目的:通过2型糖尿病患者与正常对照者之间的比较,分析血清瘦素与多种影响因素的关系.方法:对样本人群进行流行病学问卷调查、体检并测定了血糖、血脂、胰岛素和血清瘦素等生化指标,通过病例对照研究方法加以分析.结果:2型糖尿病患者血清瘦素为(9.43±6.15)ng/ml,正常对照为(9.48±5.60)ng/ml.无论有无糖尿病肥胖者血清瘦素约是非肥胖者的2倍,女性约是男性的3倍.结论:2型糖尿病患者与正常对照者间的血清瘦素不存在显著性差异,可能与患者坚持治疗病情控制良好有关.血清瘦素受到吸烟、性别、体脂、血脂和饮食等多方面因素的共同影响,高密度脂蛋白胆固醇可能是其保护因素.
作者：谢娟；郭刚；来则民；张镜宇；木村美惠子 刊期： 2003年第01期
目的:牵张成骨是治疗颌骨畸形和骨缺损的新方法,但力学研究及由此而确立的牵张器拆除时机的研究甚少.通过建立了山羊下颌骨牵张模型,观察下颌骨牵张后的物理、机械特性,探索牵引器拆除的时间.方法:8只山羊单侧下颌骨2次/d,1mm/d,共8d,后以牵开器继续固定至4周,行放射学、组织学、骨密度及力学测试.结果:牵拉术后下颌骨成骨明显,牵拉后2周,X线示骨间隙内新骨已基本连接骨缺损,4周时骨化明显.其骨密度与正常松质骨无明显差别,极限载荷为正常侧的61%.结论:生长期山羊为一良好的下颌骨牵张模型动物,牵拉后4周可以考虑去除牵开器.
作者：刘彦普；邵祯；刘宝林；陈富林 刊期： 2003年第01期
目的:观察垂体腺苷环化酶激活肽(pituitaryadenylatecyclaseactivatingpolypeptide,PACAP)对缺血再灌注脑神经元凋亡的防治作用.方法:利用四血管结扎法,建立老龄大鼠脑缺血再灌注模型,侧脑室注射PACAP,观察脑组织丙二醛(MDA)含量和超氧化物歧物酶(SOD)、谷胱甘肽过氧化物酶(GSHPx)活性,计数海马CA1区存活和凋亡神经元数目,电镜观察神经元的超微结构变化.结果:PACAP治疗后脑组织MDA含量为(1.35±0.39)nmol/mg,SOD和GSHPx活性分别为(115±20)NU/mg、(10.3±2.0)U/mg,与缺血再灌注组有明显差异(P<0.05),海马CA1区存活和凋亡神经元数目为48.8±4.3,14.3±2.9,能促进神经元存活和减轻凋亡损伤(P<0.01),保护超微结构.结论:PACAP的保护作用可能与其降低脑组织氧自由基水平,提高抗氧化酶活性,防止神经元凋亡有关.
作者：刘宪霜；崔旭；王鲁宁；李文彬；韩志涛；尹志奎；房征宇 刊期： 2003年第01期
目的:在氯化铝(AlCl3)所致拟痴呆动物模型基础上,探讨雌二醇对拟痴呆小鼠记忆功能保护作用及其作用机制.方法:皮下注射AlCl370mg/d共7d,实验组腹腔注射雌二醇0.3,0.6,0.9mg/kg共20d后,用跳台、避暗等实验方法测定小鼠学习记忆能力,同时测定小鼠脑内乙酰胆碱脂酶(AchE)及脑B型单胺氧化酶(MAOB)的含量.结果:AlCl3所致痴呆小鼠记忆能力明显降低,表现为避暗、跳台实验的错误次数明显增加,以及增加脑MAOB含量及脑内AchE的含量,雌二醇各剂量组能够减少小鼠电击次数(错误次数),24h重复实验,可延长跳下平台的潜伏期及进入暗箱的潜伏期,错误次数明显减少.同时降低了脑内AchE和MAOB.结论:雌二醇对AlCl3所致痴呆小鼠记忆障碍具有保护作用,能增强学习记忆能力.
作者：顾饶胜；沈楠；王艳春；吴晓东；刘微；都培双 刊期： 2003年第01期
AIM:To investigate the availability and safety of early enteral nutritive support after esophageal and gastric operation.METHODS:The postoperative patients of esophageal and gastric operation were randomly divided into enteral nutrition(EN) group(n=20) and parenteral nutrition(PN)group(n=20) and were given nutritive support of same ammoni and same quantity of heat after postoperative 24 hours,continuously for 7 days.RESULTS:The patients of both groups recovered and were discharged after treatment.The assessing index of nutrition of EN group was better than PN group(see table of clinical index).And the hospitalization fees of EN group were lower than PN group.The time of hospitalization of EN group was also shorter than PN group.CONCLUSION:Early enteral nutritive support after esophageal and gastric operation was safety and the rehabilitation effect was obvious and had extensive clinical application values.
