Résumé
Objective To systematically review the effect of proprioceptive training for knee joints recovery among patients with total knee replacement (TKR).Methods We searched Chinese BioMedical Literature Database,CNKI,WanFang database,Chinese Scientific Journals Full-text Database,PubMed,EMbase,MEDLINE and Cochrane Library for randomized controlled trials (RCT) about proprioceptive training for knee joint recovery after TKR and the retrieval covered the period to November 2017.Two reviewers independently selected studies,extracted data,evaluated quality,and analyzed data,which was conducted using the RevMan software.Results Five studies involving 278 patients were selected.Meta-analysis showed that the knee joint function score was significantly increased in the proprioceptive training group than that in the control group [standard mean difference (SMD) =0.38,95％ CI (0.26,049),P＜0.0001].Moreover,proprioceptive training could significantly improve the joints' function (P=0.0006),up-regulate the joints' range of motion (P=0.006) and increase the strength (P=0.005) and stability (P＜0.0001) of knee joints compared with those in the control group.Conclusions Proprioceptive training on the basis of routine rehabilitation can improve the joints' stability,enhance the balance and coordination,and increase the quality of life in elderly patients after TKR,and could be recommended as a comprehensive rehabilitation program.
Résumé
OBJECTIVE To investigate and analyze the prevalence rate as well as antibiotics usage in tumor hospital. METHODS The nosocomical prevalence rate of 350 cases in our hospital on 22 Apr,2008 were investigated through and case records. RESULTS Of total 350 cases,15 cases had nosocomial infection with an infection rate 4.3%,and 16 infected sites 4.6% existed.Of all the nosocomial infection cases,the respiratory infection was 40.0% and the urinary tract infection was 26.7%.The antibiotic use rate was 23.7%,from them 65.1% with a single antibiotic and 30.1% with two antibiotics combined. CONCLUSIONS By strengthening the surveillance of clinical departments and the management of antibiotic use the nosocomial infection control could be improved.