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自控镇痛促进小儿尿道下裂术后康复的临床研究 被引量:1
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作者 黄辉 陈洁 +2 位作者 冯晓玲 黄碧萍 邓小耿 《中国临床实用医学》 2008年第10期1-3,共3页
目的探讨使用自控镇痛方法促进小儿尿道下裂术后康复。方法将80例尿道下裂患儿分为试验组和对照组,试验组在术后采用以注射泵控制镇痛的方法,对照组以常规的镇痛药物治疗,比较两组患儿术后疼痛感受变化、生理功能康复和术后并发症发... 目的探讨使用自控镇痛方法促进小儿尿道下裂术后康复。方法将80例尿道下裂患儿分为试验组和对照组,试验组在术后采用以注射泵控制镇痛的方法,对照组以常规的镇痛药物治疗,比较两组患儿术后疼痛感受变化、生理功能康复和术后并发症发生率。结果与对照组相比,试验组的患儿疼痛感受减低,波动范围较小,术后的生理机能和伤口恢复较快,术后尿瘘和尿道狭窄并发症明显减少(27.5%郴7.5%,17.5%vs5%,P〈0.05),患儿嗜睡、恶心和低血压等不良反应的发生率较低。结论患儿可控镇痛的方法能明显减少术后并发症和促进康复,减少不良反应的发生,可能与稳定而良好的疼痛控制有关。 展开更多
关键词 康复/术后 尿道下裂/小儿 控制镇痛
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EFFECT OF ACUPUNCTURE ON POST-OPERATIVE FUNCTIONAL RECOV-ERY IN PATIENTS WITH LUMBAR INTERVERTEBRAL DISC PROTRUSION
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作者 赵斌修 王坤正 +3 位作者 赵杰修 黄向辉 王建中 柏传毅 《World Journal of Acupuncture-Moxibustion》 2008年第1期22-28,共7页
Objective To observe the influence of acupuncture on the post-operative rehabilitation in patients undergoing vertebral pulp extraction due to lumbar intervertebral disc protrusion (LIDP) so as to evaluate its effic... Objective To observe the influence of acupuncture on the post-operative rehabilitation in patients undergoing vertebral pulp extraction due to lumbar intervertebral disc protrusion (LIDP) so as to evaluate its efficacy in the treatment of lumbago induced by LIDP. Methods A total of 69 patients undergoing vertebral pulp extraction were randomized into acupuncture group ( n = 35) and control group ( n = 34). Patients of acupuncture group were treated with routine rehabilitation method and electroacupuncture (EA) stimulation on Zhìbiān (秩边 BL54) and Wěizhōng (委中 BL40), acupuncture on Shènshū ( 肾俞 BL23), Dàchángshū (大肠俞 BL25), BL54, BL40, Jiájǐ (夹脊 EX-B 2), Shàngliáo (上髎 BL31), etc., and cupping on BL40, with 15 days being a therapeutic course and for average 7. 36 courses. Patients of control group were treated with simple rehabilitation method. Functional recovery state was judged before and after surgery by using the standards of Japanese Orthopedic Association (JOA). Results The average recovery rates of 3 months, 6 months and one year after surgery were 49.93% ,90.31% and 95.08% separately in acupuncture group, and 26.24% ,63.42% and 71.36% successively in control group. The recovery rates of acupuncture group were significantly higher than those of control group at the same time-points (P〈0. 05). Conclusion Acupuncture has a definite effect on promoting post-operative functional recovery in LIDP patients undergoing vertebral pulp extraction and spinal fusion. 展开更多
关键词 Lumbar intervertebral disc protrusion Acupuncture Rehabilitation treatment
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