Rotatory chiropractic is one of the key manipulations in the treatment of low-er backache. The present paper reports the kinematic changes in the posterior element oflumbar spine during rotatory manipulation, using mo...Rotatory chiropractic is one of the key manipulations in the treatment of low-er backache. The present paper reports the kinematic changes in the posterior element oflumbar spine during rotatory manipulation, using motion segments of lumbar spine fromfresh cadavers as specimens and an electromechanical system for the measurements. Theanalysis of the angle-displacement curve and the load-angle curve reveals that rotatorychiropractic is a kind of complicated 3-D. 6-degree-of-freedom motion. Correctmanipulation may adjust the volume of the nerve root canal and relax the articulation be-tween the upper and lower joint processes so as to relieve the adhesion of the enclosuresin the nerve root canal and relieve the adhesion of the facet joints, and bring aboutimprovement of local circulation and amelioration of symptoms.展开更多
目的探讨影响腰椎后路融合减压内固定术后住院时间(length of stay,LOS)的危险因素,为临床缩短患者术后LOS提供依据及相应措施。方法回顾分析在2016年5月至2017年5月接受腰椎后路融合减压内固定术的226例患者的临床资料,记录性别、年龄...目的探讨影响腰椎后路融合减压内固定术后住院时间(length of stay,LOS)的危险因素,为临床缩短患者术后LOS提供依据及相应措施。方法回顾分析在2016年5月至2017年5月接受腰椎后路融合减压内固定术的226例患者的临床资料,记录性别、年龄、体重、吸烟史、喝酒史、婚姻状况、职业状况、术前美国麻醉师协会评分(American society of anesthesiologist,ASA)、术前合并病、手术时间、融合节段、术中减压方式、估计失血量、术中补液量、术中输血量、腰室引流管留置时间、引流量、术后输血量及术后显著事件等26个可能对LOS有影响的因素,按LOS≥16d(75th LOS)定义为超长住院,应用多元逐步回归分析上述因素与LOS的关系,探讨其中的原因及相应处理措施。结果正常LOS为15d(6~34d),超长LOS患者共60例(26.5%)。多元逐步回归结果表明年龄(β=0.051,P=0.010)、术中估计失血量(estimated blood loss,EBL)(β=0.002,P<0.001)及减压方式(β=-1.603,P<0.001)与腰椎后路融合减压内固定术后LOS存在显著独立线性关系。结论年龄、术中估计失血量、椎板减压方式是影响LOS独立危险因素,控制失血量及正确选择减压方式可有助于缩短LOS。展开更多
文摘Rotatory chiropractic is one of the key manipulations in the treatment of low-er backache. The present paper reports the kinematic changes in the posterior element oflumbar spine during rotatory manipulation, using motion segments of lumbar spine fromfresh cadavers as specimens and an electromechanical system for the measurements. Theanalysis of the angle-displacement curve and the load-angle curve reveals that rotatorychiropractic is a kind of complicated 3-D. 6-degree-of-freedom motion. Correctmanipulation may adjust the volume of the nerve root canal and relax the articulation be-tween the upper and lower joint processes so as to relieve the adhesion of the enclosuresin the nerve root canal and relieve the adhesion of the facet joints, and bring aboutimprovement of local circulation and amelioration of symptoms.
文摘目的探讨影响腰椎后路融合减压内固定术后住院时间(length of stay,LOS)的危险因素,为临床缩短患者术后LOS提供依据及相应措施。方法回顾分析在2016年5月至2017年5月接受腰椎后路融合减压内固定术的226例患者的临床资料,记录性别、年龄、体重、吸烟史、喝酒史、婚姻状况、职业状况、术前美国麻醉师协会评分(American society of anesthesiologist,ASA)、术前合并病、手术时间、融合节段、术中减压方式、估计失血量、术中补液量、术中输血量、腰室引流管留置时间、引流量、术后输血量及术后显著事件等26个可能对LOS有影响的因素,按LOS≥16d(75th LOS)定义为超长住院,应用多元逐步回归分析上述因素与LOS的关系,探讨其中的原因及相应处理措施。结果正常LOS为15d(6~34d),超长LOS患者共60例(26.5%)。多元逐步回归结果表明年龄(β=0.051,P=0.010)、术中估计失血量(estimated blood loss,EBL)(β=0.002,P<0.001)及减压方式(β=-1.603,P<0.001)与腰椎后路融合减压内固定术后LOS存在显著独立线性关系。结论年龄、术中估计失血量、椎板减压方式是影响LOS独立危险因素,控制失血量及正确选择减压方式可有助于缩短LOS。