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1.
目的:分析膝关节均衡手法对膝关节置换术后患者的功能康复的疗效评价。方法:将2017年6月至2018年6月在凭祥市人民医院行膝关节置换术30例患者随机分成2组,每组15例患者,试验组采用膝关节均衡手法,对照组采用主动功能锻炼,术前和术后6个月运用VICON三维步态分析与HSS评分。结果:运用均衡手法治疗的患者在膝关节功能恢复及行走速度、步频、步长较运用主动功能锻炼均有明显改善,且差异具有统计学意义(P0.05)。结论:膝关节均衡手法能够有效提高术后患者的功能恢复。 相似文献
2.
目的:观察舒筋汤对膝关节前交叉韧带(anterior cruciate ligament,ACL)损伤后关节镜下自体肌腱移植重建术后的临床疗效。方法:将60例患者随机分成二组,常规治疗组(对照组)以及常规治疗合舒筋汤组(综合组),对照组单纯在关节镜术后给予常规抗感染、镇痛及早期康复功能锻炼(术后常规治疗),综合组在术后常规治疗的基础上使用舒筋汤熏洗,四周为1疗程,治疗1个疗程后,随访2个月。结果:治疗后两组的中医证候积分及HSS评分均较治疗前有显著改善(P<0.05)。综合组中医证候积分改善优于对照组(P<0.05);综合组HSS膝关节功能评分中疼痛、功能、活动度、肌力及稳定性5项得分高于对照组(P<0.05);随访结束后综合治疗组的证候积分及HSS评分均较对照组改善明显(P<0.05)。综合组的疗效优于对照组(P<0.05)。结论:舒筋汤结合ACL损伤后关节镜下自体肌腱移植重建术后常规治疗可显著改善临床症状,并促进膝关节功能恢复。 相似文献
3.
目的:探讨快速康复外科理念在全膝关节置换术患者围手术期的应用效果。方法:选取50例拟行全膝关节置换术的患者,分别采用快速康复外科理念方案(新理念组27例)和传统治疗方案(对照组23例),比较两组术后并发症发生率、术后住院时间、住院费用、开始进行CPM锻炼时间和关节疼痛、活动范围等指标。结果:新理念组与对照组相比,术后并发症发生率显著下降,关节疼痛及活动范围有明显改善,住院时间缩短,住院费用减少。结论:对全膝关节置换术患者在围手术期采用快速康复理念方案,有助于减轻患者焦虑,缓解术后疼痛,加速了患者康复,扩大了治疗效果。 相似文献
4.
“目的 探讨右美托咪定（Dex）复合罗哌卡因行收肌管阻滞（ACB）对老年全膝关节置换术（TKA）后康复的影响。方法 选取2018年9月至2021年12月该院首次行TKA的择期手术老年患者92例,随机分为GDR组和GR组,每组46例。所有患者均行全身麻醉,手术完成后行ACB。术毕后启动阻滞镇痛泵,GDR组阻滞镇痛泵用药配方为1.0μg/mL Dex复合0.25%罗哌卡因,GR组阻滞镇痛泵用药配方为0.25%罗哌卡因。于TKA手术前后评估两组患者静息、运动状态时的VAS疼痛评分。于TKA手术前和术后15d,测量两组患者膝关节活动度、膝关节周径;采用膝关节评分（HSS）评估膝关节功能。记录术后48h内PCA按压次数及使用补救镇痛药物的例数。随访术后24 h患者对镇痛效果的满意程度。术后15d,对患者康复的效果进行评估。结果 运动状态时GDR组TKA术后各时间点VAS疼痛评分低于GR组（P<0.05)。术后15d,两组膝关节活动度、HSS评分明显提高,膝关节周径明显下降（P<0.05）,但GDR组的改善程度明显优于GR组（P<0.05）。术后48h内GDR组曲马多使用例数及P... 相似文献
5.
目的:探讨中药跌打膏外敷对全髋关节置换术后早期肿痛的影响。方法:选取行人工全髋关节置换术的患者为研究对象,将其随机分为治疗组与对照组各25例。治疗组术后采用广西中医药大学附属瑞康医院自制中药制剂跌打膏外敷于患肢腹股沟处、大腿内侧,而对照组则未行任何特殊处理,两组术后余治疗方法相同。比较两组患者术后24、48小时的引流量,术后第1、3、5、7天患肢大腿周径及术后第1、3、5、7天患肢静息疼痛VAS评分。结果:术后24、48小时治疗组引流量均少于对照组(P0.05);术后第1、3、5天治疗组患肢大腿肿胀程度轻于对照组(P0.05),术后第7天治疗组与对照组患肢大腿的肿胀程度无显著差异(P0.05);术后第3、5天治疗组疼痛VAS评分小于对照组(P0.05),术后第1、7天两组的疼痛程度则无明显差异(P0.05)。结论:中药跌打膏外敷能够安全有效的减轻全髋关节置换术后患肢早期肿胀、疼痛程度,减少术后引流量,促进肢体功能恢复。 相似文献
6.
