ABSTRACT
Objective:To investigate the therapeutic effect of orthopedic trauma therapy device combined with URA lower limb rehabilitation trainer in patients who underwent total knee arthroplasty caused by traumatic fracture,and to analyze the effect of that on limb activity and quality of life.Methods:A total of 198 patients with end-stage knee osteoarthritis who were hospitalized in the hospital were randomly divided into a control group(69 cases,referred to as the control group),an orthopedic trauma therapy device group(63 cases,referred to as the therapy device group)and an orthopedic trauma therapy device combined with URA lower limb rehabilitation trainer group(66 cases,referred to as the combination group),and all patients underwent surgery of total knee arthroplasty.The American Knee Society Score(AKSS),Western Ontario and McMaster Universities Osteoarthritis Index(WOMAC)score,knee joint range of motion,quality of life,pain score and the evaluation of post-treatment satisfaction were observed and compared among the three groups.Results:The AKSS score and knee joint range of motion of the combination group were respectively higher than those of the control group after therapy,and the differences were significant(t=10.69,t=17.34,P<0.05).The WOMAC score of the combination group was significantly lower than that of the control group(t=26.98,P<0.05)after therapy,and the difference was statistically significant.The satisfaction of the combination group was significantly higher than that of the control group(t=9.93,P<0.05).The social function,physical function,role function and cognitive function of the quality of life in the combination group were significantly higher than those of control group(t=17.48,t=13.20,t=19.57,t=21.74,P<0.05),respectively.The pain score of the combination group was significantly lower than that of the control group(t=32.62,P<0.05),and the difference was statistically significant.Conclusion:The combination of orthopedic trauma therapy device combined with URA lower limb rehabilitation trainer has better clinical value in treating postoperative patients who undergo total knee arthroplasty in postoperatively fast rehabilitation and improving quality of life of them.
ABSTRACT
Objective: To explore the clinical effects of autologous follicular unit extraction (FUE) transplantation in the treatment of small area secondary cicatricial alopecia (hereinafter referred to as cicatricial alopecia) after burns. Methods: A retrospective observational study was carried out. According to the adopted treatment methods, 18 patients (12 males and 6 females, aged (29±6) years) who received autologous FUE transplantation for small area cicatricial alopecia after burns from March 2017 to November 2019 in the First Affiliated Hospital of Air Force Medical University were included in FUE transplantation group, and 18 patients (13 males and 5 females, aged (33±5) years) who were treated with expanded flap transplantation for small area cicatricial alopecia after burns by the same surgery team during the same period in the same hospital were included in expanded flap transplantation group. All the patients were followed up for more than 1 year. At the last follow-up, the follicular unit density in the transplanted area was measured by Folliscope hair detection system and the hair survival rate was calculated; the visual analogue scale (VAS) method was adopted to evaluate the treatment effect; patients were asked their satisfaction with the treatment effect and the occurrence of complications during follow-up; the hair growth and the scalp thickness, pain, pruritus, pigmentation, and surface roughness of the transplanted area were recorded. Data were statistically analyzed with Fisher's exact probability test and independent sample t test. Results: At the last follow-up, the follicular unit density in the transplanted area of patients in FUE transplantation group was (46.8±2.0)/cm2, which was significantly higher than (42.5±4.3)/cm2 in expanded flap transplantation group (t=3.84, P<0.01); the hair survival rates of patients were similar between the two groups (P>0.05). At the last follow-up, VAS scores evaluating the treatment effect of patients were similar between the two groups (P>0.05); the satisfaction score of patients toward the treatment effect in FUE transplantation group was 8.6±1.1, which was significantly higher than 7.6±0.8 in expanded flap transplantation group (t=2.89, P<0.01). During the follow-up, no inflammation or infection occurred in patients of the two groups, but only 2 patients in expanded flap transplantation group had postoperative pain. At the last follow-up, the transplanted area of patients in the two groups was covered with new hair, and the hair growth direction was basically consistent with the surrounding normal hair; scalp thickness, pain, pruritus, pigmentation, and surface roughness of the transplanted area of patients were similar between the two groups (P>0.05). Conclusions: Autologous FUE transplantation has better long-term follicular unit density and patients' satisfaction than expanded flap transplantation in the treatment of small area cicatricial alopecia after burns, showing better postoperative effect and a good prospect of clinical application.
Subject(s)
Female , Humans , Male , Alopecia/surgery , Burns/surgery , Cicatrix/surgery , Hair Follicle , Pain/complications , Pruritus/complicationsABSTRACT
Meridians and Acupoints Science is a basic course and important component of acupuncture and Tuina science. This course contains considerable theoretical and basic knowledge to be memorized, which causes some difficulties for students to study and inevitably influences the learning effect. In view of that, the authors implemented reforms in interest teaching practice in teaching of Meridians and Acupoints Science. Reforms including the use of interesting memory method, string comparison of acupoints, interspersed discussion of cases, presentation of famous doctors' experience in acupoint application and development of the second class activities have achieved some success. That has aroused the students' enthusiasm for learning and improved the quality of teaching.