摘要
Background:clinical rehabilitation of unstable lumbar vertebrae in an important part of mordern rehabilitation medicine.Because of its plentiful contents,rapid developing,comprehensive using of methods,it has been paid more and more attention to.Objective:To investigate effect of rehabilitation nursing on prognosis of unstable lumbar vertabrae in bed.Unit:people's Hospital of Anyang City.Subjects:112 cases of unstable lumbar vertebrae were investigated,including 70 cases of spinal injury(62.5%),most of which were incomplete injury,38 cases of retrograde affection (34.0%),others 4 cases (3.5%).Interventions:(1)rehabilitation of muscle:Grouped exercises were directed to shoulder,elbow,wrist,hip,knee and ankle joints.Both active and passive exercises of each group took 200 times of flexing and extending,3-4 groups each day and increased successively;If patients couldn't coordinate or needed a larger amount,CPM and special OT,PT rehabilitation were given suplementarily:①upper part of body and head were elevated with both arms bracing and hip on bed.②both lower limbs extended backward in turn,with knee joint extending.③upper part of body and head were elevated without upper limbs bracing.④both lower limbs stable.⑤“swallow”movement.⑥upper and lower part turned over at the same time,combined with abdominal muscles exercise.Exercises varied with each individual,amount increased gradually.(3) Rehabilitation training of detrusor urinae and sphinctor of anus:before defectation,massaging of abdomen for 5-10min,hot water was drunk 15 min before defectation.Actively contracting detrusor usinae and sphinctor of anus,100 times pergroup,3-4groups every day.Rubbing anus sliphtly,15-30s,1-2 times every day.(4)Rehabilitation of complications:turning over once every 2h.Massage of sacrococcygeal region,sacroiliac region and calcaneus,15-20 min.Irrigation of bladder with furacilin(1:5000).Cleaning of perineum with bromogeramine.Results: In 2 cases of panplegia,patients could do simple activities with the help of wheel-chair;In 77 cases of incomplete pletia,muscle strength recovered to grade Ⅳ-Ⅴ.Besides 2 cases of panplegia,all cases achieved self-dependence of daily living.Conclusion:Rehabilitation nursing of nustable lumbar vertebrae in bed could accelerate the clinical rehabilitation and shorten therapeutic course.
出处
《中国临床康复》
CSCD
2002年第22期3464-3464,共1页
Chinese Journal of Clinical Rehabilitation
