Industrial rehabilitation is a new concept that primarily encompasses four aspects: medical industrial rehabilitation, educational industrial rehabilitation, disability industrial rehabilitation, and rehabilitation engineering industry. The development of industrial rehabilitation in China is rapid, presenting numerous opportunities while also facing significant challenges. However, to date, no scholars have summarized the definition, current status, challenges, and opportunities of industrial rehabilitation, which hinders its development in China. This paper summarizes the development status of the four aspects mentioned above, analyzes the challenges and opportunities faced, and provides suggestions for development, offering a reference for the advancement of industrial rehabilitation in China.
目的：了解ICU病房地震伤员的功能障碍的特点，为临床康复治疗提供依据。方法：运动功能评定应用MMT方法；运用关节角度尺评定关节活动度（ROM）；利用被动关节活动法评定肌张力、痉挛评定选用改良的Ashworth分级法；坐位平衡和站位平衡采用平衡反应试验评定；日常生活活动（ADL）能力选用国际通用的Barthel指数量表评定。由我科研究生作为评定人员。结果：①ICU病房地震伤员以骨折患者为主,占70%，神经系统损伤占20%，挤压综合症和肺挫伤各占5%；②女性骨折比例高于男性，为11∶3；神经系统损伤没有多大差异；截肢和瘫痪的患者中，男性高于女性，比例分别为4∶1和3∶2；肺部感染以女性更为明显，为7∶1；③47.6%的地震伤员关节活动受限（评定21人），93.3%的肌力下降（评定15人），15.8%肌张力下降（评定19人），36.8%肌张力增高（评定19人），30.0%的坐位平衡下降（评定10人），96.4%站立平衡下降；④ADL能力100%受限（评定20人），其中洗澡、修饰、如厕、平地行走45 m、上下楼梯受限均为100%，95%地震伤员进食能力下降，90%穿衣能力受限，35%大便失禁，60%小便控制能力下降，多数使用导尿管，95%地震伤员床椅转移能力下降；⑤40%出现肺部感染。结论：关节活动度受限、肌力下降、肌张力异常、平衡功能障碍、ADL能力受限及肺部感染是ICU地震伤员主要功能障碍。早期康复介入、维持和改善关节活动度、肌力训练、减张和牵伸训练、平衡训练、呼吸训练、站立和行走训练及ADL能力训练应当作为康复治疗的基本原则和方法。
“5·12”汶川大地震发生已过去9个月，多数地震伤员已康复出院，回归社会，社区康复成为时下我们医务工作者的焦点。我们应当抓住地震伤员全面康复的时机，通过政府和康复工作者的努力，使社区康复尽快正规、完善，更重要的是要让广大地震伤员认识康复、参与康复，实现全面康复，让其真正回归家庭和社会。
Objective To systematically analyze the research landscape of China’s rehabilitation industry, identify core contradictions and evolutionary pathways, and provide evidence for policy optimization and academic innovation. Methods Literature published up to December 31, 2024 was retrieved from China National Knowledge Infrastructure, Wanfang, and Chongqing VIP databases using rehabilitation industry as the subject term. Bibliometric methods such as keyword clustering, strategic coordinate analysis, temporal evolution (CiteSpace and R language) were employed to dissect research patterns, hotspot evolution, and innovation bottlenecks of the rehabilitation industry. Results Finally, 183 articles were included for analysis. China’s rehabilitation research exhibits a policy-driven, fragmented pattern (policy-focused journals accounted for 25.68% of publications; the Ministry of Civil Affairs had the highest publication volume, accounting for 2.19%. There was a structural disconnect between demand and research: on the one hand, the outbreak of elderly rehabilitation demand was marginalized in research (located in the lower left quadrant of the strategic coordinates, but keyword clustering dissolved in the “# 0 rehabilitation industry”); on the other hand, although exercise rehabilitation was a hot topic (ranked first in frequency, centrality>0.1), its maturity was insufficient (located in the lower right quadrant of the strategic coordinates). The research hotspots continued to shift towards “integration of industry and education” and “high-quality development” (temporal evolution), with the emergence of the term “rehabilitation” (strength=4.09) marking a historical focus, while technology transformation and collaboration in the public welfare market (isolation of the language rehabilitation industry) had become key breakthrough directions. Conclusion The rehabilitation industry in China urgently needs to break the dilemma of “high yield and low cooperation”, promote research and practice collaboration through three-dimensional innovation of technology education system, and support the rehabilitation needs of an aging society.
This study aims to compare two kinds of modified poly (lactic acid) (PLA) materials:PLA-chitosan (PLA-CTS) and PLA-poly (glycolic acid) (PLA-PGA). PLA-CTS and PLA-PGA scaffolds were prepared and observed under electron microscope. The scaffold porosity was calculated and the pH of the degradation solution was measured. Then rat olfactory ensheathing cells (OECs) were cultivated, and mixed cultured respectively with two scaffolds as two groups. The proliferation, adhesion rate and growth condition of the OECs were observed and compared between the two groups. Results showed that both the prepared PLA-CTS and PLA-PGA scaffolds were three-dimensional porous structure and the porosity of PLA-CTS was 91%, while that of PLA-PGA was 87%. The pH of degradation solution decreased gradually, of which PLA-PGA fell faster than PLA-CTS. After added to the two scaffolds, most OECs could grow well, and there were no significant differences between the two groups on MTT test and nuclei number determined by fluorescent microscope. However, the cell adhesion rate of PLA-CTS group was significantly higher than that of PLA-PGA. It can be concluded that compared with PLA-PGA, PLA-CTS might be a better choice as OECs scaffold.
