Selecting Chaoying small watershed with representative karst rocky desertification in the Bijie test area of Guizhou Province as an example, according to karst rocky desertiflcation degree and the existing eco-environ...Selecting Chaoying small watershed with representative karst rocky desertification in the Bijie test area of Guizhou Province as an example, according to karst rocky desertiflcation degree and the existing eco-environmental problems in the small watershed, we study developmental model and technique support system for integrated rehabilitation of rocky desertification in the small watershed, and bring forward the development model and technique integration for integrated rehabilitation of rocky desertification, which adapt to the karst areas of Bijie test area, Guizhou Province and even South China.展开更多
The financial crisis has caused a severe limitation of resources for the public health service and rehabilitation. The proposal of integrated diagnosis and treatment in rehabilitation, involving the introduction of ne...The financial crisis has caused a severe limitation of resources for the public health service and rehabilitation. The proposal of integrated diagnosis and treatment in rehabilitation, involving the introduction of new therapeutic models alongside orthodox models, could lead to a reduction in health care costs through better patient compliance. In rehabilitative assistance in health care, the limiting of financial resources can be simplified, given its multifaceted nature and the need to integrate clinical experience with research. In addition, the phases of rehabilitative recovery do not focus on organ damage, but improved participation and the reduction of disability. For this reason, we have considered incorporating narrative based medicine (NBM) and Psycho-Neuro-Immuno-Endocrinology (PNEI) in the rehabilitation process through an empathetic approach, taking evidence based medicine (EBM) into account, thus creating a “framework” of reference. Managing patients through this “framework” would be a move towards an integrated model of care that could lead to a reduction in health care costs, given the aging population and the rise in patients with chronic pain. The decision to modify health care in rehabilitative assistance through a new “framework” will require time, organizational capacity and experimentation, but may represent the appropriate response for an improved quality of life for patients and a better allocation of resources.展开更多
Background At present,patients with chronic heart failure complicated with diabetes are often treated with drugs in clinical practice.Most patients cannot adhere to regular and quantitative medication for a long time,...Background At present,patients with chronic heart failure complicated with diabetes are often treated with drugs in clinical practice.Most patients cannot adhere to regular and quantitative medication for a long time,and their poor compliance has adverse effects on their rehabilitation.The aim of this study was to explore the application effects of integrated medical and nursing rehabilitation in the management of patients with chronic heart failure and diabetes.Methods A total of 75 patients with chronic heart failure and diabetes,admitted to our center from May 2020 to May 2023,were randomly divided into Group A(n=38)and Group B(n=37)using a random number table.Group A received integrated rehabilitation management,while Group B received conventional rehabilitation management.The left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD),left ventricular end-systolic diameter(LVESD),fasting blood glucose(FBG),2-hour postprandial blood glucose(2h PG),glycated hemoglobin(Hb Alc),and self-care ability were compared between the two groups before and after intervention.Results After intervention,the LVEDD and LVESD in both groups were lower than before,while LVEF was higher than before(P<0.05).The LVEDD and LVESD in Group A were lower than in Group B after intervention,while LVEF was higher than in Group B(P<0.05).After intervention,the levels of FBG,2h PG,Hb Alc,and the scores of the European Heart Failure Self-care Behavior Scale(EHFSc B-9)in both groups decreased,with Group A being lower than Group B(P<0.05).Conclusions Integrated medical and nursing rehabilitation can effectively improve the cardiac function and blood glucose levels of patients with chronic heart failure and diabetes,control the patients’condition,and enhance their quality of life and self-care ability.[S Chin J Cardiol 2024;25(1):44-49]展开更多
