1.Treatment of oral and maxillofacial dog bites in children
ZHANG Tonghan ; LIU Xiaoling ; WU Jinan ; CHEN Jueyao ; SU Kui ; ZHENG Qiaoyi
Journal of Prevention and Treatment for Stomatological Diseases 2019;27(8):510-514
Objective :
To summarize experience treating dog bites in the oral and maxillofacial regions of children and provide a reference for clinical practice.
Methods :
Nineteen children with dog bite wounds in the maxillofacial region were treated from July 2011 to June 2018 with primary debridement and suturing. A rabies vaccine, tetanus vaccine and human immunoglobulin as a passive immune agent were given via intramuscular injection. Anti-inflammatory therapy with amoxicillin and clavulanate potassium or other antibiotics. Follow-up observation and a retrospective analysis of the treatment effect were carried out.
Results:
After treatment, among the 19 pediatric patients, 18 cases showed primary healing and 1 case showed secondary healing. The follow-up period ranged from six months to seven and a half years. No cases of rabies occurred.
Conclusion
For the treatment of patients with maxillofacial dog bite wounds, the first stage debridement and suture can reduce the scar after operation and is beneficial to the recovery of face.
2.Effect of hand controlled rhythm music therapy on unilateral spatial neglect after stroke
Ling HUA ; Yi'nan ZHANG ; Yu ZHENG ; Qiaoyi SUN ; Hui FANG ; Da SONG
Chinese Journal of Rehabilitation Theory and Practice 2023;29(7):833-838
ObjectiveTo observe the clinical effect of hand controlled rhythm music therapy on unilateral spatial neglect for stroke patients. MethodsFrom September, 2020 to September, 2022, 52 patients with unilateral spatial neglect after stroke in Wuxi Central Rehabilitation Hospital were randomly divided into control group (n = 26) and observation group (n = 26). Both groups accepted routine rehabilitation, and the observation group accepted hand controlled rhythm music therapy in addition, for eight weeks. Before and after treatment, the patients were assessed with Chinese Behavioral Inattention Test-Hong Kong version (CBIT-HK) routine tests (line crossing, letter cancellation, star cancellation, line bisection, figure and shape copying, and representational drawing) and modified Barthel Index (MBI). ResultsAfter treatment, six scores of CBIT-HK routine tests and the scores of MBI increased in both groups (|t| > 3.077, P < 0.05), and they were higher in the observation group than in the control group (|t| > 2.639, P < 0.05). ConclusionHand controlled rhythm music therapy could effectively alleviate the symptoms of unilateral spatial neglect after stroke, and improve the activities of daily living.