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AF内固定手术治疗脊椎骨折合并脊髓损伤 被引量:2
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作者 黎全猛 《临床医学工程》 2010年第7期93-94,共2页
目的探讨(Atlas Fixation,AF)内固定系统手术在治疗脊椎骨折合并脊髓损伤的应用价值。方法收集本院脊椎骨折合并脊髓损伤患者15例,采用AF内固定手术治疗,并作术后疗效分析。结果 15例患者均获得术后随访,随访时间为9~21个月,平均17个... 目的探讨(Atlas Fixation,AF)内固定系统手术在治疗脊椎骨折合并脊髓损伤的应用价值。方法收集本院脊椎骨折合并脊髓损伤患者15例,采用AF内固定手术治疗,并作术后疗效分析。结果 15例患者均获得术后随访,随访时间为9~21个月,平均17个月。按Frankel评分标准:术后A级3例,B级2例,C级2例,D级2例,E级6例。Charles标准:优8例,良2例,一般2例,差3例,总优良率66.67%。结论 AF系统操作具有损伤小,出血少,操作简单易行,复位固定理想等优点,是解决脊椎骨折合并脊髓损伤的理想的手术方法,尤其适于基层医院推广。 展开更多
关键词 AF内固定系统 脊椎骨折合并脊髓损伤 手术治疗 应用价值
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脊椎骨折伴脊髓损伤患者的康复护理 被引量:12
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作者 颜霜娟 《中医正骨》 2014年第2期74-76,共3页
目的:探讨脊椎骨折伴脊髓损伤患者之康复护理。方法:对36例脊椎骨折合并脊髓损伤患者的临床资料、心理康复指导内容、躯体功能锻练方法、康复护理等进行回顾性分析。结果:经综合性康复训练和护理,36例患者中,96%的患者提高了生活自理能... 目的:探讨脊椎骨折伴脊髓损伤患者之康复护理。方法:对36例脊椎骨折合并脊髓损伤患者的临床资料、心理康复指导内容、躯体功能锻练方法、康复护理等进行回顾性分析。结果:经综合性康复训练和护理,36例患者中,96%的患者提高了生活自理能力,23.6%的患者能拄拐行走,53.6%的患者能扶助步器行走,18.8%可自坐、翻身,完成轮椅和床之间的转换,88%的患者能做简单家务,能达到生活自理的要求,患者及家属均感满意。结论:及早的心理康复指导配合正确的躯体功能锻炼等康复护理,能促使患者早日回归社会和家庭。 展开更多
关键词 脊椎骨折合并脊髓损伤 康复 护理
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脊柱脊髓损伤伴有其它合并症3例手术治疗报告
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作者 高生龙 沈志鹏 《中国矫形外科杂志》 CAS CSCD 1995年第1期54-55,共2页
脊柱脊髓损伤伴有其它合并症3例手术治疗报告高生龙,沈志鹏我院1986~1992年收治3例脊柱脊髓损伤伴有其它合并症患者,由于处理及时恰当,均收到满意效果。现报告如下:例1,男,29岁,1986年6月10日从15m高电... 脊柱脊髓损伤伴有其它合并症3例手术治疗报告高生龙,沈志鹏我院1986~1992年收治3例脊柱脊髓损伤伴有其它合并症患者,由于处理及时恰当,均收到满意效果。现报告如下:例1,男,29岁,1986年6月10日从15m高电线杆上摔下,胸腰背面着落在路旁草堆... 展开更多
关键词 脊椎损伤 脊椎脊髓损伤 合并症 外科手术
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脊柱脊髓损伤患者术后骨科康复护理效果观察
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作者 黄璐璐 《中国伤残医学》 2022年第14期5-8,共4页
观察对脊柱脊髓损伤术后实施康复护理的临床效果.方法:选取2019年2月-2020年7月脊柱脊髓损伤病例89例,术后护理模式分组,观察组(骨科康复护理)45例,对照组(常规术后护理)44例,比较脊髓功能、生存质量、身心状态、并发症情况、护理评价.... 观察对脊柱脊髓损伤术后实施康复护理的临床效果.方法:选取2019年2月-2020年7月脊柱脊髓损伤病例89例,术后护理模式分组,观察组(骨科康复护理)45例,对照组(常规术后护理)44例,比较脊髓功能、生存质量、身心状态、并发症情况、护理评价.结果:脊髓功能比较,观察组运动功能、针刺觉和轻触觉优于对照组,差异有统计学意义(P<0.05);并发症比较,观察组发生率为6.67%(3/45),低于对照组的27.27%(12/44),差异有统计学意义(P<0.05);生活质量比较,观察组为(80.37±7.24)分,高于对照组的(65.13±6.82)分,差异有统计学意义(P<0.05);身心状态比较,观察组抑郁为(25.53±3.62)分,轻于对照组的(36.40±5.01)分,观察组焦虑为(27.96±3.41)分,轻于对照组的(37.23±4.82)分,观察组疼痛为(2.80±0.62)分,轻于对照组的(5.93±0.51)分,差异有统计学意义(P<0.05);护理评价比较,观察组优良率为91.11%(41/45),高于对照组的68.18%(30/44),差异有统计学意义(P<0.05).结论:在脊柱脊髓损伤手术治疗后进行骨科康复护理,可促进脊髓功能恢复,减少并发症,改善生活质量与身心状态,提高护理评价,在脊髓损伤术后应用护理成效显著. 展开更多
关键词 骨科康复护理 脊椎脊髓损伤 术后护理 生活质量
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康复护理在骨科脊柱脊髓损伤患者术后的应用效果评价
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作者 宋雯菲 祁梅 《中文科技期刊数据库(全文版)医药卫生》 2022年第12期1-4,共4页
