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武汉市城区老年人日常生活能力及其影响因素研究
日常生活能力量表(activity of daily living scale,ADL)由躯体性日常活动能力(physical activity of daily living scale,PADL)和工具性日常活动能力(instrumental activity of daily living scale,IADL)组成,为短程自评量表,操作方便,容易掌握,不受年龄、性别、经济状况等因素影响,应用范围广.为了解武汉市老年人的日常生活能力现状及其主要的影响因素,提高武汉市老年人的生命质量提出相对应的对策,我们于2005年3~6月对武汉市城区9个居委会的老年人进行了调查.
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沙蒿散缓解阻生牙拔除术后日常生活活动能力影响因素的效果评价
AIM:To investigate the effect of locally used Shahaosan on preventing the complication of extraction of impacted tooth.METHODS: 274 cases patients with extraction of impacted teeth were randomly devided into 3 groups named A,B and C.Shahaosan and Yunnan white drug were processed into drug A and B by department of pharmacy with the same color, shape and quality which are blind to doctors and patients.When the impacted teeth were extracted, administed group A(92 cases) with drug A,group B(86 cases) with drug B and group C(96 cases ) was a blank control. After the operation,incidence and severe intensity of dry socket in each group were observed and evaluated by scores.RESULTS: The incidence of dry socket in group A,B and C were 0.09% (1/92),2.32% (2/86),8.33% (8/96).There was no significant difference between group A and B, group B and C, while a significant difference showed between group A and C.The PoSSe score in group A, B and C was 19.36, 27.80 and 22.83 respectively.Afer the experiment the department of pharmacy informed that drug A is Shahaosan and drug B is Yunnan white drug.CONCLUSTON:Compiments of dry socket induced by extracting of lower jaw impacted teeth can be prevented by locally administered with Shahaosan, but no significant effect of alleviating the symptom of dental extraction.
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综合康复治疗对骨折后肘关节功能障碍的疗效观察
Background:Long- term mobilization or pain after fracture will impair elbow function and ability of activity of daily living. Objective:To investigate the effect of comprehensive rehabilitation treatment on elbow dysfunction following fracture.
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急性脑卒中偏瘫的康复评价(续二)
2残疾水平的评测目前有关脑卒中的残疾评测量表主要是评测日常生活活动能力(Activity of Daily Living,ADL),因为患者的ADL的能力对患者本人、家庭和社会都有重大影响.ADL的能力提示患者适应社会的能力,ADL的独立程度对患者的自尊有着直接的影响.ADL不能自理及依赖他人来完成将对患者的精神生活、社会地位和经济状况造成毁灭性的打击,引起抑郁,缺乏自信,没有生活的目的及热情.而ADL的独立则增加患者的自尊.对家庭来说,患者ADL不能自理,将扰乱家庭的平衡状态,改变家庭日常生活规律,在家庭成员之间造成感情的不和谐,增加家庭的负担.对社会来说,则是一种经济和社会负担[49].因此ADL成为残疾的主要的评测内容.1990年SIROKE杂志发表了WHO脑卒中康复的专家组按照WHO关于疾病后果的概念提出的有关脑卒中残疾评测的内容[50].该内容由三部分组成:基本的日常生活活动(Basic Activity of DailyLiving,BADL):包括生活自理、运动、括约肌的控制、交流、认知和行为.复杂的日常生活活动(Instrumental Activity of Daily Living,IADL):包括做饭、家务、打电话、管理钱财、使用交通工具、自己管理药物和买东西等.附加的残疾评测:除前两部分以外的而又不属于残障的内容.