共查询到20条相似文献，搜索用时 592 毫秒
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目的探讨食管癌患者年龄、吻合位置与术后并发症发生率和死亡率的关系,以及新辅助化疗对食管癌手术切除率的影响。方法回顾性分析西安交通大学医学院第一医院肿瘤外科自1997年~2003年首诊收治、资料完整587例食管癌患者资料。结果不同年龄组手术切除率分别为91.2%、95.9%和97.7%(P>0.05);>70岁年龄组术后吻合口瘘发生率和术后死亡率均较其它组高(P<0.05)。胸膜顶部吻合口瘘发生率为16.67%,较其它位置吻合口瘘发生率明显高(颈部2.17%、弓上1.09%、弓后2.60%、弓下0),具有显著性差异(P=0.019)。III期食管癌患者行术前新辅助化疗组与未化疗组的手术切除率分别为96.92%和78.85%,具有显著差异(P<0.05),而术后吻合口瘘发生率和术后死亡率无明显差异(P=1.000)。结论术前新辅助化疗可提高食管癌手术的切除率并不增加术后并发症。年龄大并不完全是手术禁忌,高龄患者的手术应充分考虑患者的生理年龄。 相似文献
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手球项目普及范围较窄 ,分析该项目运动损伤的调查研究较少 ,能够发现该项目损伤规律的 ,更鲜于报道。为填补以上不足 ,制作广东省女子手球运动损伤调查表 :包括相应的身体形态、机能状况和损伤概况 ,由队医配合发放给每位运动员 ,并强调调查的重要性及要求客观性。研究对象运动员31名 ,平均年龄 2 0岁 ,其中 ,国际健将 1名 ,国家级健将 3名 ,一级运动员 8名 ,二级运动员 19名 ,专项训练年限最长11a,最短 1a,平均 4.7a。 31名运动员发生了 96例运动损伤 ,损伤概况呈下面 3个特点 :1训练年限与损伤发生率呈“V”字形关系 :参加训练前 3a,其… 相似文献
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我室近年来指导膝半月板切除术后病员进行基本功能锻炼,资料完整可供分析者共61例,现作一方法总结及病例分析。一般资料 61例中男32例,女29例,年龄分布见表一。职业分布见表二。手术原因半月板损伤48例,盘状半月板损伤12例,半月板囊肿1例。损伤原因见表三。病变分布部位见表四。术后次日开始练习直腿上抬。来体疗室锻炼日期12—30天30例,1—6个月27例,1—5年4例。 相似文献
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胫骨的应力性骨折常发生在近侧端,且经休息很容易被治愈。然而,胫骨的中1/3骨折是不常见的。在五年中我们曾遇到此类骨折六例,用简单的固定没有一例被治愈。其中,一例用电刺激治疗两年后,尚未愈合;另一例在损伤部位没行骨移植术,经活组织检查最后发现也未愈合;再有一例是两次急性完全性应力性骨折,在第二次急性骨折时,行切开复位内固定术后才被治愈。其它三例是因为连接失败,行骨病灶切除植骨术后,均得到迅速愈合。 相似文献
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为了全面了解柔道运动损伤的发生情况,探讨其发生损伤的特点和规律,提出相对应的预防措施,特对安徽省柔道队(男、女队),淮南市柔道队分别进行了运动损伤调查: 一、调查方法: (1)运动员填写损伤登记卡; (2)查阅运动员损伤病历卡; (3)直接询问运动员受伤史并作简单诊断。二、调查结果: 共收集病例70例,其中专业队员45例,业余队员25例,他们从事专项训练年限为3个月至10年不等。(1)发生创伤的部位:专业队肘11例占24.5%,膝10例占22.3%,肩10例占22.3%,踝6例占13.3%,颈3例占6.67 相似文献
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目的:从胰岛素样生长因子-1(insulin-like growth factor-1,IGF-1)和转化生长因子-β1(transforming growth factor-β1,TGF-β1)的动态变化规律理解骨骼肌纤维化的发生机制。方法:健康雄性Sprague-Dawley大鼠随机分为对照组和模型组。模型组进一步分为损伤后第1、2、3、7、14、21和28天组。模型组采用局部钝物打击造成急性骨骼肌钝挫伤。免疫组织化学法同步观察大鼠骨骼肌纤维化形成过程中IGF-1、TGF-β1的表达,并采用有序样品聚类分析方法对表达强度变化进行分期。结果:1)模型组IGF-1在损伤区域的表达显著上调,除了表达于再生肌纤维外,在肉芽组织和增生的结缔组织中也可见阳性表达,在塑型期尤为明显。模型组IGF-1表达强度呈倒"V"字形变化,可分为3期:损伤后第1~7天为第1期,损伤后第14~21天为第2期,损伤后第28天为第3期,其中第2期最高。2)模型组TGF-β1表达显著上调,主要表达于新生肌细胞和细胞间质,表达强度呈现"V"字形变化,也分为3期:损伤后第1~2天为第1期,损伤后第3~14天为第2期,损伤后第21~28天为第3期,其中第2期最低。结论:IGF-1、TGF-β1在骨骼肌损伤修复过程中均高水平表达。在损伤期和修复期,二者可能共同参与骨骼肌再生和细胞外基质再生,并且可能存在协同作用。在组织塑型期,二者均高水平表达于细胞间质(特别是增生的结缔组织),二者可能共同参与了骨骼肌纤维化的形成。 相似文献
