Exercise training could alleviate the motor dysfunction following cerebral ischemia. Clinical and basic experimental study studies have explored the mechanism underlying this phenomenon. However, the exact mechanism of pre-ischemic exercise intervention on nerve damage after cerebral ischemia is still not clear, which was summarized in this review. Exercise preconditioning could reduce inflammation reaction, decrease neuron apoptosis, alleviate blood brain barrier dysfunction, improve cerebrovascular system and mitigate glutamate toxicity, thus inducing brain ischemic tolerance. The elucidation of neuroprotective effect of exercise training is helpful for implementation of exercise intervention for stroke high risk population, reducing neurological deficits following ischemic stroke, resulting in beneficial influence on the whole society. Key words: Rehabilitation; Brain ischemia; Exercise training

脊髓损伤导致的神经源性膀胱严重影响患者的生活质量,如得不到有效的治疗往往造成反复泌尿系统感染、结石形成、肾积水甚至肾衰竭等并发症的发生.近年来关于膀胱功能训练的方法有很多[1],我科采用间歇导尿术、膀胱功能训练技术、体表电刺激综合治疗的方法促进膀胱功能恢复,取得了一些经验,现报告如下.

目的探讨最大限度使四肢骨折患者术后关节功能恢复,减少功能障碍的发生。方法将336例四肢骨折术后患者随机分为实验组和对照组。对照组166例,采用常规护理,按传统的方式进行健康教育;实验组170例,除了采用常规护理外,根据骨折患者的具体情况制定出个体化、有针对性的健康教育计划,要求护士按计划反复对患者进行指导和教育。结果实验组在提高健康教育的认知度、参加康复训练的主动性、预防关节功能障碍等方面优于对照组,两组资料经统计学处理差异有显著性(P<0.01)。结论个体化健康教育对骨折患者术后的功能康复起着重要的促进作用。

烧伤不仅使人的体表受到破坏,更重要的是常合并很多重要器官的功能受损.我科于2002年3月收治了一例烧伤面积约为30%的Ⅱ度烧伤病人,合并多脏器功能衰竭,经积极抢救与护理,病人痊愈出院,现将护理体会介绍如下.