个案康复指导对寄养脑瘫儿童疗效的对比研究

目的:探讨个案康复指导对寄养脑瘫儿童的疗效。方法:随机将入选脑瘫儿童分为研究组和对照组各26例,两组寄养家长均定期集中到我院接受关于脑瘫儿童运动功能训练的康复培训,研究组在此基础上由康复人员定期上门对寄养家长进行个案康复指导。将两组儿童寄养前和寄养一年后运动功能障碍的级别进行评定,并进行数据化评分。结果:两组儿童寄养一年前后自身对照有非常显著性差异(P<0.01)。寄养一年后,两组有效率比较有非常显著性差异(P<0.01),两组运动功能障碍减分率比较有显著性差异(P<0.05)。结论:在对寄养脑瘫儿童的家长进行集中培训的基础上,定期上门进行个案康复指导能更有效地促进脑瘫儿童的康复。

自制腕指康复板对脑卒中患者腕手功能恢复的影响

目的:观察自制腕指康复板对脑卒中患者腕指功能障碍的疗效。方法:将脑卒中患者72例随机分为观察组和对照组各36例,2组均进行常规康复治疗,观察组在此基础上加用自制腕指康复板治疗。治疗4周及12周后,观察2组患者痉挛程度、手功能及腕关节活动度情况。结果:治疗4周时,观察组痉挛程度评分较治疗前及对照组均明显下降(P<0.01),对照组与治疗前比较差异无统计学意义;治疗12周后,2组痉挛程度评分均较治疗前及治疗4周时明显下降(P<0.01),且观察组更低于对照组(P<0.05)。治疗4周时,2组手功能改善情况比较差异无统计学意义;治疗12周后,2组手功能改善情况均较治疗4周时明显提高(P<0.01),且观察组更高于对照组(P<0.05)。治疗4周时,2组腕关节活动度均较治疗前明显提高(P<0.05),且观察组更高于对照组(P<0.05)。治疗12周后,观察组较治疗4周时及对照组均明显提高(P<0.05),对照组与治疗4周时比较差异无统计学意义。结论:自制腕指康复板结合常规康复治疗可明显改善患者痉挛状态、提高腕手功能。

人工全髋关节置换术后康复护理进展

人工全髋关节置换术(THA)后的康复护理对预防术后并发症和人工关节的使用年限至关重要。介绍了人工全髋关节置换术人群的主要特征、术后心理疏导、并存疾病的防护指导、主要并发症的预防指导,提出未来康复护理发展方向。

Rehabilitation Effect of Systematic Exercise on Breast Cancer Patients after Adjuvant Chemotherapy

OBJECTIVE To investigate the rehabilitation e. ect of systematic exercise on breast cancer patients a er adjuvant chemotherapy.METHODS One hundred and ten subjects were randomly divided into 2 groups. The patients in the control group received original exercise. The others in the intervention group received systematic exercise including aerobics and 24 postures of Taichi for 4 months besides the original exercise.RESULTS After the systematic exercise, the limb muscle strength, maximal oxygen uptake and lung capacity of the patients in intervention group were increased compared with those before the systematic exercise （P 〈 0.05）. The lung capacity of patients in the intervention group was signifi cantly increased than the control group after the exercise （P 〈 0.05）. The body mass index （BMI）,the ratio of waist and hip （WHR） of the patients in intervention group were decreased compared with those before the systematic exercise （P 〈 0.05）. The bone mineral density of control group was decreased comparing with pre-exercise （P 〈 0.05）, but there was no signifi cant di. erence in the intervention group between pre-exercise and pro-exercise （P 〉 0.05）. There was no significant dierence in the quality of life between the 2 groups a er the systematic exercise （P 〉 0.05）.CONCLUSION Systematic exercise can not only promote the restoration of limb function in patients with breast cancer after treatments, but also improve pulmonary function of the patients and lower the BMI and WHR of the patients. Systematic exercisecan improve the outcomes of overall rehabilitation.

Pay attention to the rehabilitation of cancer patients—Excerpts of the 2013 NCCN Guidelines for Survivorship

For some survivors, the consequences of cancer are minimal; these patients can return to a normal life after the completion of treatment. In fact, a majority of cancer survivors report being in good general health and experience good to excellent quality of life. A recent review suggests that at least 50% of survivors suffer from some late effects of cancer treatment. The most common problems in cancer survivors are depression, pain, and fatigue. The guidelines suggest the following standards for survivorship care:(1) prevention of new and recurrent cancers and other late effects;(2) surveillance for cancer spread, recurrence, or second cancers;(3) assessment of late psychosocial and medical effects;(4) intervention for consequences of cancer and treatment(eg, medical problems, symptoms, psychologic distress, financial and social concerns); and(5) coordination of care between primary care providers and specialists to ensure that all of the survivor's health needs are met. The NCCN Survivorship Panel hopes that these guidelines can help both oncologic and primary health care professionals lessen the burden left on survivors by their cancer experience so they can transition back to a rewarding life.