Efecto de la aplicación del software de chat de teléfonos inteligentes en el seguimiento de pacientes con fractura de cadera / Application of the smartphone chat software in the monitoring of patients with hip fracture

INTRODUCCIÓN: Estudiar el efecto de la aplicación del software de chat de teléfonos inteligentes en el seguimiento de pacientes mayores con fractura de cadera. MÉTODOS: Un total de 160 pacientes de edad avanzada con fractura de cadera tratados desde enero hasta diciembre de 2018 se inscribieron y dividieron en grupo control (n = 80) y grupo observacional (n = 80) de acuerdo con la tabla de números aleatorios. Ambos grupos, recibieron las indicaciones habituales al alta hospitalaria. Los pacientes del grupo observacional, además, se incluyeron en el software de chat de teléfonos inteligentes para proporcionar un seguimiento y orientación de rehabilitación de forma continuada. Se compararon: grado de satisfacción, cumplimiento, la capacidad de autocuidado de la vida, las complicaciones y la mortalidad de los dos grupos después del alta. RESULTADOS: Los datos clínicos básicos de los dos grupos no mostraron diferencias y fueron comparables. Hubo 5 muertes en el grupo observacional, que fue significativamente menor que 13 muertes en el grupo de control (p = 0,045); 10 casos en el grupo observacional tuvieron complicaciones, que fueron significativamente menores que 21 casos en el grupo de control (p = 0,028). La puntuación del índice de Barthel entre los dos grupos no fue diferente al alta (p = 0,916), pero después de 1 año, la puntuación del grupo observacional fue significativamente mayor que el grupo de control (p = 0,000). El cumplimiento y la satisfacción del grupo de observación fueron significativamente mayores que los del grupo de control (p = 0,013 y p = 0,000, respectivamente). CONCLUSIÓN: El uso del software de chat de teléfonos inteligentes para control de seguimiento y conducir la rehabilitación de las fracturas de cadera en personas mayores puede mejorar el cumplimiento del paciente, la satisfacción y la capacidad de autocuidado, y reducir complicaciones y la mortalidad, lo que es digno de promoción y aplicación

OBJETIVE: To study the effect of the application of the smartphone chat software in the follow-up of elderly patients with hip fracture. METHODS: A total of 160 elderly patients with hip fracture treated from January to December 2018 were enrolled and divided into control group (n = 80) and observational group (n = 80) according to the table of random numbers. Both groups received the usual indications for hospital discharge. The patients in the observational group were also included in the smartphone chat software to provide ongoing follow-up and rehabilitation guidance. The degree of satisfaction, compliance, life self-care capacity, complications and mortality of the two groups after discharge were compared. RESULTS: The basic clinical data of the two groups showed no difference and were comparable. There were 5 deaths in the experimental group, which was significantly lower than 13 deaths in the control group (p = 0,045); 10 cases in the experimental group had complications, which were significantly lower than 21 cases in the control group (p = 0,028). The Barthel index score between the two groups was not difference at discharge (p = 0,916), but after 1 year the Barthel index score of the experimental group was significantly higher than the control group (p = 0,000). The compliance and satisfaction of the experimental group were significantly higher than those of the control group (p = 0,013 and p = 0,000, respectively). CONCLUSION: Using smart phone chat software to follow-up and guide the rehabilitation of elderly hip fractures can improve patient compliance, satisfaction and self-care ability, and reduce complications and mortality, which is worthy of promotion and application

Levels of amino acids in cerebral spinal fluid in children with cerebral palsy / 中国当代儿科杂志

<p><b>OBJECTIVE</b>To study the changes of amino acids in cerebral spinal fluid (CSF) in children with spastic or athetotic cerebral palsy (CP) by examining CSF levels of glutamic acid (Glu), gamma-aminobutyric acid (GABA) and aspartate (ASP).</p><p><b>METHODS</b>CSF samples were obtained from 13 children with spastic CP, from 14 children with athetotic CP, and from 10 children without central nervous system and infectious diseases (control group). CSF levels of Glu, GABA and ASP were determined by high-performance liquid chromatography.</p><p><b>RESULTS</b>CSF levels of GABA, ASP and Glu in the control group were 13.04+/-2.19, 10.21+/-0.45 and 8.41+/-2.26 micromol/L, respectively. Compared with the control group, CSF GABA levels in the spastic and the athetotic CP groups (8.02+/-2.03 and 10.01+/-2.68 micromol/L respectively) significantly decreased (P<0.01), whereas CSF levels of Glu (20.99+/-8.15 and 28.77+/-17.62 micromol/L respectively) and Asp (13.53+/-3.93 and 14.02+/-2.88 micromol/L respectively) in the spastic and the athetotic CP groups significantly increased (P<0.01). There were statistical differences in the GABA level between the spastic and the athetotic CP groups (P<0.05). In children with spastic CPCSF Glu level was positively correlated to muscle tension.</p><p><b>CONCLUSIONS</b>CSF excitatory amino acid levels increased, while CSF inhibitory amino acid levels decreased in children with CP. There were differences for CSF amino acid levels in different types of CP. The changes of amino acid levels may contribute to the pathogenesis of CP.</p>

Effect of Carotid Artery Sympathetic Nerve Net Exfoliation Combined with Hyperbaric Oxygen Therapy on Athetosic Type Cerebral Palsy / 中国康复理论与实践

@#ObjectiveTo explore the effect of carotid artery sympathetic net exfoliation combined with hyperbaric oxygen therapy on athetosic type cerebral palsy (CP).Methods46 CP children (athetosic type) were divided into the treatment group (n=25) and control group (n=21). All cases of two groups were treated with carotid artery sympathetic net exfoliation as well as children of the treatment group were added with drug and hyperbaric oxygen therapy. Therapeutic effect of two groups was compared.ResultsOne week after operation, the effect rate was 66.67% in control group and 64% in treatment group with no significant difference between two groups. 3 months after operation, the effect rate of the treatment group increased to 96.00%, but that of the control group was not changed, there was a significant difference between two groups (P<0.05).ConclusionCarotid artery sympathetic nerve net exfoliation can improve the symptoms of athetosic type CP children, if combined with hyperbaric oxygen therapy, the curative effect will be further improved.