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Incomplete Spinal Cord Injury Rehabilitation-related Research
Author: HuangMiNa
Tutor: Liu
School: Liaoning Medical
Course: Nursing
Keywords: Incomplete spinal cord injury Muscle-derived stem cells Hes1protein Brathel index
CLC: R473.6
Type: Master's thesis
Year: 2013
Downloads: 22
Quote: 0
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Abstract
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ObjectiveThe research on recovery of incomplete spinal cord injury, focused on thefollowing issues:①studies of Incomplete spinal cord injury rehabilitationmechanism: explored the feasibility of stem cells to repair spinal cord injury:observed Hes1protein expression levels in the process of neuron-like cells invitro differentiation of muscle-derived stem cells (Muscle-derived stem cellsMDSCs), to study the possible mechanism of differentiation.②Clinical analysisof incomplete spinal cord injury: Retrospective study on the nursing and clinicaltreatment of traumatic incomplete spinal cord injury (TISCI) patients to explorethe impact on the outcomes of traumatic incomplete spinal cord injury patients,and provided a theoretical basis for clinical medical staff.Methods1.Study on the mechanism of recovery: Neonatal rat skeletal muscle afterdigestion was cultured in vitro proliferation of the5th generation after passagecells were divided into two groups: the uninduced group complete mediumculture, the induction group joined inducer culture. Two sets of changes in cellmorphology observed after training6days; the row NSE (neuron-specificenolase neuron-specific enolase) immunocytochemistry and Hes1proteinimmunofluorescence and Western Bloting expression was detected.2.Analysis of clinical rehabilitation: Retrospective analysis of115clinical casesin May2009~June2012admitted in our hospital after the trauma withincomplete spinal cord injury (TISCI).Relevant factors on the recovery effect:Analysis on the general condition, injury status, treatment and nursing situation,effect on the rehabilitation of patients were evaluated by Index brathel;SPSS17.0statistical package was used for descriptive analysis, t-test,chi-square test. ResultsStudy on the mechanism of recovery:1.Induced cells NSE positive staining, non-induced group hardly expressedresult of the immune fluorescent and Western Bloting displayed that The Hes1protein in uninduced group shown strong expression while in the inductiongroup hardly expressed.Analysis of clinical rehabilitation:2.The results show gender distribution in patients with different age differencestatistically significant (P<0.05), patients with more men than women in all ages,the age concentrates much in40~59years,complications are: respiratory,urinary tract infections and pressure ulcers, various, The percentage are7.8%,6.1%and1.8%.Mainly wounds are fall and traffic injuries, The percentage are39.1%and27.8%; The main damage spot is cervical spine injuries, accountingfor70.4%.The percentage of surgical treatment is68.7%; The percentage ofhauling treatment is54.8%; The percentage of early use of hormone is78.3%.3.Admission and discharge from hospital the brathel index was significantlyDifference (P<0.05); Among the factors of each age group, the site of injury,cause of injury, the brathel indexes were compared respectively with significantdifference (P<0.05).Conclusions1.Study on the incomplete spinal cord injury rehabilitation mechanisms: Ratmuscle-derived stem cells in specific microenvironment induced to differentiateinto neuron-like cells and during the differentiation process Hes1proteinexpression reduced.2.Analysis of incomplete spinal injury in clinical rehabilitation:TISCI mainly tocervical injury; with the treatment and nursing care in system, patients have abetter recovery in activities of daily living.
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