west china medical publishers
Author
  • Title
  • Author
  • Keyword
  • Abstract
Advance search
Advance search

Search

find Author "马利群" 4 results
  • 康复团队治疗老年髋部骨折患者的疗效观察

    目的研究康复团队治疗老年髋部骨折患者的有效性。 方法将2008年9月-2010年8月入住且行手术治疗的194例老年髋部骨折患者随机分为团队康复组92例和传统康复组102例,分别采用由康复治疗师、骨科医师、内科医师及护士共同完成的团队康复治疗和仅由康复治疗师完成的传统康复治疗。比较两组患者术后功能、并发症发生率、病死率、住院时间、再次住院率。 结果团队康复组和传统康复组患者住院时间分别为(28.7±4.1)、(34.7±5.8)d,出院时Harris评分分别为(83.5±9.4)、(78.2±12.1)分,出院后3个月评分分别为(87.5±7.4)、(80.2±10.4)分,差异均有统计学意义(P<0.05)。两组住院期间病死率及并发症发生率差异无统计学意义(P>0.05)。 结论康复团队治疗老年髋部骨折,可提高术后功能、缩短住院时间。

    Release date: Export PDF Favorites Scan
  • Investigation on Constipation during the First 30 Days after Hip Fracture

    ObjectiveTo research on the condition of constipation during the first 30 days after hip fracture. MethodsOne hundred and four patients with hip fracture treated between May 2014 and March 2015 participated in this study. We judged whether there was constipation by recording the defecation pattern and stool consistency in three time periods: from admission to the time just before surgery, from the end of surgery to the time of discharge, and from discharge to 30 days after injury. The defecation pattern was assessed using Bristol Stool Scale and a scale of four-stage defecation was used to assess the stool consistency. ResultsThere were 51.9% (54) of the patients who developed constipation during the first time period, 69.0% (69) during the second time period, and 63.4% (59) in the third time period. The proportion increased by 17% during the second period over the first (P=0.003), while there was no significant difference between the latter two time periods (P=0.581). Normal defecation pattern was re-established 9.7 days after surgery, though 23.7% (22) of the patients did not re-establish normal defecation pattern within the first 30 days after injury. ConclusionThe incidence of constipation during the first 30 days after hip fracture is high. The results imply that further studies are needed to prevent constipation.

    Release date: Export PDF Favorites Scan
  • The Influence of 3D Printing Assisting Educational Intervention on the Anxiety and Sleep Outcomes in the Patients with Trauma

    ObjectiveTo explore the influence of 3D printing assisting educational intervention on the anxiety and sleep outcomes in the patients with trauma. MethodA total of 40 patients were selected between October 2014 and June 2015. The patients were randomly divided into the intervention group and control group with 20 patients in each. The outcomes from admitted to the 7th day after the surgery were evaluated, including visual analogue scale (VAS) scores, state-trait anxiety inventory (STAI) score, Likert score, and the condition of anxiety, pain, and sleep outcomes. ResultsThe differences in VAS scores, STAI scores, and Likert scores between the two groups were significant (P<0.05). Conclusions3D printing assisting educational intervention is a useful intervention that can improve post-operative outcomes for the patients with trauma.

    Release date: Export PDF Favorites Scan
  • Topical administration of tranexamic acid in total hip arthroplasty: a Meta-analysis

    Objective To systematically review the clinical efficiency and safety after topical administration of tranexamic acid in total hip arthroplasty. Methods Relevant randomized controlled trials were identified from databases such as Cochrane Library, PubMed, Embase and CNKI from the establishment of the database to August, 2017. A systematic review was performed to compare total blood loss, the rate of transfusion and thromboembolism events between the tranexamic acid group and the control group. And the patients in tranexamic acid group were treated with tranexamic acid for hemorrhage after total hip arthroplasty, while the patients in the control group were not treated with tranexamic acid or used isotonic saline. Analysis was carried out using Review Manager version 5.2.0 software. Results Eight studies were incorporated into the Meta-analysis. The results of Meta-analysis showed that there was significant difference in total blood loss between two groups [weighted mean difference (WMD)=–360.27 mL, 95% confidence interval (CI) (–412.68, –307.87) mL, P<0.000 01]. There was significant difference in the rate of transfusion between two groups [ (odds ratio,OR)=0.22, 95%CI (0.14, 0.33), P<0.000 01]. There was no significant difference in complications between two groups [OR=1.48, 95%CI (0.41, 5.34), P=0.55]. Conclusion Topical administration of tranexamic acid could significantly reduce total blood loss and transfusion requirements in primary total hip arthroplasty, and would not increase thromboembolic complications.

    Release date:2017-10-27 11:09 Export PDF Favorites Scan
1 pages Previous 1 Next

Format

Content