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随着我国竞技体育水平的不断提高,运动损伤越来越普遍。运动员的运动损伤通常包括肌肉等软组织的拉伤、撕裂伤,肌腱或韧带的断裂,骨折等。常见的有肩关节、腕关节、膝关节和踝关节的骨折及周围软组织的损伤。对于较为严重的损伤,可能需要手术治疗。那么,术后多久可以进行正常训练,术后训练的原则和方法都有哪些,本文对此作一介绍,供广大教练员和运动员参考。 相似文献
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陈捷 《西安体育学院学报》2004,(Z1)
急性踝关节扭伤是运动过程中常见的损伤,目前对该病的急救处理方法主要有冷敷、加压包扎、抬高患肢、中 药外敷等方法。本文作者在临床上采用中医推拿手法对该病进行急救处理,取得了较好的疗效。但是,尚未见用推拿对 急性踝关节扭伤急救处理的报道,因此本文试图将推拿、冷敷和弹力绷带加压包扎三种急救处理方法作以比较,从而探 讨踝关节扭伤急救处理的有效方法。 相似文献
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以问卷调查的方式把运动员踝及足部、小腿部分、膝关节部分、大腿等部位在跆拳道项目中常见的运动损伤作为研究对象。根据跆拳道项目的规律和特点,对于跆拳道训练中或者比赛中常见的运动损伤从生理特点、各部分病因以及损伤机制等方面进行分析,提出合理理有效的恢复性练习方法。指导教练员及时采取各种措施,合理安排损伤后的训练,加速运动员的功能恢复。 相似文献
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Christiane Perme Theresa Nalty Chris Winkelman Ricardo Kenji Nawa Faisal Masud 《Cardiopulmonary Physical Therapy Journal》2013,24(2):12-17
Introduction
There are limited data describing mobility interventions provided to patients with femoral catheters. The purpose of this study was to examine the incidence of femoral catheter related adverse effects during physical therapy (PT) sessions in a cardiovascular intensive care unit (ICU).Methods
This was a prospective, observational study and included patients with at least one femoral catheter. Data were collected after each PT session.Results
There were 77 subjects with a total of 92 femoral catheters (50 arterial, 15 central venous, and 27 dialysis) treated. A total of 210 separate PT sessions occurred with 630 mobility activities including sitting on side of bed, standing at the bedside, transfers to stretcher chair or regular chair, and walking. There were no catheter related mechanical or thrombotic complications during any of the PT sessions.Conclusions
Physical therapy sessions, including standing and walking were feasible and safe in cardiovascular ICU patients with femoral catheters who met the criteria for mobility interventions. The results from this study support the hypothesis that early mobilization in patients with femoral catheters is important to minimize functional decline and provide evidence that the presence of femoral catheters alone should not be a reason to limit progressive mobility interventions.Key Words: physical therapy, ICU, early mobilization, femoral catheter 相似文献14.