《西藏科技》2015,(7)
目的探讨人工全膝关节表面置换术治疗老年严重膝退行性骨关节炎的手术方法和临床疗效。方法回顾性分析我科于2013年6月至2014年12月收治的10例老年膝退行性骨关节炎患者,采用人工全膝关节表面置换术治疗,观察临床疗效。结果观察本组患者膝关节功能活动情况,随访6~18个月,平均12个月。膝关节屈伸活动度由术前平均80°(伸直5°-屈曲80°)提高到术后平均115°(伸直0°-屈曲120°);应用美国HSS评分系统(纽约特种外科医院,1976年)对患者进行临床评分由术前平均45分(24~66)提高到术后平均86分(80~92);本组患者膝关节在疼痛、关节功能及活动度上均得到明显改善。结论全膝关节表面置换术治疗老年严重膝退行性骨关节炎,能有效缓解疼痛,改善膝关节活动度,并矫正膝关节畸形,显著提高患者膝关节功能和生活质量,获得满意的临床疗效。 相似文献
7.
《科技通报》2015,(11)
目的:分析术前不同Pa O2水平的肺癌患者围麻醉手术期低氧血症的发生率。方法:204例行单肺叶切除术的肺癌患者根据术前Pa O2水平分成3组,A组Pa O260 mm Hg~,B组Pa O265 mm Hg~,C组Pa O270 mm Hg~:C组包括C1组和C2组,C1组患者入院时Pa O2≥70 mm Hg,C2组患者入院时Pa O270mm Hg,经过准备术前Pa O2≥70 mm Hg。记录入院,术前,仰卧位双肺通气15 min,单肺通气30 min、60min,双肺通气前1 min,手术结束前1 min及ICU拔管前1 min的血气分析及术后住ICU时间,比较3组患者术中低氧血症的发生率。结果:Pa O2值在单肺通气30 min、60 min及双肺通气前1 min和拔管前1min水平,A、B、C组组间有明显差别(P0.05)。其中A、B组明显低于C组(P0.05)。A、B组术中低氧血症发生率明显高于C组(P0.05)。A、B组住ICU时间明显长于C组(P0.05)。结论:术前Pa O2水平可以在一定程度上预测术中低氧血症的发生趋势。肺癌患者术前Pa O2≥70mm Hg能较好的耐受开胸手术。 相似文献
8.
目的:探讨改良涂擦药酒后烫熨结合康复训练治疗膝骨关节炎的护理。方法:将160例膝骨关节炎病人随机分为观察组和对照组各80例,观察组予壮医理筋手法边拨筋理筋边涂擦药酒后烫熨治疗配合康复训练,对照组予常规涂擦药酒后局部烫熨,7d为1个疗程,治疗2个疗程;分别于治疗7d和14d观察两组病人临床疗效和治疗14d后疼痛评分、关节功能改善情况。结果:治疗7d后,观察组与对照组总有效率分别为98.75%与74.68%,愈显率分别为68.75%与30.38%,观察组明显高于对照组(P0.01);治疗14d后总有效率分别为100.00%与89.87%,愈显率分别83.75%与50.63%,两组比较差异有统计学意义(P0.05和P0.01);治疗14d后疼痛评分和膝关节功能评定较治疗前均有明显改善,观察组改善情况优于对照组(P0.05)。结论:改良涂擦药酒法,将壮医理筋手法运用到涂擦药酒护理操作中,配合烫熨和康复训练能明显缓解膝骨关节炎疼痛和改善关节活动度,缩短疗程,提高临床疗效,促进关节功能康复,值得推广应用。 相似文献
9.
目的:探讨术前术后口腔健康维护对糖尿病患者拔牙创愈合的影响。方法:对前来我院门诊拔牙的患者进行血压、血糖检测,选取确诊为2型糖尿病1年以上,无严重并发症且1年内未接受过洁治的患者188例,随机分为实验组和对照组各94例。进行拔牙术前两周常规监测患者血糖稳定在安全范围,空腹血糖8.88mmol/L或餐后血糖10mmol/L。同一患者需要拔出的不同牙齿分次拔除依次列入对照组B组,实验组A组,相邻两次拔牙时间间隔30天。实验组在术前及术后进行口腔健康维护,对照组则进行自我管理。结果:实验组(A组)拔牙术后感染2例,对照组(B组)拔牙术后感染13例,差异有统计学意义(P0.05)。结论:糖尿病患者术前术后口腔维护能够促进拔牙创愈合,对减少术后感染率具有重要作用。 相似文献
10.
