResultsThe total score of RHDS was 149.43±33.25. The score of global quality of life was 66.80±18.84. Correlation analysis showed that the total score of RHDS was positively correlated with the score of global quality of life (r=0.220, P=0.013), and negatively correlated with the scores of fatigue, nausea and vomiting, pain, loss of appetite (r=–0.304, P=0.001; r=–0.189, P=0.033; r=–0.257, P=0.004; r=–0.254, P=0.004). The score of personal status dimension were positively correlated with the score of global quality of life and emotional function (r=0.213, P=0.016; r=0.197, P=0.027), and negatively correlated with scores of fatigue, pain and insomnia (r=–0.311, P=0.000; r=–0.264, P=0.003; r=–0.257, P=0.004). The score of knowledge dimension was negatively correlated with nausea and vomiting, pain and loss of appetite (r=–0.212, P=0.017; r=–0.182, P=0.040; r=–0.239, P=0.007). The score of coping ability dimension was positively correlated with the score of global quality of life and physical function (r=0.204, P=0.021; r=0.204, P=0.021), while negatively correlated with scores of fatigue, pain, insomnia and loss of appetite (r=–0.349, P=0.000; r=–0.240, P=0.007; r=–0.202, P=0.022; r=–0.201, P=0.024). The score of expected support was positively correlated with the score of global quality of life (r=0.220, P=0.013), and negatively correlated with scores of fatigue and loss of appetite (r=–0.249, P=0.005; r=–0.227, P=0.010).ConclusionsThe short term quality of life among CRC patients following ERAS keeps at upper middle level, and positively correlated with the readiness for hospital discharge. It is suggested that discharge preparation service is of great significance to improve the quality of life of patients.

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  • 康复期骨折患者夜间疼痛护理技术的应用

    【摘要】 目的 探究夜间疼痛护理技术对缓解康复期骨折患者疼痛的确切疗效,提高骨折患者康复期的护理质量。 方法 2006年9月—2008年5月,对符合标准的100例患者随机分为对照组和治疗组各50例,采用视觉模拟评分法(VAS)评分后,两组均采用常规康复治疗,治疗组同时采用夜间疼痛护理技术。1周后两组均进行VAS评定。 结果 治疗前治疗组和对照组VAS评分分别为(7.70±0.76)、(7.58±0.88)分,两组比较,差异无统计学意义(t=0.304,P=0.762)。治疗1周后,治疗组和对照组VAS评分分别为(3.23±0.80)、(5.38±0.94)分,两组比较,差异有统计学意义(t=12.320,P=0.000)。 结论 采用夜间疼痛护理技术应用于康复期骨折疼痛患者具有确切疗效。

    Release date:2016-09-08 09:26 Export PDF Favorites Scan
  • Application of Enhanced Recovery after Surgery in Hepatic Hemangioma

    ObjectiveTo explore effectiveness and rationality of using concept of enhanced recovery after surgery in treatment of hepatic hemangioma. MethodsThe clinical data of 289 patients with hepatic hemangioma underwent hepatectomy were analyzed retrospectively.These patients were divided into enhanced recovery after surgery group (n=146) and traditional perioperative treatment group (n=143) according to the different perioperative treatment methods.The postoperative hospital stay,hospitalization cost,postoperative bilirubin levels on day 1,3,and 5,postoperative complications rate,postoperative 24 h and 48 h pain numeric rating scale (NRS) score,postoperative ambulation status,intestinal ventilation time,mortality,and readmission rate were compared between these two groups. ResultsCompared with the traditional perioperative treatment group,the postoperative hospital stay and intestinal ventilation time were shorter (P<0.05),hospitalization cost was less (P<0.05),postoperative complications rate was lower (P<0.05),points of postoperative 24 h and 48 h NRS were lower (P<0.05),proportion of postoperative ambulation on day 1 was higher (P<0.05) in the enhanced recovery after surgery group.While the differences of the postoperative bilirubin levels on day 1,3,and 5,mortality,and readmission rate were not significantly different between these two groups (P>0.05). ConclusionThe concept of enhanced recovery after surgery in treatment of hepatic hemangioma is feasible and safe,which is in favor of postoperative functional recovery,and could shorten postoperative hospital stay and reduce hospitalization cost.

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  • 多科协作小组工作模式在老年康复医学中的应用

    在人口老龄化背景下,老年人口已成为医疗保健服务需求最大的人群,解决老年人的康复医疗问题是当今社会面临的重要挑战。老年人与年轻者的康复相比,最显著的区别是其伴发病所带来的负担较大。多科协作小组形式是老年康复医学中科学合理的工作模式,可改善患者的生理功能,提高患者的日常生活能力、降低死亡率和患者、家庭及社会对康复结局的满意度。通过对老年康复医学概念与内容,多科协作小组工作模式在老年康复医学中的应用现状,小组成员在老年康复临床医学中的角色与功能及该模式应用成效的阐述,旨在推广多科协作小组形式在老年康复医学中的应用。

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