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呼吸操锻炼对小儿脊柱侧弯术前肺功能的影响(英文) 被引量:6
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作者 朱建英 叶文琴 +1 位作者 宫克 韩文君 《中国临床康复》 CSCD 北大核心 2005年第7期232-233,共2页
背景:小儿脊柱侧弯患者术后易发生急性呼吸功能不全的危险,术前进行综合呼吸操锻炼对其预防的效果尚未确定。目的:探讨呼吸操锻炼对小儿脊柱侧弯患者术前应用的可行性和有效性。设计:非随机横断面研究。地点、对象和方法:选择上海长海... 背景:小儿脊柱侧弯患者术后易发生急性呼吸功能不全的危险,术前进行综合呼吸操锻炼对其预防的效果尚未确定。目的:探讨呼吸操锻炼对小儿脊柱侧弯患者术前应用的可行性和有效性。设计:非随机横断面研究。地点、对象和方法:选择上海长海医院对35例脊柱侧弯且肺功能障碍9~15岁住院患儿。术前1周对脊柱侧弯患儿实施组合的呼吸操训练,其内容包括缩唇呼吸、腹部运动呼吸、膈肌呼吸、吹气球。同时记录观察比较锻炼前后肺功能的变化。主要观察指标:呼吸操锻炼前后患儿肺活量、肺容量、用力肺活量(forcedventilationcapacity,FVC)、最大通气量(maximalventilationvol-ume,MVV)的变化。结果:锻炼后患儿肺功能检查各项指标犤肺活量,肺容量,FVC,MVV分别为(2.65±0.29),(3.56±0.79),(2.41±0.41),(70.1±17.0)L犦比锻炼前犤(1.77±0.36),(2.67±0.84),(2.07±0.46),(52.5±14.0)L犦明显改善(t=3.64~11.28,P<0.01)。结论:术前进行呼吸操锻炼能改善患儿肺功能,提高对脊柱矫形手术的耐受力,对预防和减少术后呼吸功能不全的发生有积极作用。 展开更多
关键词 脊柱侧凸/并发症 肺/生理学 手术前护理
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MECHANICAL ANALYSIS AND TREATMENT OF HARRINGTON-RODS BROKEN AFTER INITIAL OPERATION FOR SCOLIOSIS
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作者 翁习生 张嘉 +2 位作者 邱贵兴 金今 林进 《Chinese Medical Sciences Journal》 CAS CSCD 1997年第4期232-235,共4页
Twenty-two cases of scoliosis with Harrington-rods broken after operation were treated by rod-sleevemethod. The results of follow-up from 1 year and 3 months to 9 years and 3 months showed that all of thepatients, but... Twenty-two cases of scoliosis with Harrington-rods broken after operation were treated by rod-sleevemethod. The results of follow-up from 1 year and 3 months to 9 years and 3 months showed that all of thepatients, but one patient occurred Harrington-rod rebroken and one’s fixation being removed because ofback pain in 6 months and 5 years and 11 months after rod-sleeve prpcedure, respectively, had no com-plaints. The author also found that the rod underwent a decrease in cross-sectional area of approximately43. 7 % at the ratchet-shaft junction in experimental study on Harrington-rods, and stress unfairly distribu-tion, stress concentration and cyclic loading producing fatigue in metals were proved to be the main cause ofbroken by mechanical analysis of Harrington-rod loaded in the body. In concluson, the rod-sleeve proce-dure was the effective method to keep from, Ha rrington - reds broken. 展开更多
关键词 SCOLIOSIS Harrington procedure rod-broken
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