《大众科技》2020,(6)
目的:观察小针刀整体松解结合康复疗法治疗膝骨性关节炎的临床疗效。方法:选取2016年6至2019年1月北海市中医医院骨伤科门诊就诊的60例膝骨关节患者,按随机数字表法随机分为治疗组及对照组各30例。治疗组予小针刀配合康复疗法治疗,针刀整体松解术每周1次,3次为一疗程,余康复项目按康复疗法操作进行;对照组单纯予玻璃酸钠注射液注入膝关节腔内治疗,每7天注射1次,5次为一个疗程。结果:与治疗前相比较,治疗2周、1个月、3个月后,2组患者疼痛明显缓解、膝关节屈伸能力明显好转、晨僵时间减少,VAS评分、WOMAC评分均明显下降(P0.05),且同一时间点治疗组VAS评分、WOMAC评分均低于对照组(P0.05)。同时在疗效方面比较,治疗组显效26例,有效3例,无效1例,对照组显效5例,有效22例,无效3例,治疗组显效率86.67%,远高于对照组16.67%的显效率,表明治疗组疗效优于对照组(P0.01)。结论:小针刀整体松解结合康复疗法治疗膝骨性关节炎可有效缓解患者疼痛,改善患者膝关节功能,值得临床推广。 相似文献
11.
Marjorie Armstrong-Stassen Margaret Landstrom Ramona Lumpkin 《The Information Society》1998,14(2):153-164
This study examined how students who had no prior experience with videoconferencing would react to the use of videoconferencing as an instructional medium. Students enrolled in seven different courses completed a questionnaire at the beginning of the semester and again at the end of the semester. Students at the origination and remote sites did not differ in their reactions toward videoconferencing but there was a significant difference for gender. Women reacted less favorably to videoconferencing. Compared to the beginning of the semester, students reported significantly less positive attitudes toward taking a course through videoconferencing at the end of the semester. There were no significant differences in students' attitudes toward videoconferencing across courses at the beginning of the semester but there were significant differences across the courses at the end of the semester. The results suggest the need for better preparation for both students and instructors. 相似文献
12.
A joint study by Prof. ZHANG Zhibin from the CAS Institute of Zoology his co-workers from Norway US Swiss have indicated that historical outbreaks of migratory locusts in China were associated with cold spells suggesting that China's projected climate warming could decrease the pest's numbers. The study was published in Proceedings of the National Academy of Sciences on September .…… 《中国科学院院刊(英文版)》2008,22(1):6-7
Ajoint study by Prof. ZHANG Zhibin from the CAS Institute of Zoology and his co-workers from Norway, US and Swiss have indicated that historical outbreaks of migratory locusts in China were associated with cold spells, suggesting that China＇s projected climate warming could decrease the pest＇s numbers. The study was published in Proceedings of theNational Academy of Sciences on 17 September, 2007. 相似文献
13.
Caroline Haythornthwaite 《The Information Society》2001,17(3):211-226
A computer-mediated group is a complex entity whose members exchange many types of information via multiple means of communication in pursuit of goals specific to their environment. Over time, they coordinate technical features of media with locally enacted use to achieve a viable working arrangement. To explore this complex interaction, a case study is presented of the social networks of interactions and media use among members of a class of computer-supported distance learners. Results show how group structures associated with project teams dominated who communicated with whom, about what, and via which media over the term, and how media came to occupy their own communication niches: Webboard for diffuse class-wide communication; Internet Relay Chat more to named others but still for general communication across the class; and e-mail primarily for intrateam communication. Face-to-face interaction, occurring only during a short on-campus session, appears to have had a catalytic effect on social and emotional exchanges. Results suggest the need to structure exchanges to balance class-wide sharing of ideas with subgroup interactions that facilitate project completion, and to provide media that support these two modes of interaction. 相似文献
14.