作者：朱文钿；张文；赵志毅；冯平；黄擎雄；岑庆君；苏巴丽；梁有芳 刊期： 2003年第01期
AIM:To investigate the effect of locally used Shahaosan on preventing the complication of extraction of impacted tooth.METHODS: 274 cases patients with extraction of impacted teeth were randomly devided into 3 groups named A,B and C.Shahaosan and Yunnan white drug were processed into drug A and B by department of pharmacy with the same color, shape and quality which are blind to doctors and patients.When the impacted teeth were extracted, administed group A(92 cases) with drug A,group B(86 cases) with drug B and group C(96 cases ) was a blank control. After the operation,incidence and severe intensity of dry socket in each group were observed and evaluated by scores.RESULTS: The incidence of dry socket in group A,B and C were 0.09% (1/92),2.32% (2/86),8.33% (8/96).There was no significant difference between group A and B, group B and C, while a significant difference showed between group A and C.The PoSSe score in group A, B and C was 19.36, 27.80 and 22.83 respectively.Afer the experiment the department of pharmacy informed that drug A is Shahaosan and drug B is Yunnan white drug.CONCLUSTON:Compiments of dry socket induced by extracting of lower jaw impacted teeth can be prevented by locally administered with Shahaosan, but no significant effect of alleviating the symptom of dental extraction.
作者：史亮；胡开进；于擘；彭莲 刊期： 2003年第01期
AIM:To evaluate the effectiveness of hospitalized occupational rehabilitation for chronic schizophrenic patients in social functioning.METHODS:79 qualified cases were selected from chronic psychiatric inpatient departments,divided into two groups randomly,of which 45 cases of treatment group accepted hospitalized occupational rehabilitation,another 34 cases of control group accepted ordinary treatment.Social functioning was evaluated by the Scale of Social Skills of Chronic Schizophrenic In patients(SSSI). RESULTS:6 month course of research figured out that the rank of improvement of the total disability degree of the treatment was significantly larger than that of the control group(P< 0.05).Items of which rank of improvement of the treatment was significantly larger than those of the control group are participating in the occupational rehabilitation,social withdraw and concern and care about others (P< 0.01- 0.05).The level of disability of 55.6% of the treatment decreased more than that of the control (26.5% ) (P< 0.05) evaluated by SSSI.CONCLUSION:Hospitalized occupational rehabilitation is effective in improving social functioning of chronic schizophrenic patients,especially in improving items like participating in the occupational rehabilitation, social withdraw and concern and care about others.
作者：卢苓；马胜民；翁永振；崔仁祥 刊期： 2003年第01期
目的:研究弱激光血管内照射疗法及中药增智饮治疗血管性痴呆的疗效和对脑血流动力学的影响.方法:将 120例血管性痴呆患者随机单盲分为 3组,每组 40例.研究组增智饮和激光血疗联用,对照组中药组单一应用增智饮,激光组单一应用激光血疗.结果:研究组治疗前后长谷川痴呆量表评分和大脑中动脉平均血流速度 (Vm)比较差异非常显著 (P< 0.01),组间比较研究组智能评分和 Vm参数与两对照组比较有显著性差异 (P< 0.05, P< 0.01).结论:激光血疗以及同时口服增智饮这种治疗方式治疗血管性痴呆可以明显地改善智能障碍和使大脑平均血流速度增加、脑血流改善.
作者：徐志坚 刊期： 2003年第01期
目的:探讨运动对阿尔茨海默病(Alzheimer'sdisease,AD)是否同样具有保护作用以及有什么样的特点.方法:采用配对的病例对照研究方法.观察组和对照组各127例.病例来源于痴呆流行病学调查中的确诊病例.结果:个人生活习惯方面,从15岁到调查时,观察组各年龄段未曾有散步、跑步和打拳习惯者,患AD的危险性增加,各年龄段的各种活动频率中每周活动1～2次或每月活动1次的患病的危险性高于每天活动者.15～24岁这个年龄段每天活动<1h的OR值>每天活动>2h者.从25～49岁表现为每天活动<0.5h者的OR值>每天活动>2h者,50岁以上则为从不活动者的OR值>每天活动>2h的人.结论:从年轻时就开始多运动,可能是预防认知功能下降的一个好办法.
作者：洪震；周玢；黄茂盛；曾军；丁玎；金美华 刊期： 2003年第01期
目的:探讨脑梗死后早期神经康复治疗对脑单光子计算机断层扫描(SPECT)局部脑血流(rCBF)的影响.方法:比较8例急性单侧脑梗死患者经早期神经康复持续治疗后99mTc-双半胱乙酯SPECTrCBF兴趣区法测定结果,并与患者临床神经功能的转归和磁共振改变相对照.结果:病侧额区、上额区以及健侧额区局部脑血流明显增加,与临床神经功能的转归相一致.结论:脑梗死后早期神经康复治疗可以促使脑功能改善,同时显示脑SPECT显像在动态研究脑功能变化中有一定价值.
作者：李刚；厉启松；胡晖；朱雯霞；付东明；徐晓云；谢瑞满 刊期： 2003年第01期
目的:探讨高血压患者生活满意度和精神卫生状况间的关系.方法:以生活满意度调查表和SCL90为测量工具,对68例高血压患者进行对照研究和直线相关分析.结果:高血压患者生活满意度平均得分23.4,处于中等偏下水平,除居住和子女孝顺外与正常对照均有显著性差异(P<0.01).精神卫生状况除强迫和精神病性外与正常对照均有显著性差异(P<0.01).直线相关分析提示生活满意度低导致患者抑郁、焦虑、人际敏感和躯体化症状多.结论:高血压的发病与心理应激和生活满意度有关,家庭和睦、社会保障体系健全、良好的人际关系和经济状况,是减少应激和提高患者精神卫生状况的重要环节.