观察治疗肘内侧副韧带断裂 5 8例 ,用不同方法缝合 ,探讨肘关节内侧副韧带损伤及其临床意义。结果 :随防 1年 6个月～ 6年 ,49例恢复良好 ,肘关节侧向稳定。结论 :肘关节内侧副韧带断裂宜早期手术 ,恢复和保持肌起点和韧带断端的正常接触。 相似文献
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夏重华 《哈尔滨体育学院学报》2011,29(1):87-90
运用文献资料法、问卷调查法、专家访谈法、数理统计法,对哈尔滨体育学院篮球专项队员进行运动损伤的问卷调查,并对损伤的性质进行分析。结果显示运动损伤发生的部位依次为手指、踝关节、膝关节、腰部等;常见损伤类型为关节扭伤、肌肉拉伤和软组织损伤等;致伤原因依次为准备活动不当、技术动作错误、运动负荷过大等。 相似文献
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Lawrence P. Cahalin Tanya Kinney LaPier Donald K. Shaw 《Cardiopulmonary Physical Therapy Journal》2011,22(1):5-15
The processes that occur with normal sternal healing and potential complications related to median sternotomy are of particular interest to physical therapists. The premise of patients following sternal precautions (SP) or specific activity restrictions is the belief that avoiding certain movements will reduce risk of sternal complications. However, current research has identified that many patients remain functionally impaired long after cardiothoracic surgery. It is possible that some SP may contribute to such functional impairments. Currently, SP have several limitations including that they: (1) have no universally accepted definition, (2) are often based on anecdotal/expert opinion or at best supported by indirect evidence, (3) are mostly applied uniformly for all patients without regard to individual differences, and (4) may be overly restrictive and therefore impede ideal recovery. The purpose of this article is to present an overview of current research and commentary on median sternotomy procedures and activity restrictions. We propose that the optimal degree and duration of SP should be based on an individual patient''s characteristics (eg, risk factors, comorbidities, previous activity level) that would enable physical activity to be targeted to particular limitations rather than restricting specific functional tasks and physical activity. Such patient-specific SP focusing on function may be more likely to facilitate recovery after median sternotomy and less likely to impede it.Key Words: median sternotomy, sternal precautions, physical therapy, exercise protocols 相似文献
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体操运动员运动损伤的原因分析与预防对策 总被引：3，自引：0，他引：3
通过分析我国体操运动员运动损伤的部分原因,结合当前体操运动员早期训练中导致运动损伤存在问题的调查和分析,提出了一些预防运动损伤的对策. 相似文献
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The purpose of the present study was to re-examine the relationship between deep body temperature and relative exercise intensity, during running rather than cycling (Saltin and Hermansen, 1966). Twenty male competitive and recreational distance runners, aged 22 + 0.9 years (mean +/- sx), were selected to form two groups, one with high maximal oxygen uptake (VO2max) values (72.8 +/- 0.8 ml x kg(-1) x min(-1)) and the other with moderate values (59.4 +/- 0.7 ml x kg(-1) x min(-1)). The participants completed two 60 min constant-paced treadmill runs at a common speed (absolute intensity) of 10.5 km x h(-1) and at a relative exercise intensity at a speed equivalent to 65% of VO2max. During the relative exercise intensity trial, no differences were found in rectal temperature, skin temperature or heart rate between groups. However, when running at the common speed, differences were identified in rectal temperature. At 60 min, rectal temperature was 37.70 +/- 0.19 degrees C and 38.19 +/- 0.11 degrees C for the high and moderate VO2max groups, respectively (P < 0.05). Sweat lost was significantly higher in the moderate VO2max group (moderate: 1.05 +/- 0.06 kg x h(-1); high: 0.82 +/- 0.08 kg x h(-1); P < 0.05). Heart rates were also different between groups over the first 20 min during the common speed trial (P < 0.05). The results of the present study support the findings of Saltin and Hermansen (1966), in that the set-point at which temperature is maintained is related to the relative exercise intensity. 相似文献