目的：探索指针疗法与功能训练治疗Bell’s面瘫的临床效果。方法：按病人就诊顺序将111例Bell’s面瘫患者分为试验组(57例)和对照组(54例)，试验组采用指针疗法、功能训练、药物、物理治疗；对照组采用针刺疗法、功能训练、药物、物理治疗。两组治疗前、后均采用Portmann简易评分法评价疗效。结果：治疗前评分试验组(2.597±1.678)，对照组(2.907±1.794)，差异无统计学意义(P＞005)，治疗后评分试验组 (18.404±1.374)，对照组 (18.593±1.743) ，差异无统计学意义(P＞0.05)；面肌功能改善指数试验组(0.859±0.090)，对照组(0.844±0.095)，差异无统计学意义(P＞0.05)。结论：指针疗法与针刺疗法治疗Bell’s面瘫疗效比较差异无统计学意义，二者均有明显的康复疗效；而指针疗法更具有操作简便，无疼痛、无创伤、无晕针症也无交叉感染的优势，避免了许多不利因素，使患者有较好的依从性。
目的:总结28例三角肌挛缩症的护理和功能训练方法。方法:回顾性分析1992~2008年我科共收治的三角肌挛缩症患儿28例的临床护理资料。结果:经6个月至14年的随访,结果显示除1例遗留轻度翼状肩胛外,其余病例肩关节的外展畸形消失,肩关节活动功能恢复正常,X线照片复查显示肩关节关系恢复正常。结论:三角肌挛缩症患儿行挛缩带近端松解术后,恢复关节的功能和正常的肩关节位置关系就显得特别重要,功能锻炼是达到最终治疗目的的重要手段。
目的:观察中药水疗配合功能训练对痉挛型脑瘫患儿临床痉挛指数的影响。方法:采用随机对照方法,在功能训练的基础上,进行中药水疗与传统水疗治疗痉挛型脑瘫患儿,并以临床痉挛指数评价其疗效。结果:两个疗程的治疗后,对照组和治疗组均能降低痉挛型脑瘫患儿的临床痉挛指数,与治疗前相比均有统计学意义(Plt;0.05),其中治疗组的差值为1.79±1.06较对照组1.23±0.84大,具有统计学意义(Plt;0.05)。结论:在综合功能训练的基础上进行水疗治疗痉挛型脑瘫患儿,具有较好的临床疗效,且中药水疗治疗痉挛型脑瘫优于传统水疗。
ObjectiveTo explore the influence of respiratory function training on pulmonary function of patients with pneumoconiosis. MethodsOne hundred patients with pneumoconiosis hospitalized in our department between June 2011 and September 2012 were chosen as the research subjects. According to the method of random digits table, they were equally and randomly divided into contrast group and observation group. Patients in both the two groups were given routine treatment and nursing and health education, while patients in the observation group adopted respiratory training with lung functional exerciser in addition. Then we observed the forced expiratory volume in one second (FEV1), vital capacity, maximal voluntary ventilation, forced vital capacity, classification of conscious shortness of breath and shortness of breath as well as classification of activities of daily living in the patients before and after training in both the two groups. ResultsAfter 6 months, lung function index, classification of conscious shortness of breath and shortness of breath as well as classification of activities of daily living of patients in the observation group improved a lot, which was significantly better than that in the contrast group (P<0.05). Compared with the contrast group, the FEV1 [(2.75±0.43) L], vital capacity [(3.29± 0.45)L] of patients in the observation group were significantly higher (P<0.05). Compared with the contrast group, classification of conscious shortness of breath and shortness of breath (2.10±0.67), classification of activities of daily living (2.19±0.66) were also significantly different (P<0.05). ConclusionRespiratory function training with lung functional exerciser can improve lung function of patients with pneumoconiosis, alleviate the degree of dyspnea, and enhance the quality of life.