作者：苏景宽；王秉康；杨文清；郭克锋 刊期： 2003年第01期
目的:本组资料比较白内障超声乳化吸除联合人工晶状体植入术(PHACO+IOL)和囊外摘除联合人工晶状体植入术(ECCE+IOL)这2种手术后患者视功能的变化.方法:作PHACO+IOL的患者98例,和作ECCE+IOL的患者77例,分别在手术前,手术后1周、1个月和3个月作眼科检查并完成视功能问卷.结果:在手术后1周,超声乳化组视功能得分及各指标得分均高于囊外摘除组(P<0.05);在术后1个月和3个月,超声乳化组视功能得分以及感觉适应和立体觉2个指标的得分高于囊外摘除组(P<0.05),对日常活动的限制和周边视野2个指标的得分2组差异无显著性意义(P>0.05).结论:PHACO+IOL比ECCE+IOL有较大的视功能改善,特别是在感觉适应和立体觉方面,在对日常活动的限制和周边视野的改善方面,2种手术方式之间差异无显著性意义.
作者：刘杰为；许京京；何明光 刊期： 2003年第01期
0 引言前列腺增生症因病程较长,易引起尿路梗阻,甚至出现肾盂、输尿管积水、慢性肾功能衰竭,应积极进行治疗.
作者：冯济龙；黄立新；屈艳丽；王力军；袁忠平；房修阁；李毅 刊期： 2003年第01期
0 引言从 1998-12/2001-02,我院采用高压氧( HBO)综合治疗法治疗流行性乙型脑炎患者 30例,取得良好疗效.
作者：李鲁平；李鲁静 刊期： 2003年第01期
0 引言以往在面神经炎恢复期采用物理治疗因子超短波、磁疗、针灸等,临床见效较慢,采用特定电磁波治疗仪 (TDP)与硝酸士的宁综合治疗面神经炎,目的在于提高临床治疗效果.
作者：田雅萍；兰怡；张炜；刘国润；高文莉 刊期： 2003年第01期
0 引言本文采用珠江三角洲地区丰富的温泉矿泉水疗等自然疗养因子治疗神经衰弱 60例,疗效较满意,现报告如下.
作者：何本夫；罗磊；汪金生；徐燎原；李春雨；牛若梅；陈勇伟；袁霞 刊期： 2003年第01期
0 引言海水浴是一项多疗养因子协同作用,涉及身体多系统多脏器的良好健身运动.
作者：赵明国；邓群英；李勇 刊期： 2003年第01期
0 引言高压氧可以迅速改善内耳微循环障碍,对突发性耳聋疗效较好.现对高压氧治疗突发性耳聋时机与疗效是否相关进行观察.
作者：原毅；李颖；柳莹；尹健 刊期： 2003年第01期
0 引言失眠不但加重原有的精神疾病,而且影响患者的工作和学习效率,特别是与记忆,计算和逻辑推理有关的精神活动,情绪沮丧、焦躁,进而影响人际关系.
作者：张淑兰；安俊峰；林桂梅；李银霞 刊期： 2003年第01期
0 引言家庭和社会环境因素对精神疾病的发生发展,以及康复疗效的影响已日益受到精神病学家和康复工作者的重视 [1],精神病患者在社区康复过程中所受到的精神卫生服务质量如何?他们的家庭社会处境怎样?无疑与患者的康复预后密切相关.
作者：张仲荣 刊期： 2003年第01期
0 引言儿童精神分裂症是是指一种病因未明,发生于青春期前,临床以基本个性改变、特征性思维障碍、感知觉异常、情感与环境不协调、孤独性表现为主要特征的精神障碍,在儿童精神障碍中较为常见,已引起精神卫生界的重视,并进行了大量的研究 [1- 2],文章对 132例儿童精神分裂症 2年的随访研究,兹在揭示它的临床症状、疗效、预后等特点.
作者：郭本玉；季卫东 刊期： 2003年第01期
0 引言精神分裂症的阴性症状是导致患者社会功能下降、精神残疾的重要原因,有效改善阴性症状是防治其社会退缩的根本措施;但因病因研究滞后,单纯药物治疗受到局限,利培酮对阴性症状有较好效果,本文想通过佐用工娱疗法来进一步提高其疗效,现将结果报道如下.
作者：邢秀娟；汪灵芝；张环英 刊期： 2003年第01期
由于慢性肝炎具有持续存在、反复发作及传染性等特点,慢性肝炎患者容易由疾病的挫折和冲突引起长期焦虑而出现以神经症为主要形式的心理障碍,表现为神经衰弱、焦虑神经症及恐怖症等.当慢性肝炎患者出现心理障碍时,一方面严重影响肝脏疾病的治疗与康复,另一方面可诱发心身疾病.因此,对慢性肝炎心理障碍患者进行心理治疗具有非常重要的意义.作者用个体心理疗法或行为疗法等对一些典型的慢性肝炎心理障碍患者,进行心理治疗,取得满意疗效.
作者：李跃旗；孙惠莉；石建时；李琳；赵蕊 刊期： 2003年第01期
0 引言甲状腺功能亢进(甲亢)的发生与日常生活密切相关,急剧的生活变更、亲人亡故、情感刺激、竞争激烈等心理、环境因素对其发生,发展及其转归,具有重要影响.