High blood pressure is among the most prevalent chronic disease in adults that impacts on the quality of life of patients, which are often subjected to physical rehabilitation. Chinese medicine intervention in patient...High blood pressure is among the most prevalent chronic disease in adults that impacts on the quality of life of patients, which are often subjected to physical rehabilitation. Chinese medicine intervention in patients with hypertension presents promising albeit inconclu-sive results, mostly due to methodological issues. This paper discusses asserted and neglected issues linking evidence-based and Chinese medicines as related to systemic arterial hypertension, as well as their impact on the physical rehabilitation of those patients. On the one hand, natural history of hypertension, pulse palpa-tion, and herbal therapy are among the asserted issues because of the scientific evidence collected about them, either in favor or against its integration to the current medical practice. On the other hand, anatomical varia-tions of vessels and comparative physiology are among the most commonly neglected issues because previous researches on integrative medicine ignored the pos-sible effects of these issues as related to the study's outcome. The asserted issues highlighted in this paperstimulate the increasing use of Chinese medicine for health care and the continuity of research on integra-tive medicine in the cardiovascular field for rehabilita-tion. The neglected issues poses additional challenges that must not be overlooked in future research on this topic so that the integration of both traditional and cur-rent knowledge may be of benefit to the population with cardiovascular disease.展开更多
目的探讨以针康法为主的中医整合康复技术对脑卒中后偏瘫患者的干预效果及对患者肢体肌力、肢体运动功能的影响。方法将医院针灸科、康复科收治的脑卒中后偏瘫患者90例纳入研究,随机分为对照组与中医整合康复组,各45例。两组均给予脑卒...目的探讨以针康法为主的中医整合康复技术对脑卒中后偏瘫患者的干预效果及对患者肢体肌力、肢体运动功能的影响。方法将医院针灸科、康复科收治的脑卒中后偏瘫患者90例纳入研究,随机分为对照组与中医整合康复组,各45例。两组均给予脑卒中常规西药治疗,对照组在此基础上给予常规康复训练,中医整合康复组在常规治疗基础上给予针康法、易筋经联合推拿治疗,共治疗8周后判定疗效。比较两组的中医证候积分,比较治疗前后患者肢体肌力[徒手肌力检查(Manual muscle testing,MMT)]、肌张力[改良Ashworth分级标准(MAS)]、肢体运动功能[Fug-Meyer运动功能量表(Fugl-Meyer assessment scale,FMA)]、神经功能[美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)]及生活质量[脑卒中专用生活质量量表(Stroke Specific Quality of Life,SS-QOL)]。彩色多普勒超声测定颈总动脉收缩期最大流速(Peak systolic velocity,PSV)、舒张末期最低流速(End diastolic velocity,EDV)及阻力指数(Resistance index,RI)等脑血流动力学参数。结果两组治疗后半身不遂、偏身麻木、口舌歪斜、言语謇涩、步履不稳、气短乏力等中医证候积分及总积分均较治疗前显著降低(P<0.05),中医整合康复组显著低于对照组(P<0.05)。中医整合康复组的显效率(51.1%,23/45)和有效率(95.5%,43/45)均明显优于对照组[24.4%(11/45)和82.2%(37/45)],组间比较差异有统计学意义(P<0.05)。两组治疗后MMT、FAM、SS-QOL评分及PSV、EDV值均较治疗前显著升高(P<0.05),中医整合康复组显著高于对照组(P<0.05);两组治疗后MAS、NIHSS评分及RI值均较治疗前显著降低(P<0.05),中医整合康复组显著低于对照组(P<0.05)。结论以针康法为主的中医整合康复技术治疗脑卒中后偏瘫效果显著,能够明显增强患者肢体肌力,降低肌张力,改善患者的肢体运动功能和神经功能,提高患者生活质量。展开更多
基金Supported by Major Issue of National "12~(th) Five-year Plan"Science and Technology Support Plan,China(2011BAC09B01)
文摘Selecting Chaoying small watershed with representative karst rocky desertification in the Bijie test area of Guizhou Province as an example, according to karst rocky desertiflcation degree and the existing eco-environmental problems in the small watershed, we study developmental model and technique support system for integrated rehabilitation of rocky desertification in the small watershed, and bring forward the development model and technique integration for integrated rehabilitation of rocky desertification, which adapt to the karst areas of Bijie test area, Guizhou Province and even South China.
文摘The financial crisis has caused a severe limitation of resources for the public health service and rehabilitation. The proposal of integrated diagnosis and treatment in rehabilitation, involving the introduction of new therapeutic models alongside orthodox models, could lead to a reduction in health care costs through better patient compliance. In rehabilitative assistance in health care, the limiting of financial resources can be simplified, given its multifaceted nature and the need to integrate clinical experience with research. In addition, the phases of rehabilitative recovery do not focus on organ damage, but improved participation and the reduction of disability. For this reason, we have considered incorporating narrative based medicine (NBM) and Psycho-Neuro-Immuno-Endocrinology (PNEI) in the rehabilitation process through an empathetic approach, taking evidence based medicine (EBM) into account, thus creating a “framework” of reference. Managing patients through this “framework” would be a move towards an integrated model of care that could lead to a reduction in health care costs, given the aging population and the rise in patients with chronic pain. The decision to modify health care in rehabilitative assistance through a new “framework” will require time, organizational capacity and experimentation, but may represent the appropriate response for an improved quality of life for patients and a better allocation of resources.