针对脊柱脊髓损伤患者术后运用康复护理的效果展开进一步评价分析。方法 本研究选取了2021年2月到2022年7月之间患得脊柱脊髓损伤的患者89例,并随机分成了采取常规术后护理的对照组44例;采取骨科康复护理的观察组45例,进一步评价两组患... 针对脊柱脊髓损伤患者术后运用康复护理的效果展开进一步评价分析。方法 本研究选取了2021年2月到2022年7月之间患得脊柱脊髓损伤的患者89例,并随机分成了采取常规术后护理的对照组44例;采取骨科康复护理的观察组45例,进一步评价两组患者护理后的脊髓功能、生存质量、身心状态、并发症情况以及护理效果。结果 对两组患者的脊髓功能比较,在轻触觉、针刺觉以及运动功能方面,观察组明显比对照组优,数据间差异较为明显(P<0.05);对两组患者并发症进行比较,观察组明显低于对照组,两组并发症发生率分别为6.67%(3/45)和27.27%(12/44),数据间差异明显(P<0.05);对两组患者生活质量进行比较,观察组明显高于对照组,两组比分分别为(80.37±7.24)分和(65.13±6.82)分,数据间差异明显(P<0.05);对两组护理效果评价展开对比,观察组明显高于对照组,两组优良率分别为91.11%(41/45)和68.18%(30/44),差异有统计学意义(P<0.05)。结论 在脊柱脊髓损伤手术治疗后进行骨科康复护理,可促进脊髓功能恢复,减少并发症,改善生活质量与身心状态,提高护理评价,在脊髓损伤术后应用护理成效显著。 展开更多
关键词 骨科康复护理 脊椎脊髓损伤 术后护理 生活质量
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Changes of free iron contents and its correlation with lipid peroxidation after experimental spinal cord injury 被引量:2
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作者 刘锦波 唐天驷 肖德生 《Chinese Journal of Traumatology》 CAS 2004年第4期229-232,共4页
Objective: To observe the dynamic changes of fre e iron contents and its relationship to the changes of lipid peroxidation after experimental spinal cord injury (SCI). Methods: Sprague Dawley rats were randomly divide... Objective: To observe the dynamic changes of fre e iron contents and its relationship to the changes of lipid peroxidation after experimental spinal cord injury (SCI). Methods: Sprague Dawley rats were randomly divided into three g roups: Group A (n=6) received no operation; Group B (n=48) received only laminec tomy (sham); and Group C (n=48) received both laminectomy and traumatic injury ( SCI model). The SCI animal models were made by using an modified Allens weight -drop device (50 g.cm) on T_ 12 . Rats were sacrificed at 0.5 ,1,3,6,12,24 hours after injury. The levels of free iron involved in spinal cord segm ents at different time points were measured by bleomycin assay. The malondialdeh yde (MDA) was also measured by the thiobarbituric acid (TBA). Results: After SCI in Group C,the level of free iron showed a significant increase at 0.5 hour compared to Groups B and A,restored to th e control level at 6 h; the level of MDA was increased at 0.5 hour,peaked a t 3 hours,returned to the control level at 12 hours; the concentrations of free iron and lipid peroxidation in injured rats were significantly and positively c orrelated at 0.5 -3 hours. Conclusions: After SCI the levels of free iron are increased qu ickly and might be a major contributor to lipid peroxidation in injured spinal c ord. 展开更多
关键词 Spinal cord injuries IRON Lipid peroxidation
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Pressure changes in spinal canal and evaluation of spinal cord injuries in spinal section subjected to impact
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作者 谢宝钢 吴梅英 杨吉祥 《Chinese Journal of Traumatology》 CAS 2001年第3期175-179,共5页