作者：罗俊敏 刊期： 2003年第01期
目的:探讨城市与农村精神分裂症患者的家庭负担及其影响因素.方法:用家庭会谈量表( FIS)对家住城市或农村的精神分裂症患者各 70例的主要照料者进行评定,以及对患者病情与一般资料进行评定.结果:城市与农村患者照料者的 FIS总平分分别是 26.03± 7.46与 25.71± 7.54,客观负担以经济负担明显,其次是娱乐与家庭日常活动的负担,两组无显著性差异.城市患者家庭负担与其病期正性相关,农村患者家庭负担与病情严重程度正性相关.结论:对精神分裂症患者进行早期有效的防治同时,给予这些特殊家庭更多的经济与社会支持是很有必要的.
作者：郭建雄；肖爱祥；王鹏；郭扬波 刊期： 2003年第01期
0 引言精神分裂症后抑郁系指近 1年内确诊为精神分裂症,病情好转后而未愈时出现抑郁症状 .此时由于患者的情绪低落,加之负性思维易导致自伤、自杀行为,因此,加强该类患者的心理护理,对避免意外,促进康复,十分重要.
作者：李秀荣；吴士玲 刊期： 2003年第01期
0 引言生活满意度(LS)被认为是一种测量心理健康的工具,抑郁状态与 LS呈负相关 [1].文章探讨了关于 LS的 4个条目与 Beck抑郁问卷(BDI)和汉密尔顿抑郁量表( HAMD)的关系 [2- 3]以及抑郁症患者在半年期间 LS的变化.
作者：李彩霞；郭本玉；杨庆楠 刊期： 2003年第01期
目的:观察认知治疗对改善精神分裂症患者认识及部分行为能力.方法:将符合 CCMD 2 R精神分裂症诊断标准的患者 68例随机分为 A,B两组:分别采用精神药物配合认知治疗和精神药物配合支持性心理治疗.与入院 2, 4和 6周时作简明精神病评定量表 (BPRS)、护士用住院病人观察量表 (NOSIE)及服药依从性评定.结果:患者在入院两周时的 3项评定中,两组间均无显著性差异( P >0.05); 4周时评定 A组部分症状较 B组改善明显, 6周时评两组在 BPRS、 NOSIE及服药依从性方面均存有显著性差异( P< 0.05～0.01).结论:认知治疗在精神分裂症缓解期可提高患者对疾病的认识能力,改善部分行为障碍;对提高病人服药依从性、巩固疗效、防止复发有良好效果.
作者：王勇 刊期： 2003年第01期
目的:了解军医大学研究生的心理健康状况和人格特征.方法:采用症状自评量表 (SCL-90)、艾森克成人个性问卷 (EPQ)对 264名军医大研究生进行测试, 619名本校本科生作为对照组.结果: (1)军医大学研究生存在心理问题者占 12.12%,低于军医本科生 21.97%的阳性率.除人际关系外,各项因子高于常模( P< 0.01),但均低于对照组( P< 0.01).女生组各项分数均低于男生组,表现在强迫、恐怖和精神病性因子有明显差异; (2)阳性者症状主要表现为强迫、人际关系敏感、敌对、抑郁和偏执; (3)与阴性者比较, SCL 90筛查阳性者个性特征表现为 N分高、 P分高、 E分低( P< 0.01).不同性别研究生 E分和 N分无显著差异.结论:部分军医大研究生有心理问题,其个性特征表现为内倾、不稳定.因此,应加强对军医大研究生这一特殊群体的心理健康教育.
作者：汪涛；韩爱华；李敏 刊期： 2003年第01期
0 引言随着中国人口老龄化程度的加快,在各类医院中住院的老年患者因各种因素引发如焦虑、抑郁表现的心理问题为数不少 [1- 2].
作者：冯永林；何敏慧；王为平 刊期： 2003年第01期
目的:了解精神病患者的生活质量与社会支持的关系.方法:用精神病患者生活质量问卷、社会支持评定量表调查 250例精神病患者,比较高低生活质量组间社会支持、高低社会支持组间生活质量的差异,生活质量与社会支持间的相关分析.结果:高低生活质量组间的主观支持及社会支持总分的差异有显著性,高低社会支持组间的生活质量的生理、心理、社会及症状各维度差异有显著性,主观支持与生理、心理、社会及生存总分的相关有显著性,支持利用度与心理、社会及生存总分的相关有显著性,支持总分与心理、社会、症状及生存总分的相关有显著性.结论:精神病患者的社会支持对生活质量有明显影响.
作者：潘润德；潘天伟 刊期： 2003年第01期
0 引言酒精长期持续饮用可造成社会、工作功能障碍,呈现中毒症状,且无法自行减少或停止使用,当身心健康严重受损时仍继续饮用,会影响正常的生活和学习.
作者：张瑞珍；薛继芳；赵攸文 刊期： 2003年第01期
BACKGROUND:Effect of renin angiotension aldosterone system(RAS) in onset of hypertension has been clear, but the relationship between 7 kinds of pressure regulating substances and primary and renal hypertension(HP) need a further study.
作者：邹翠敏；王伟 刊期： 2003年第01期
BACKGROUND:The direction of modern research on rehabilitation is to recover the function,and improve patients' motion,living ability,make them turn round to family and society.
作者：谢淑丽；朱明光；张小丽 刊期： 2003年第01期
BACKGROUND: Phenylpyruvic oligophrenia (Folling's disease)is one of seldom treatable genetic metabolic diseases and early diagnosis and treatment were the key to avoid irreversible injury of nerve system.