Electronic data interchange (EDI) provides means for interorganizational communication, creates network externalities, requires an advanced information technology (IT) infrastructure, and relies on standards. In the diffusion of such innovations, institutional involvement is imperative. Such institutions contain governmental agencies, national and global standardization organizations, local government, and nonprofit private organizations like industry associations. The last type of organizations we call intermediating institutions. They intermediate or coordinate ("inscribe") the activities of a group of would-be adopters. Unfortunately, little is known of how these organizations shape the EDI diffusion trajectory. In this article we examine one specific type of intermediating organizations?industry associations?and how they advanced the EDI diffusion process in the grocery sectors of Hong Kong, Denmark and Finland. We identify six institutional measures, placed into a matrix formed by the mode of involvement (influence vs. regulation) and the type of diffusion force (supply push vs. demand pull), that can be mobilized to further the EDI diffusion. Industry associations were found to be active users of all these measures to varying degrees. Their role was critical especially in knowledge building, knowledge deployment, and standard setting. Furthermore, institutional involvement varied due to policy and cultural contingencies and power dependencies. 相似文献
15.
Puay Tang 《The Information Society》1998,14(1):19-31
The increasing prospects of digital piracy has prompted the perceived need by electronic publishers to adopt technical systems of protection, and governments to reform their copyright laws. This article is a preliminary study of the management of intellectual property by electronic publishers, defined as those involved in the production of online databases, and CD-ROMs. It focuses on three main issues: (1) how electronic publishers view the increasing threat of piracy; (2) the methods of protection employed to protect intellectual property in digital format; and (3) the importance of technological protection of intellectual property in electronic publications. The analysis is based on a sample of 23 UK electronic publishers. The interviews revealed an interesting assortment of protection methods and did not show that technological protection was a preferred way. Instead, the means of protection, in addition to copyright law, comprised niche markets, pricing, trust, bad publicity, and nontechnical and technical means. 相似文献
16.
Milton Mueller 《The Information Society》2001,17(3):151-163
Long-standing conflict between domain name registrants and trademark holders prompted the Internet Corporation for Assigned Names and Numbers (ICANN) to create a global, mandatory arbitration procedure known as the Uniform Dispute Resolution Policy (UDRP). The UDRP has been used in 2166 cases involving 3938 domain names as of 1 November 2000. The policy gives the initiator of a complaint, generally a trademark holder, the right to choose which ICANN-accredited dispute resolution service provider (RSP) will handle the case. During the preparation of the UDRP,some feared that complainant selection would lead to "forum shopping" that might bias the results. This article performs a statistical assessment of the forum-shopping thesis and finds support for it. There are statistically significant differences in the various RSPs' propensity to take away names from defendants; there are also major differences in the number of cases brought to each RSP. RSPs who take away names have the larger share of cases. The study examines other variables that might explain differences in market share, such as price, the plaintiff's nationality, or the time taken to decide a case. It finds that nationality and time also are correlated with market share. The study concludes that shopping for a favorable outcome is an important factor in the UDRP. 相似文献
17.
Prof. Raymond C.K. Chen a neuropsychologist with the CAS Institute of Psychology has made novel progress in his studies of schizophrenia. His work has been reported by a recent issue of Behavioural Neurology.…… 《中国科学院院刊(英文版)》2008,22(1):15-15
Prof. Raymond C.K. Chen, a neuropsychologist with the CAS Institute of Psychology, has made novel progress in his studies of schizophrenia. His work has been reported by a recent issue of Behavioural Neurology. 相似文献
18.
《中国科学院院刊(英文版)》2014,(3)
<正>In Xishuangbanna,one of China’s most biodiverse regions,landscape has changed dramatically during the past three decades due to the conversion of tropical rainforest to rubber plantations.In steep areas,terraces are often constructed before planting rubber trees,which causes two important changes in the soil:the destabilization of soil in the bench terraces and the increased vulnerability of unvegetated riser faces to erosion.Few studies have documented the nature and intensity of erosion on bench terraces.Prof.LIU Wenjie and his colleagues from the Xishuangbanna Tropical Botanical Garden(XTBG)conducted a study in Menglun County(21°5′39″N,101°15′55″E),Xishuangbanna to evaluate the influence 相似文献
19.
Chinese Scientists Use Earth Observation Technologies to Study and Protect Wild Camels 总被引：1，自引：0，他引：1
《中国科学院院刊(英文版)》2014,(3):267-268
<正>Chinese scientists plan to apply Earth Observation technologies to protect the critically endangered wild camels(Camelus ferus).With the help of remote sensing,satellite positioning,geographical information system and wireless sensors networks,they will be able to access the distribution and population of the wild camels and protect their habitats.The project will be carried out by the International Research Center for Wild Camel Conservation,which was jointly established earlier this year by the Institute of Remote Sensing and Digital Earth(RADI)of the Chinese 相似文献
20.
WANG Sijia 《中国科学院院刊(英文版)》2014,(2):192-194
<正>The Paul Gerson Unna Research Group on Dermatogenomics was founded in October 2012 at the Partner Institute for Computational Biology.The ultimate goal of the group is to understand the biology of skin and skin appendages. 相似文献