A case of strabismus in children may be diagnosed as needing surgery, and may be corrected by rehabilitation training of eye muscles;
A case of habitual dislocation may be diagnosed as needing surgery and may be improved by ligament rehabilitation training;
A stroke patient, after thrombolysis or surgery, is likely to walk as before with seamless rehabilitation … …
"In the past, people thought that rehabilitation was care and care, and there was no technical content. Now they gradually realize that rehabilitation is a science." On June 20th, Wang Xiaoning, secretary-general of the China Association for Science and Technology’s Life Science Society Consortium, told the Science and Technology Daily reporter that good rehabilitation can significantly reduce the sequelae, and the most intuitive thing is to greatly reduce people’s pain and make people live with quality and dignity.
Since rehabilitation medicine has so much energy, we must pay more attention to the construction of healthy China. Recently, National Health Commission, the National Development and Reform Commission and other eight ministries and commissions jointly issued the Opinions on Accelerating the Development of Rehabilitation Medical Work (hereinafter referred to as the Opinions), requiring that by 2022, prefecture-level cities with 6 rehabilitation doctors per 100,000 population and more than 3 million people should set up at least one secondary and above rehabilitation hospital.
Start late and catch up.
"It was unimaginable in the past for patients in ICU to stand up with a special rehabilitation bed as soon as their vital signs were stable." Wang Xiaoning said that there was one thing in the past — — To save people’s lives, there is one more thing to think about now — — Activating anti-gravity muscle groups and realizing efficient recovery of body functions is called ultra-early rehabilitation.
Domestic high-level medical teams have been trying in this field, but they are still lagging behind and starting late in a wider range. The standardized training of rehabilitation medicine residents in rehabilitation medicine departments of some top hospitals began in 2004.
"Rehabilitation medical research in some developed countries, such as the United States and Japan, started earlier and has a systematic research and practice system that is connected and crossed with various medical sciences." Dong Yafeng, a professor at the University of Kansas School of Medicine in the United States, told the Science and Technology Daily reporter that, for example, after undergoing neurosurgery, the muscles began to shrink after lying in bed for a week and needed rehabilitation. Burn patients also needed special rehabilitation after undergoing escharectomy to recover to a greater extent … …
Because of this, the Opinions jointly issued by eight ministries and commissions twice mentioned multidisciplinary intersection, demanding that the multidisciplinary cooperation model between rehabilitation and clinic be gradually promoted. It can be seen that rehabilitation medicine is not an independent discipline. In order to "aim at the forefront" and strengthen the construction of rehabilitation medicine departments in rehabilitation hospitals and general hospitals, it is ideal to make rehabilitation medicine seamlessly connect with other medical disciplines, integrate into the consideration of the whole medical system, and achieve "throughout the whole process".
People are the core, and technology is the solution.
"Promoting the transformation of some first-class and second-class hospitals in areas rich in medical resources into rehabilitation hospitals" put forward in the Opinions has attracted much attention in the industry.
"It is structurally reasonable to let the first-and second-level hospitals undertake part of the later rehabilitation tasks and complement the top three hospitals." Wang Xiaoning said that because rehabilitation is characterized by a long period of time, beds will take up a lot if they are concentrated in large hospitals. Through this transformation, some patients will be diverted to primary and secondary hospitals, which will help to make overall use of existing resources.
In addition to hospital projects, it is still necessary to see that the training of talents in rehabilitation medicine is very insufficient. "In the past, general medical universities didn’t offer this major. Rehabilitation was considered as a school-running field for technical schools and specialties such as nursing and nursing, so talents in this field can be said to be extremely scarce." Wang Xiaoning said.
Therefore, in the "Opinions", the training of talents is taken as the main goal, and it is proposed to establish a professional team of rehabilitation medicine with reasonable quantity and excellent quality by 2022, and it is required to strengthen the capacity building of talents from three aspects: education, training and reserve.
"The current concept of personnel training and training should be innovative, and the training content should be more humanistic and detailed." Dong Yafeng believes that both disease rehabilitation and elderly rehabilitation need a long time to deal with each other, so cultural issues and living habits should be taken into account, including bedsore management and stool management, which are very detailed issues, and training should be more targeted.
Remote information technology may bring convenience to this discipline that pays attention to "mentoring".
"There are very professional experts in the rehabilitation department of big hospitals, who can train grassroots talents by means of helping belts. Through remote video guidance, he can be like an instructor, and it will be a trend to remotely correct the standard of rehabilitation actions." Wang Xiaoning said.