作者：周丽娟；庞雪晶；赵生全；汪美丽 刊期： 2003年第01期
AIM:To investigate the relationships between angiotensin converting enzyme gene polymorphism and lacunar infarction in patients with essential hypertension.METHODS:Polymerase chain reaction(PCR) was used to determine the genotypes for an insertion/deletion polymorphism of 287 pb fragment of ACE gene in 50 healthy persons,50 patients with simple essential hypertension and 30 patients with essential hypertension and lacunar infarction.RESULTS:There was no significant difference of genotype and allele between healthy persons and patients with simple essential hypertension;but there was significant difference of D allele and DD genotype of ACE gene between esential hypertensive patients with lacunar infarction and patients with simple essential hypertension and healthy persons.CONCLUSION:There is a significant relation between ACE gene polymorphism and essential hypertensive patients with lacunar infarction.
作者：徐岩；毛建华 刊期： 2003年第01期
AIM: To observe the therapeutic effect of rehabilitation therapy centralized on facilitation and acupuncture on upper extremities spasm after stroke.METHODS:56 cases of stroke patients with upper extremities spasm were divided into two groups by random.28 patients in treatment group were received rehabilitation therapy centralized on facilitation and acupuncture treatment.Others in control group were received traditional method. RESULT:All patients were evaluated by muscle tone evaluation of Ashworth Scale.The outcomes of two groups had significant different (P< 0.01). CONCLUSION:We could archive the satisfactory effects with acupuncture and rehabilitation therapy centralized on facilitation on upper extremities spasm of stroke patients.
作者：屈云；盛敏；蒋毅；熊淑芳；何成奇；罗祖明 刊期： 2003年第01期
BACKGROUND:Incidence of atherosclerosis was higher in patients with diabetes.Atherosclerosis of peripheral limbs mainly affect artery of lower limbs and abnormal feeling of foot and intermittent limping was the manifestation.
作者：孙丽平；侯水珍；范铁钊；肖运强 刊期： 2003年第01期
INTRODUCTIONIn the current paper,effect of diet therapy on chronic renal failure(CRF) was reviewed.
作者：丁玉琴；孔三囡 刊期： 2003年第01期
AIM:To explore the dynamic changes of the activity of tissue type plasminogen activator (t PA) and type 1 plasminogen activator inhibitor (PAI 1)and its clinical significance by observing the activity of t PA and PAI 1 in patients in acute and recovery phases of arteriosclerotic cerebral infarction.METHODS:Testing the activity of plasma t PA and PAI 1 of 91 patients with arteriosclerotic cerebral infarction and 80 healthy old ages by Chromgenic substrate methods and controlling them.RESULTS:The activity of t PA in acute and recovery stage of arteriosclerotic cerebral infarction patients were apparently lower than that of control and the activity of PAI 1 were higher than that of control.Volume of cerebral infarction was negatively related to the activity of t PA and positively related to the activity of PAI 1. CONCLUSION:The plasma fibrinolytic activities of the acute and recovery stage patients with arteriosclerotic cerebral infarction declined.
作者：杜小平；张乐；杨朝东；曹贵方；郑艳珍；唐健 刊期： 2003年第01期
Heat shock protein is a group of stress protein produced under ill state. It can protect normal cells from damages caused by bad stimulates. It is thought as one of substance basis that remain in the process of evolution and take effect of anti damage. Now it is paid attentions as neuron protective substance induced by cerebral ischemic preconditioning.
作者：许川山；余茜；吴士明；唐建民 刊期： 2003年第01期
BACKGROUND:Dysphagia is the common complication in stroke,often leads to nutrition deficiency,asparition pneumonia,cated reduce patients'living confidence that will influence entiretherapeutic course.
作者：刘连凯 刊期： 2003年第01期
BACKGROUND:Because disease course of stroke was long,directed nursing was undertaken to different mental and physiological manifestations to restore function at maximal degree and reduce incidence of disability.
作者：孙静敏 刊期： 2003年第01期
BACKGROUND:Matermity blues(MB) refer to short and slight emotional pain or transient state of crying and depression.Now many studies have shown that there is closed association between the occurrence of MB and psychological and social factors and obstetric factors.
作者：金萍；李芳 刊期： 2003年第01期
BACKGROUND:With developing of therapeutic condition and level,mortality of hypnotic poisoning had been reduced greatly. But due to different metabolic half time and individual variation, neurospychic symptoms might existed for one or two weeks after treatment by simple drug therapy.
作者：刘洪杰；马佰恩 刊期： 2003年第01期
BACKGROUND:The process of treating amblyopia is to create good development condictions for eyes of amblyopia so as to eyes of amblyopia and dominant eyes can grow successively. OBJECTIVE:To explore rehabilitation effect of Atropine depressed therapy on amblyopia of children.
作者：徐艳丽 刊期： 2003年第01期
BACKGROUND:Electrocardiogram(ECG) reaction of patients with coronary heart disease(CHD) are not improved markedly by medical therapy,but the patients' S T,T of ECG are improved obviously by HBO therapy.
作者：王超英；王杰；孙海玲 刊期： 2003年第01期
BACKGROUND:Stroke is the main reason of aphasia which etiology is very complicated and living quality of patients is often affected.Language trainning has an important significance for patients to return to society.