Objective To understand the preventive effect of pneumatic compression therapy on deep vein thrombosis (DVT) in lower limbs of patients with spinal cord injury. Methods Patients with spinal cord injury who transferred from Orthopedics Department to Rehabilitation Department undergoing rehabilitation in the First Affiliated Hospital of University of Science and Technology of China and discharged from April 2017 to December 2020 were retrospectively included. According to the contents of the medical order of the case data, the patients were divided into treatment group and control group. The intervention method of the treatment group was pneumatic compression therapy and conventional rehabilitation treatment, and the control group was conventional rehabilitation treatment. Multivariate logistic regression was used for statistical analysis to explore the association of pneumatic compression therapy and the risk of DVT in patients with spinal cord injury. Results Finally, 153 patients were enrolled, including 71 cases in the treatment group and 82 cases in the control group. After rehabilitation therapy, DVT occurred in 10 cases (14.1%) in the treatment group and 21 cases (25.6%) in the control group. There was no significant difference in incidence of DVT between the two groups (χ2=3.129, P=0.077). After six months of follow-up, DVT occurred in 11 cases (15.5%) in the treatment group and 12 cases (14.6%) in the control group. There was no significant difference in incidence of DVT between the two groups (χ2=0.022, P=0.822). D-dimer [odds ratio (OR) =1.104, 95% confidence interval (CI) (1.036, 1.175), P=0.002] and age [OR=1.081, 95%CI (1.040, 1.124), P<0.001] were independent risk factors for the risk of DVT after treatment. Pneumatic compression therapy was a protective factor for the risk of DVT [OR=0.210, 95%CI (0.075, 0.591), P=0.003]. Age [OR=1.057, 95%CI (1.008, 1.108), P=0.023] was an independent risk factor for the risk of DVT after six months. The effect of pneumatic compression therapy was not statistically significant (P=0.393). Conclusions After spinal cord injury, it is necessary to strengthen the management of high serum D-dimer state, especially the risk of DVT in elderly patients. Pneumatic compression therapy could be used as a treatment measure to reduce risk of DVT in patients with spinal cord injury during hospitalization, however, the preventive effect after half a year needs to be further studied.
ObjectiveTo explore the effect of mediastinal drainage tube placed after the esophageal cancer resection with intrathoracic anastomosis on postoperative complications such as anastomotic fistula. MethodsLiterature on the application of mediastinal drainage tubes in esophageal cancer surgery published in databases such as PubMed, EMbase, CNKI, China Biomedical Literature Database, VIP, and Wanfang were searched using English or Chinese, from the establishment of the databases to December 31, 2023. The Newcastle-Ottawa Scale (NOS) was used to evaluate the quality of the included retrospective studies, the Cochrane Handbook bias risk tool was used to assess the bias risk of randomized controlled trials (RCT), and Review Manager 5.4 software was used for meta-analysis. ResultsA total of 19 retrospective studies and 8 RCT involving 6320 patients were included, with 3257 patients in the observation group (mediastinal drainage tube+closed thoracic drainage tube) and 3063 patients in the control group (closed thoracic drainage tube or single mediastinal drainage tube). The NOS score of the included literature was≥6 points, and one RCT had a low risk of bias and the other RCT had a moderate risk of bias . Meta-analysis results showed that compared with the control group, the observation group had fewer postoperative lung complications [OR=0.44, 95%CI (0.36, 0.53), P<0.001], fewer postoperative cardiac complications [OR=0.40, 95%CI (0.33, 0.49), P<0.001], earlier average diagnosis time of anastomotic fistula [MD=−3.33, 95%CI (−3.95, −2.71), P<0.001], lower inflammation indicators [body temperature: MD=−1.15, 95%CI (−1.36, −0.93), P<0.001; white cell count: MD=−5.62, 95%CI (−7.29, −3.96), P<0.001], and shorter postoperative hospital stay [MD=−15.13, 95%CI (−18.69, −11.56), P<0.001]. However, there was no statistically significant difference in the incidence of postoperative anastomotic fistula between the two groups [OR=0.85, 95%CI (0.70, 1.05), P=0.13]. ConclusionPlacing a mediastinal drainage tube cannot reduce the incidence of anastomotic fistula, but it can effectively reduce the incidence of postoperative respiratory and circulatory system complications in patients and improve patients’ prognosis. It can early detect teh anastomotic fistula and fully drain digestive fluid to promote rapid healing of the fistula, alleviate the infection symptoms of postoperative anastomotic fistula, and shorten the hospital stay.