1. Effect of red light combined with hot compress on peripheral neuropathy of diabetes
Hongmei ZHOU ; Xiaochun YANG ; Shuijuan FU
Chinese Journal of Primary Medicine and Pharmacy 2019;26(14):1732-1736
Objective:
To investigate the effect of red light combined with hot compress on diabetic peripheral neuropathy (DPN).
Methods:
From June 2017 to June 2018, 110 patients with DPN admitted to the Department of Endocrinology, Hangzhou Hospital of Traditional Chinese Medicine were selected in the study.The patients were divided into study group (55 cases) and control group (55 cases) according to the random number table method.All patients were given DPN basic care and treatment, with red light in the control group, and red light combined with hot compress in the study group.The motor nerve conduction velocity (MCV) and the sensory nerve conduction velocity (SCV) of the ulnar nerve, median nerve and common peroneal nerve were compared between the two groups before and after treatment.The total scores of the Toronto clinical scoring system (TCSS) were compared between the two groups before and after treatment.The efficacy of the two groups was compared.
Results:
Before treatment, there were no statistically significant differences in MCV [(40.45±5.33)m/s vs.(40.14±5.08)m/s,
2.Application of self-made stretch pants in patients with burn in special sites
Pei CHEN ; Shuijuan YANG ; Xiaoxiao YUAN ; Juan XU ; Youling TANG ; Weiguo XIE
Chinese Journal of Burns 2018;34(11):827-828
The change and fixation of dressing are difficult in patients with burn in special sites nf perineum,buttocks,and bilateral thighs.Therefore,we designed and made stretch pants by ourselves for dressing fixation after dressing change in patients with burns in abdomen,buttocks,and bilateral thighs.The stretch pants are made by cutting and splicing elastic fabric according to perimeters of abdomen and legs.The stretch pants are used after wound dressing change,which can fix the dressing stably,accelerate wound healing,and reduce the medical workers' labor intensity of dressing change and economic burden of patients.And patients can walk out of bed early.It's especially suitable for dressing fixation of infants and other patients who are unwilling to cooperate.Besides,it's easy to make with low cost and suitable for clinical promotion.
3.Design and clinical application of a combined shoulder abduction orthosis for post-burn treatment
Pei CHEN ; Shuijuan YANG ; Hong WU ; Lin YUAN ; Weiguo XIE
Chinese Journal of Burns 2021;37(1):76-78
Cicatricial contracture is likely to occur at the deep burn wound under the armpits after healing, which results in limitation of shoulder abduction and seriously affects the function of upper limbs of patients. Wearing shoulder abduction orthosis is an effective intervention method for cicatricial contracture under the armpits, but the adjustable shoulder abduction orthosis commonly used clinically at present is limited in the adjustable range, and the customized static orthosis can only maintain the corresponding angle of shoulder abduction. Besides, the above two orthosis can only have the function of unilateral extention, and they are time-consuming for patients with need of bilateral extension. Aiming at the problems mentioned above, a combined shoulder abduction orthosis was designed by the Tongren Hospital of Wuhan University & Wuhan Third Hospital. The low temperature thermoplastic sheet was cut, shaped, and assembled according to the patient′s measurement data of abdomen, upper arm, and lumbar to prepare the combined shoulder abduction orthosis. This abduction orthosis can not only extend the cicatrix contracture under the armpits progressively and extensively, so as to effectively prevent the cicatricial contracture under the armpits, but also can select unilateral or bilateral extension based on the contracture limits for shoulder abduction, thus saving time for both medical workers and patients in relevant treatment.
4. Self-made finger flexion band and its application in patients with burn scar contracture on the back of hand
Pei CHEN ; Shuijuan YANG ; Xiaoxiao YUAN ; Lin YUAN ; Fang LEI ; Juan WANG ; Kunping WU ; Weiguo XIE
Chinese Journal of Burns 2019;35(11):821-823
Scar contracture after burn on the back of hand can easily lead to the limitation of flexion function of fingers, which seriously affects daily life activities. Generally, comprehensive rehabilitation treatment is adopted for scar contracture on the back of hand, among which wearing braces is an effective treatment method. However, some braces will limit the normal finger joints or must wait until all the affected fingers heal before they can be worn, and the wearing operation is quite complicated. In order to solve these problems, the author designed and made a finger flexion band, which was used to stretch the patients with limited flexion of finger caused by scar contracture after burn on the back of hand, and achieved good therapeutic effect. According to the measured hand size, the finger flexion band is cut and spliced from the fabric commonly used in daily life. The finger flexion band is designed with finger sleeve, which will not limit the normal finger joints, can interfere with the healed finger in advance, fix the corresponding fingers better, and improve the treatment comfort, especially for children who do not cooperate with the braces wearing. This finger flexion band is simple to make, cheap, convenient to use, and suitable for clinical promotion.