基金supported by the Natural Science Foundation of Hunan Province(No.2021JJ40505)。
文摘Background At present,patients with chronic heart failure complicated with diabetes are often treated with drugs in clinical practice.Most patients cannot adhere to regular and quantitative medication for a long time,and their poor compliance has adverse effects on their rehabilitation.The aim of this study was to explore the application effects of integrated medical and nursing rehabilitation in the management of patients with chronic heart failure and diabetes.Methods A total of 75 patients with chronic heart failure and diabetes,admitted to our center from May 2020 to May 2023,were randomly divided into Group A(n=38)and Group B(n=37)using a random number table.Group A received integrated rehabilitation management,while Group B received conventional rehabilitation management.The left ventricular ejection fraction(LVEF),left ventricular end-diastolic diameter(LVEDD),left ventricular end-systolic diameter(LVESD),fasting blood glucose(FBG),2-hour postprandial blood glucose(2h PG),glycated hemoglobin(Hb Alc),and self-care ability were compared between the two groups before and after intervention.Results After intervention,the LVEDD and LVESD in both groups were lower than before,while LVEF was higher than before(P<0.05).The LVEDD and LVESD in Group A were lower than in Group B after intervention,while LVEF was higher than in Group B(P<0.05).After intervention,the levels of FBG,2h PG,Hb Alc,and the scores of the European Heart Failure Self-care Behavior Scale(EHFSc B-9)in both groups decreased,with Group A being lower than Group B(P<0.05).Conclusions Integrated medical and nursing rehabilitation can effectively improve the cardiac function and blood glucose levels of patients with chronic heart failure and diabetes,control the patients’condition,and enhance their quality of life and self-care ability.[S Chin J Cardiol 2024;25(1):44-49]
文摘High blood pressure is among the most prevalent chronic disease in adults that impacts on the quality of life of patients, which are often subjected to physical rehabilitation. Chinese medicine intervention in patients with hypertension presents promising albeit inconclu-sive results, mostly due to methodological issues. This paper discusses asserted and neglected issues linking evidence-based and Chinese medicines as related to systemic arterial hypertension, as well as their impact on the physical rehabilitation of those patients. On the one hand, natural history of hypertension, pulse palpa-tion, and herbal therapy are among the asserted issues because of the scientific evidence collected about them, either in favor or against its integration to the current medical practice. On the other hand, anatomical varia-tions of vessels and comparative physiology are among the most commonly neglected issues because previous researches on integrative medicine ignored the pos-sible effects of these issues as related to the study's outcome. The asserted issues highlighted in this paperstimulate the increasing use of Chinese medicine for health care and the continuity of research on integra-tive medicine in the cardiovascular field for rehabilita-tion. The neglected issues poses additional challenges that must not be overlooked in future research on this topic so that the integration of both traditional and cur-rent knowledge may be of benefit to the population with cardiovascular disease.
文摘目的探讨以针康法为主的中医整合康复技术对脑卒中后偏瘫患者的干预效果及对患者肢体肌力、肢体运动功能的影响。方法将医院针灸科、康复科收治的脑卒中后偏瘫患者90例纳入研究,随机分为对照组与中医整合康复组,各45例。两组均给予脑卒中常规西药治疗,对照组在此基础上给予常规康复训练,中医整合康复组在常规治疗基础上给予针康法、易筋经联合推拿治疗,共治疗8周后判定疗效。比较两组的中医证候积分,比较治疗前后患者肢体肌力[徒手肌力检查(Manual muscle testing,MMT)]、肌张力[改良Ashworth分级标准(MAS)]、肢体运动功能[Fug-Meyer运动功能量表(Fugl-Meyer assessment scale,FMA)]、神经功能[美国国立卫生研究院卒中量表(National Institute of Health stroke scale,NIHSS)]及生活质量[脑卒中专用生活质量量表(Stroke Specific Quality of Life,SS-QOL)]。彩色多普勒超声测定颈总动脉收缩期最大流速(Peak systolic velocity,PSV)、舒张末期最低流速(End diastolic velocity,EDV)及阻力指数(Resistance index,RI)等脑血流动力学参数。结果两组治疗后半身不遂、偏身麻木、口舌歪斜、言语謇涩、步履不稳、气短乏力等中医证候积分及总积分均较治疗前显著降低(P<0.05),中医整合康复组显著低于对照组(P<0.05)。中医整合康复组的显效率(51.1%,23/45)和有效率(95.5%,43/45)均明显优于对照组[24.4%(11/45)和82.2%(37/45)],组间比较差异有统计学意义(P<0.05)。两组治疗后MMT、FAM、SS-QOL评分及PSV、EDV值均较治疗前显著升高(P<0.05),中医整合康复组显著高于对照组(P<0.05);两组治疗后MAS、NIHSS评分及RI值均较治疗前显著降低(P<0.05),中医整合康复组显著低于对照组(P<0.05)。结论以针康法为主的中医整合康复技术治疗脑卒中后偏瘫效果显著,能够明显增强患者肢体肌力,降低肌张力,改善患者的肢体运动功能和神经功能,提高患者生活质量。