Objective: To observe pressure changes in the spinal canal of the vertebrarium subjected to impact. From the point of view of impact, pressure changes and spinal cord injuries, the relationship between the type of spi... Objective: To observe pressure changes in the spinal canal of the vertebrarium subjected to impact. From the point of view of impact, pressure changes and spinal cord injuries, the relationship between the type of spinal fracture and the severity of spinal cord injuries were analyzed and some experimental data were provided for early evaluation of severity of spinal cord injuries. Methods: An experimental model of spinal burst fracture was made with Type BIM I bio impact machine and techniques of high velocity vertical loading in static pattern and stress shielding were adopted. Vertebral sections T10 L4 taken from fresh cadavers were impacted and pressure changes in the spinal canal were observed. The types and severity of spinal fracture were studied with gross and radiography examination. Results: Great positive pressure wave (wave A) in the spinal canal of the 4 vertebral specimens with burst fracture was recorded. The peak value of pressure was correlated with the severity of posterior column injuries. Generally, the peak value of pressure was low in the samples with posterior column injuries, but high in the samples without injuries. The predominant features of fractures were burst fractures of vertebral body and severe destruction of the skeletal and fiber structure of the spinal canal. Positive and negative pressure waves (wave B) were recorded in 2 vertebral samples in which no significant abnormal changes were found by radiography examination, however, a little liquid effusion in the vertebral body was found by gross examination. Conclusions: The type of pressure wave in the spinal canal is related to the deformation or the destruction of the spinal canal structure. The peak value of the pressure is non linearly related to the obstruction in the spinal canal, but related to posterior column injuries. 展开更多
关键词 PRESSURE Spinal fractures Spinal cord injuries
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Current status and perspective of diagnosis and treatment of thoracolumbar fracture in China
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作者 唐天驷 俞杭平 《Chinese Journal of Traumatology》 CAS 2003年第6期323-325,共3页
Since the late 20th century owing to the improvement of spinal surgery techniques, the diagnosis and treatment of thoracolumbar fracture have been perfected more and more. Although the advent of modern spinal surgery ... Since the late 20th century owing to the improvement of spinal surgery techniques, the diagnosis and treatment of thoracolumbar fracture have been perfected more and more. Although the advent of modern spinal surgery in China was late, we have gained some advanced achievements owing to various international communications benefited from the open policy. Therefore, it is essential to evaluate the current status and perspective of diagnosis and treatment of thoracolumbar fracture. There are several issues we would like to discuss here. 展开更多
关键词 China FEMALE Follow-Up Studies Fracture Fixation Fracture Healing Humans Injury Severity Score Lumbar Vertebrae MALE Quality of Health Care Spinal Cord Injuries Spinal Fractures Thoracic Vertebrae
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