作者：郭春燕；周晔；刘驰 刊期： 2003年第01期
BACKGROUND:Preoperative and postoperative rehabilitation care is very important to the cataract patients under operation, especially if the patients affected with the other kinds of senile disease or if they are old patients.
作者：王丽霞；秦迎新；攸连秀 刊期： 2003年第01期
BACKGROUND: Depression occurrs in most aged patients with myocardial infarction, and the patients with longer disease courses, more severe disease, higher self estimation, lower education degree and fewer social support are often in more severe depression.
作者：徐静 刊期： 2003年第01期
INTRODUCTIONMassage has become a manipulation of physical therapy in recent years.Massage is based on theory of zang and fu, channel and collateral of traditional Chinese medicine,instructed by pathology,anatomy and diagnosis of western medicine and combined with kinds of massage manipulation all which have make it an important method of nondrug therapy in preventing and treatment of diseases.Massage is also a measure in rehabilitation of motion function of patients with stroke[1].
作者：李晓榕；杨海玲；聂怀利 刊期： 2003年第01期
BACKGROUND:It is considered now that early rehabilitation interventional mechanism is related to the plasticity of brain that means after injury of neural function,central nervous system has the ability of compensation and functional recombination.
作者：许艳芳；刘姝娜 刊期： 2003年第01期
BACKGROUND:Muscular tension of children with cerebral paralysis enhances and motor range of joint is limited,which directly affect motor function of children.Traditional Chinese medicine affirms the cause of cerebral paralysis is because of congenital feebleness,deficiency of liver yin and kidney yin and lack of proper care after birth.Deficiency of liver yin and kidney yin leads to lack of proper care of muscles and stagnancy of qi blood,marked by spasm of muscles and disadvantage of joint movement.
作者：韩雪；尚清 刊期： 2003年第01期
AIM:To explore the membrane permeability, enzyme tolerance, and stability of phosphorothioate oligodeoxynucleotide(P ODN) which can inhibit cerebral thrombosis.METHODS:(1)Oligodeoxynucleotide was synthesized with phosphoramidite method in solid phase,3' end was modified with thiophosphoter.(2)Uptake and subcellular distribution of P ODN.P ODN was given directly.We observed total uptake rate of P ODN by ECV304 cells and subcellular distribution of P ODN.RESULTS:(1)ECV cells uptake more P ODN with increase of concentration,the uptake rate was about 10.8% - 11.9% .(2)Subcellular distribution of P ODN:P ODN was mainly distributed in nucleus especially nucleus sediments(69.3% - 77.2% )(P< 0.05).CONCLUSION:P ODN suppressing cerebral thrombosis has favorable transmembrane ability,enzyme resistance and stability.
作者：李黔宁；应大君；戴光明；郑健；王东武；肖道虹；刘勇；邓志宽；刘立杰；周永琴 刊期： 2003年第01期
BACKGROUND:The intervening treatment of senior patients with coronary heart disease is more and more.It is important of preoperative psychoanalysis and nursing measures for the patients according to natural characteristics,educational extent and knowledge of diseases of senior patients.
作者：李琼；尹艳；金葵花；袁琰琴；刘群 刊期： 2003年第01期
BACKGROUND:Patients with mental disease gets into recovery stage after symptoms of acute phase are alleviated, returns to society and achieves clinical recovery.But some metal problems still exist in most patients that becomes an obstruction for patients to develop speciality and self realization.
作者：毛蕴；陈莉 刊期： 2003年第01期
BACKGROUND:The disablement rate of patients after stroke remains high,which perhaps is associated with the factor that many patients cannot get timely and reasonable rehabilitation treatment and the factor that some medical staff pay attention to treatment but ignore early rehabilitation treatment.
作者：邹菊培；杨颖 刊期： 2003年第01期
BACKGROUND:Cervical vertigo(CV) belongs to vertebral artery type of cervical spondylopathy which clinical manifestation was paroxysmal vertigo and is highly related to cervical motion.Recent clinical experiences proved that comprehensive treatment was superior to simple treatment.Because of patients were in different departments,therapeutic methods were also different,effects produce slowly,remote effects were not obvious and recurrence rate was higher.
作者：曾西；陈尚康；关晨霞；彭予忠；姜丽 刊期： 2003年第01期
BACKGROUND:Pregnancy induced hypertension syndrome associated with cerebral hemorrhage is the common cause of obstetric death and even emergency treatment succeeds,living quality is affected because of lalopathy.
作者：刘焕美；石文利 刊期： 2003年第01期
AIM: To establish a model of cerebral infarction in order to study the interventional treatment.METHODS: An improved 3.0F SP Cobra catheter was introduced to the internal carotid artery by puncturing the femoral artery. After internal carotid arteriography thrombus was injected to embolize its MCA. 3 hours later, clinic observe and computed tomography was examined to analyze results.RESULTS: Clinic observation confirmed that the rabbit had some nerve defect symptoms and CT exam proved cerebral infarction.CONCLUSION: This technique is convenient for application and the model can meet the standard of study of clinical interventional treatment.
作者：董伟；王文辉；孙鹏飞；王世杰；周怀琪；郭顺林 刊期： 2003年第01期
CLINICAL DATASubjects:There were 764 patients in total.And 46 patients had cerebrovascular disease with secondary epilepsy,which were examined by skull CT,excluding primary epilepsy and epilepsy caused by other reasons.There were 36 males and 10 females,aged 38 to 80 years(average 59.5).
