《Chinese Journal of Rehabilitation Theory and Practice》 ›› 2020, Vol. 26 ›› Issue (11): 1256-1262.doi: 10.3969/j.issn.1006-9771.2020.00.009
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Sue Bertschy1,Markus Schmidt2,Kai Fiebag3,Ute Lange4,Simone Kues5,Ines Kurze6,LIU Gen-lin1,2,ZHOU Hong-jun1,2(),LI Jian-jun3,CHEN Su-wen4,ZHENG Ying1,2,HAO Chun-xia1,2,ZHANG Ying1,2,WEI Bo1,2,WANG Yi-ji1,2,KANG Hai-qiong1,2,LU Xiao-lei1,2,YUAN Yuan1,2,MENG Qian-ru1,2, trans.
Received:
2020-07-08
Revised:
2020-07-10
Published:
2020-07-22
Online:
2020-11-24
Contact:
ZHOU Hong-jun
E-mail:zh87569303@qq.com
CLC Number:
Sue Bertschy,Markus Schmidt,Kai Fiebag,Ute Lange,Simone Kues,Ines Kurze,LIU Gen-lin,ZHOU Hong-jun,LI Jian-jun,CHEN Su-wen,ZHENG Ying,HAO Chun-xia,ZHANG Ying,WEI Bo,WANG Yi-ji,KANG Hai-qiong,LU Xiao-lei,YUAN Yuan,MENG Qian-ru, trans.. Guideline for the Management of Pre-, Intra-, and Postpartum Care of Women with A Spinal Cord Injury[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2020, 26(11): 1256-1262.
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项目 | 1~3个月 | 4~6个月 | 7~9个月 | 处理方法 |
---|---|---|---|---|
自主神经 | AD | AD | AD | 抬高上身;消除诱发因素;使用降压药(围产期注意观察动脉导管未闭) |
膀胱 | 泌尿系感染;尿失禁 | 泌尿系感染;尿失禁;肾盂肾炎;尿路结石 | 泌尿系感染;尿失禁;肾盂肾炎;尿路结石 | 肾盂肾炎治愈后泌尿系感染预防;增加导尿次数;短期留置尿管 |
直肠 | 便秘 | 便秘 | 便秘;直肠受压影响排便;排便体位受限 | 调整饮食和饮水习惯;根据情况使用不同药物;考虑使用辅助手段 |
皮肤 | 压疮风险增加 | 压疮风险增加 | 增加减压次数;增加皮肤检查次数;减少转移;使用坐垫、床垫、浴凳等 | |
体质量 | 体质量增加 | 体质量增加 | 健康饮食 | |
移动 | 移动减少和身体力学变化;疲劳增加;日常生活依赖性增加 | 改变日常用轮椅的轴心和前挡板的位置;短期租用电动轮椅;模拟练习大肚子移动;日常生活增加时间 | ||
痉挛 | 痉挛加重 | 使用物理疗法;避免诱发痉挛 | ||
呼吸功能 | 呼吸和潮气量下降;有效咳嗽能力下降 | 呼吸训练;加压或持续正压通气;口服化痰药 |
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