Objective:To observe the rate of skin injury after spinal cord injury (SCI) in the rehabilitation department and analyze its risk factors.Methods:A total of 120 SCI patients were divided into an injury group of 33 and a control group of 87 without injury. The occurrence, type and location of any skin injuries incurred during hospitalization were recorded along with the subjects′ general condition, injury and functional status, complications, and the rehabilitation and nursing measures applied. Multivariate logistic regressions were evaluated to identify the risk factors for skin injury.Results:Among the 33 injuries, 27 were bruises (58.7%), 10 were stress injuries (21.7%), 5 were lacerations (10.9%) and 4 were burns (8.7%). Most injuries (65.2%) were to the limbs, followed by the buttocks and the sacrococcygeal tail (34.8%). All of the skin injuries required nursing intervention, with 47.8% lasting more than 7 days. There were significant differences between the two groups in terms of their average hospital stay, dysfunction, mode of admission, risk of pressure injury, nutrition and assisted urination. The regressions identified significant relationships between the occurrence of skin injury and length of hospital stay, risk of pressure injury and nutrition.Conclusions:The incidence of skin injury is high among hospitalized SCI patients. A long hospital stay, pressure injury and poor nutrition are independent risk factors for such patients. Such patients should receive skin management education.
功能性电刺激和踏车运动均已被广泛报道其对神经系统疾患运动功能恢复的具有显著疗效,但临床实践发现部分SCI、脑卒中患者很难独立完成踏车运动,原因可能是共同运动模式、肌张力异常、肌耐力下降、心肺功能受限等因素限制;而功能性电刺激联合踏车运动最早应用于20世纪80年代,国外已有少量报道,这一技术在近年来才逐步在临床上推广使用,目前国内还未见相关报道.查阅近年来国外有关功能性电刺激联合踏车运动临床应用的文献,总结并分析其研究现状和优势.
目的:研究24式太极拳对五年制高职女学生心肺功能的影响.方法:80名五年制高职女学生,其中正常(18.5≤BMI＜25)和轻度肥胖(25≤BMI＜30)女学生各40人,随机分为太极拳组和对照组,每组40人(正常及轻度肥胖各20人).太极拳组进行为期12周的24式杨式太极拳运动,每周四次,每次60min,对照组进行平日常规活动60min.结果:80名五年制高职女学生腰臀比有随体重指数增大而增大的趋势(p<0.01),肺活量体重指数及台阶指数有随体重指数增大而减少的趋势(p<0.01).组间对比,24式太极拳锻炼能使五年制高职女学生心肺功能明显改善,具体表现在心肺功能指标中的肺活量、体重指数、台阶实验指数有显著性的改变,经t检验(p<0.01).结论:24式太极拳锻炼能使五年制高职女学生心肺功能明显改善,建议在高职院校中广泛推广二十四式太极拳锻炼来提高肺活量、降低体重指数等.