作者：周红 刊期： 2003年第01期
BACKGROUND:Central nerve system has the ability of re uniting of structure and function after injury that is high plasticity,which can be strengthened and consolidated through continuous studies and training.
作者：尹少华 刊期： 2003年第01期
BACKGROUND:Although enrollment scale of college are amplifed every year, people are still very concerned about whether students are over line.The mental load of students under line is very heavy and their mental health is more to be worried.
作者：陈统献；许相徐；陈中清 刊期： 2003年第01期
BACKGROUND:The subhypothermia treatment presents the advantages of decreasing energy metabolism and consumption of lactic acid,reducing release of active amino acid and alleviating inflammatory brain injury by cerebrovascular disease protecting blood cerebral barrier and stabilize permeability of vessel.
作者：周进；王君 刊期： 2003年第01期
BACKGROUND:There are lots of methods for curing stroke now but the effect of functional rehabilitation is different.This paper deals with the rehabilitation effect of blood therapy after laser magnetization on patients with stroke.
作者：孙旭红；王泓杰；王雅君 刊期： 2003年第01期
INTRODCTIONIncidence of osteoporosis is very high in menopausal women and the senile.There weren't satisfying therapeutic method at present and exercises,diet,shinning,drugs were the main basic treatment for osteoporosis which preventive effects were better than therapeutic effects.Scientific exercises plus diet containing high calcium or suitable supplement of calcium is an effective preventive method for osteoporosis.
作者：单述刚；段献荣 刊期： 2003年第01期
BACKGROUND: According to modern health opinion, patients' good compliance has close relationship with patients' health faith and knowledge. So practicing health education and synthetic therapy accompanied with drug treatment benefits control and rehabilitation of disease.
作者：冯丽娟；丁小蓉；段艳萍；杜燕；曹丽萍 刊期： 2003年第01期
AIM:To investigate the effects of c type natriuretic peptide (CNP) on cerebral infarction.METHODS:Plasma levels of CNP were concomitantly measured by radioimmunoassay in 30 patients with cerebral infarction and in 30 normal controls.RESULTS:Plasma levels of CNP were increased significantly in the acute stage of cerebral infarction than those in the normal controls(P< 0.01) and levels in the moderate and serious cases were lower than those in the slight cases(P< 0.01).CONCLUSION:In cerebral infarction the increase of plasma CNP was in accordance with the severity of the disease .CNP in the pathophysiology of acute cerebral ischemia had a deleterious effect on the evolution of cerebral infarction.
作者：赵文凤；宋利春 刊期： 2003年第01期
INTRODUCTIONThere are many causes of epilepsy and stroke is the common reason of delayed epilepsy especially after formation of throbosis and multiple lacunar cerebral infarction[1].
作者：黎朝茂 刊期： 2003年第01期
BACKGROUND:Palatoschisis is a kind of congenital malformation.It can bring glossolalia to patients.If not treated in time,it would do harmful effects to patients'future.Besides general law of functional voice disorder,palatoschisis has its special characters.Atter examination and assessment,palatoschisis patients could improve their vocalization by voice training.
作者：马婕；田英；何亚会 刊期： 2003年第01期
AIM:To observe the effect of the antibody of brain derived neurotrophic factor(BDNF) by cortical microinjection on hippocampal ischemic injury rats.METHODS:Preparation of local cerebral ischemic reperfusion injury model: cortical stereostaxic approach, microinjection of BDNF antibody. Applied immunohistochemical method to observe distribution of BDNF in cortex after injection of the antibody,to observe the alteration of ischemic injury between control group and BDNF antibody group.RESULT: The volume of cerebral infarction in BDNF antibody group was larger than control group.CONCLUSION: BDNF has protection function for cerebral ischemia.
作者：陈英辉；王根发；陈兴华；姚革；陈伟；周永炜 刊期： 2003年第01期
INTRODUCTIONDifficulty in opening mouth is one of the severe reactions,which can affect reaction patient's existence quality severely[1- 5].Now,it is thought to be helpful for preventing difficulty in opening mouth caused by radiation by early rehabilitation training.Our research results are reported as following.
作者：朱巧凤 刊期： 2003年第01期
BACKGROUND:In our country,inducing of channel,collateral and acupoint,acupuncture and moxibustion,massage,Chinese herbs are therapeutic methods of traditional Chinese medicine on cerebral paralysis and function training is the method of western medicine such as Tian therapy.According to the correlation channel and collateral theory of traditional Chinese medicine and neural physiology,there are complementary actions when these two methods are combined.
作者：周宝华；曹志友；王涛 刊期： 2003年第01期
INTRODUCTIONWhen human got aged(>60 years old), body will get shorten,aching back was often observed and fracture occurred easily by a minor force which were mainly led to by osteoporosis.So, etiology of senile osteoporosis ,its rehabilitation and treatment were introduced in this article.
作者：张富强 刊期： 2003年第01期
Now introducing clinical common rehabilitative treatments of mental disturbance as following:
作者：刘继红 刊期： 2003年第01期
BACKGROUND:Hypoxic and ischemic encephalopathy(HIE) is a severe complication after asphyxia of new born.It can cause death of new born and also is an important reason for children' disablement.
