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三例不同类型的自身免疫相关性癫痫的临床分析

膝骨关节炎患者疼痛的康复护理

【摘要】　目的　观察应用疼痛的康复护理对膝骨关节炎患者恢复中的作用及探讨其护理对策。　方法　2006年5月-2011年5月对100例病情基本相同的膝骨关节炎患者，从体位摆放、晨间疼痛护理、夜间疼痛护理、护膝的应用等方面进行全面的护理。　结果　100例患者疼痛明显好转。住院时间10~20 d。对97例膝骨关节炎患者出院时采用临床常用的数字疼痛评分法进行疼痛评定，40例（40%）为2分，57例（57%）1分；与治疗前比较疼痛明显减轻，差异有统计学意义（Plt;0.01）。住院期间患者均未发生并发症。　结论　对膝骨关节炎疼痛患者进行系统的康复护理是患者康复的基础及有力保障，可降低平均住院日、减轻患者及家属的负担。

康复期骨折患者夜间疼痛护理技术的应用

【摘要】　目的　探究夜间疼痛护理技术对缓解康复期骨折患者疼痛的确切疗效，提高骨折患者康复期的护理质量。　方法　2006年9月—2008年5月，对符合标准的100例患者随机分为对照组和治疗组各50例，采用视觉模拟评分法（VAS）评分后，两组均采用常规康复治疗，治疗组同时采用夜间疼痛护理技术。1周后两组均进行VAS评定。　结果　治疗前治疗组和对照组VAS评分分别为（7.70±0.76）、（7.58±0.88）分，两组比较，差异无统计学意义（t=0.304，P=0.762）。治疗1周后，治疗组和对照组VAS评分分别为（3.23±0.80）、（5.38±0.94）分，两组比较，差异有统计学意义（t=12.320，P=0.000）。　结论　采用夜间疼痛护理技术应用于康复期骨折疼痛患者具有确切疗效。

The Rehabilitation Care of the Lower Limb Fracture for Earthquake Victim

目的：探讨地震伤员下肢骨折术后的有效康复护理方法。方法：总结分析70例汶川地震伤员的临床康复护理。结果：通过迅速组建康复护理团队，加强心理护理和康复训练，确保了所有伤员无压疮及其他并发症发生，所有伤员按计划出院。结论：在专科康复护理团队护理下，通过加强伤员的心理护理和康复训练，使伤员能够得到有效的治疗，早日返回社会。

地震挤压伤截肢伤员的康复护理

目的：结讨论地震挤压伤截肢伤员的康复护理干预措;方法:对5·12地震后我科地震康复中心收治的30例截肢伤员，由治疗小组成员进行康复评定，对存在的护理问题进行综合康复护理干预，干预前后进行比较。结果:接受综合康复综合护理干预后，地震截肢伤员在生理、心理、社会功能等方面均有显著改善(P＜0.05）。结论：针对地震伤员的护理问题进行综合康复护理干预,可有效提高伤员的残损功能，改善伤员的整体康复效果，促进其早日回归社会。

芦山地震骨折伤员系统化早期康复护理

目的探讨系统的早期康复护理对芦山地震骨折伤员心理功能障碍，疼痛感觉功能障碍，肌力、关节活动度运动功能障碍，呼吸功能障碍和日常生活活动能力的效果。 方法对2013年4月23日－5月6日收治的69例芦山地震骨折伤员进行早期一体化康复护理评估、早期一体化心理干预、早期系统化康复训练。 结果经评估、干预、训练，伤员心理功能障碍，疼痛感觉功能障碍，肌力、关节活动度运动功能障碍，呼吸功能障碍和日常生活活动功能障碍的患者例数明显减少，干预后减少率分别为91.9%、82.6%、92.8%、94.2%、87.0%。 结论指导地震骨折伤员及早进行系统的康复训练可促进患者康复，有效预防并发生的发生及发展，意义重大，值得推广。

Rehabilitation Nursing for Patients with Lower Limb Amputation before Prosthetic Fitting

ObjectiveTo explore the clinical effect of systematic rehabilitation nursing for patients with lower limb amputation before prosthesis fitting. MethodsFifty patients with lower limb amputation before prosthetic fitting from January 2009 to December 2012 were assessed by rehabilitation team members, and then received the nursing progress according to the assessment results. The conditions of the patients before and after nursing intervention were evaluated and compared. ResultsAfter the patients received systematic rehabilitation nursing intervention, the standard rate of rehabilitation nursing knowledge and satisfaction rate of the nursing quality at the departure of the patients was 87.24% and 93.25% respectively. The muscle strength reached level 4 or higher in 4 patients, who could have the prosthesis fitting. ConclusionSystematic rehabilitation nursing for patients with lower limb amputation before prosthesis fitting can help patients to reserve the function as possible, improve the ability of living and quality of life, and reduce the burden of the patients and family to return to society earlier.

Overview of the assessment methods for muscle spasm after stroke

Spasm is a common complication of stroke with high morbidity and a high disability rate. Spasticity continues to impair the patient’s motor function, and symptoms such as muscle shortening and joint deformity may occur, which seriously affects the patient’s physical and mental health. Systemic therapy is a key part to control spasticity clinically. However, systematic treatment is conducted on the basis of proper assessment. The tools for assessing spasticity are divided into two categories: subjective and objective, and the subjective assessment tools mainly include some scales, which are subjectively assessed and judged by the therapist. Objective methods mainly include electrophysiology testers, ultrasonic measurement techniques, robots, three-dimensional motion analysis systems, isokinetic muscle strength testers, etc. This paper analyzes and summarizes the methods of post-hemiplegic spasticity assessment through a literature review, reviews the advantages, disadvantages and practicability of various assessment methods, and puts forward prospects for future research directions.