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find Author "刘佳霓" 5 results
  • 四川地震灾后地震伤员的社区康复护理

    四川省总人口有8700多万,截至2007年底,有622.3万残疾人需要提供医疗康复服务;“5·12”汶川特大地震灾害又新增加了大量的需要接受医疗康复服务的地震伤员,地震导致的各种类型的严重损伤(脑外伤、脊髓损伤、截肢、骨折等)给地震灾区伤员及家庭和社会带来了长期的影响,众多地震伤残人员的康复引起了社会各界的高度关注。如今,绝大多数地震伤员已离开医院回到当地社区,但灾区严重缺乏社区康复人才和康复技术。如何保证地震伤员离开医院后能够继续享有康复服务,是灾区社区康复工作急需解决的问题。依照国际经验,大量的医疗康复服务应该在社区康复完成。四川地震灾区伤员的社区康复护理已经成为一项十分艰巨的任务。

    Release date:2016-09-08 10:02 Export PDF Favorites Scan
  • 实时三维超声心动图评价缺血性二尖瓣反流的研究进展

    缺血性二尖瓣反流(IMR)是冠状动脉粥样硬化性心脏病心肌梗死常见并发症之一,增加患者心力衰竭和死亡的发生率。IMR 的形成机制复杂,目前研究尚未达成共识,导致IMR 治疗措施不完善及标准。随着三维超声技术日趋成熟,实时三维超声心动图(RT3DE)将矩阵探头、三维空间定位和高通道的数据处理系统3 种先进技术结合,不依赖任何几何形态的假设,全面获得心脏三维立体结构及动态改变。RT3DE 对深入研究IMR 发病机制,探讨有效的临床治疗方法,评估病情进展、判断治疗效果、评价长期预后有重要临床价值,可作为临床评价IMR的首选方法。

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  • Research progress on cardiac rehabilitation in patients with implanted cardiac defibrillator

    Implantable cardioverter defibrillator (ICD) is the most effective measure to prevent sudden cardiac death. However, ICD patients frequently have problems such as decline of exercise tolerance and quality of life, anxiety and depression after operation, which require cardiac rehabilitation (CR). A considerable amount of studies have proved that CR is an effective secondary prevention measure for patients with cardiovascular disease. Its safety and effectiveness have been supported by evidence-based medicine research, which can prevent the recurrence of cardiovascular events, reduce the readmisson rate, and promote healthy behavior and active lifestyle formation of patients, so as to improve the quality of life of patients. This review mainly summarized the necessity, safety, exercise program and economic benefits of CR in ICD patients.

    Release date:2020-10-20 05:56 Export PDF Favorites Scan
  • Interpretation of Expert Consensus on Motor Rehabilitation after Transeatheter Aortic Valve Replacement

    At present, transeatheter aortic valve replacement is an effective treatment for elderly patients with severe aortic valve stenosis. Cardiac rehabilitation after transeatheter aortic valve replacement can effectively improve cardiopulmonary endurance and exercise capacity, and improve the quality of life. In order to better carry out cardiac rehabilitation for patients undergoing transeatheter aortic valve replacement, the Structural Heart Disease Professional Committee of Chinese College of Cardiovascular Physicians has drawn up Expert Consensus on Motor Rehabilitation after Transeatheter Aortic Valve Replacement. This consensus mainly elaborates the specific implementation process and methods of cardiac rehabilitation from three time periods of perioperative rehabilitation, outpatient rehabilitation and home rehabilitation. This article will interpret the main content of the consensus.

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  • Evaluating the Left Ventricular Diastolic Function of Diabetes Mellitus Patients Using Dual-gate Doppler

    To evaluate the value of left ventricular diastolic function in type 2 diabetes mellitus (DM) using dual-gate Doppler and relative factors, we included 50 non-obesity and hypertension-free DM patients into the controlled group in the study along with 48 age-and-gender-matched healthy volunteer subjects. The peak early diastolic velocity (E), peak later diastolic velocity (A), deceleration time (DT), anterior mitral annulus diastolic peak velocity (e'), isovolumic relaxation time (IVRT), E/A, E/e', Tei index and TE-e' were measured with dual-gate Doppler. 20 subjects were randomly selected for repetitive analysis. Study showed statistical difference in E/A, DT, e', E/e', IVRT, Tei index and TE-e' between the two groups (P < 0.05). Linear regression analysis showed positive correlation between TE-e' and IVRT, course of DM patients and TE-e'(Beta=0.295, P=0.020), and HbA1C control level and TE-e'(Beta=0.399, P=0.010). Repeated analysis showed good reproducibility for both within and between groups. Dual-gate Doppler has clinical value in evaluating left ventricular diastolic function in type 2 diabetes mellitus patients. The course of type 2 diabetes mellitus patients and HbA1C control level were both closely related with left ventricular diastolic function.

    Release date:2021-06-24 10:16 Export PDF Favorites Scan
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