作者：王素香；石润海；许嘉玲；高旋旋；陈彬彬；张雪茹 刊期： 2003年第01期
BACKGROUND:Ischemic preconditioning occur refers to the occurrence of many unstable angina pectoris before acute myocardial ischemia(AMI).It is generally recognized that ischemic preconditioning occur has protective effect on heart and can reduce infarction scope and improve contraction function of heart.Recently some authors thinks ischemic preconditioning occur will cause the exacerbation of patients' condition during the time of hospitalization and increase the incidence rate of angina and pectoris and death.
作者：王若楠；王兵 刊期： 2003年第01期
BACKGROUND:In maxillofacial trauma,food taking don't affect healing of wound.If patients don't take food as early as possible and oral cavity is often kept in stable condition,oral cavity will become a hot bed for microorganisms such as bacteria.
作者：王军；林健 刊期： 2003年第01期
BACKGROUND:Lalopathy complicated in stroke can recovery or be restored by linguistic corrective training.
作者：张永淑；王玲 刊期： 2003年第01期
BACKGROUND:The therapy of seawater bath can make the speed of fat oxidation by body tissue and liver faster and has a better curative effect on the patients with hyperlipemia and hypertension.Hyperlipemia do harm to severely the health of middle aged and elders and can cause hypertension and coronary heart disease.The treatment of sea bath can make 80% cholesterol become cholic acid in liver and at last bile salt,which is drained with bile to intestines.HDL C is demomposed with the consumption of TC and TG,which showes the trendency of gradually in creasing in content and helps cleaning fat rubbish.
作者：沈淑花 刊期： 2003年第01期
INTRODUCTIONBrachium potine syndrome is also called potine cerebellum lesion syndrome,is localized at facial, acoustic,trigeminal and vestibule nerve roots.In clinic,lesion in this zone is rare.We met two cases recently. Both of cases were acute onset, with hypertension history. First symptoms were dizziness, unstability of gait,facial hemianesthesia, corneal reflex dullness,poor hearing and dystaxia.Cerebral MRI showed brachium potine with long T1 and T2, signal of focus with clear margin,enhance scan showed slight or apparent reinforcement.To determine in what degree to treat them and how to use method of evidence based medicine to determine their diagnosis and best therapy,we spent less than 3 hours on searching and gaining evidences through computer of provincial medical information center.
作者：林岚；翟明 刊期： 2003年第01期
AIM:To construct adenoviral vectors for luciferase driven by human telomerase reverse transcriptase(hTERT) core promoter with multimer of MYC responsive elements.METHODS:Multimer of MYC responsive elements was cloned into the upstream site of hTERT core promoter and the modified hTERT promoter and luciferase were cloned into the plasmid pDC316 to construct shuttle plasmids which cotransfected HEK 293 cells with rescue plasmid pBHGlox(delta)E1,3Cre to achieve recombinant adenoviral vectors.The cytopathic effects and PCR using primers specific for luciferase were used to identify the recombinant adenoviral vectors.RESULTS:Adenoviral vectors with luciferase driven by hTERT core promoter with none or positive and negative six copies of MYC responsive elements were constructed and amplified.The titer of the adenovirus were 3.5× 106 pfu/ml,2.5× 106 pfu/ml and 1.5× 106 pfu/ml respectively determined by plaque assay.CONCLUSION:The further research on transciriptional targeting in osteosarcoma gene therapy can be done using adenoviral vectors with luciferase driven by hTERT promoter with MYC responsive elements.
作者：杨旻；王臻；李立文；苏明权；于文彬 刊期： 2003年第01期
BACKGROUND: Living habits with smoking, obesity and rest is high risk factor of hypertension. Every hypertension patient including those receiving drug therapy should change living habit. When living habit ameliorate, decompression function can be observed and risk factors of hypertension decrease.
作者：陈丽捷 刊期： 2003年第01期
BACKGROUND:Reports about average life span of psychotics are different,generally 3/4 of normal people.Rongfu soldiers mental hospital of Shanxi mainly treats psychotics who were all returning soldiers in glory.Analysis to patients with long hospitalization will do good to summing up experiences and do better service to patients.
作者：武克文；杨文丽 刊期： 2003年第01期
BACKGROUND:Brain infarction is the most common type of ischemic cerebrovascular disease in disease incidence,which can cause the defection of neural function.
作者：崔树勤；韩艳秋 刊期： 2003年第01期
作者： 刊期： 2003年第01期
0 引言对昆明市儿童医院新生儿科 2000 01/2001 05出院的 200例高危新生儿进行了监测,并对筛查出的脑性瘫痪 (脑瘫 )患儿进行分析总结.
作者：刘芸；李丽君；唐学兵 刊期： 2003年第01期
0 引言病毒性脑炎患儿急性期后常留下不同程度的后遗症,能否在恢复期尽早进行综合康复治疗,促进其功能恢复是对此患儿治疗中研究的重点问题.
作者：冉茂群；李帮惠；任永平 刊期： 2003年第01期
0 引言由于家庭、学校、社会教育偏重儿童的营养障碍、智力开发,而忽视了儿童的个性塑造及心理教育.
作者：安金斗 刊期： 2003年第01期
0 引言面肌痉挛的治疗目前有效的办法是手术治疗,即开颅行面神经疏理术,但面临着许多风险,患者难以接受.
作者：席刚明；何国厚；黄朝芬 刊期： 2003年第01期
0 引言糖尿病性神经病变可累积全身多部位的神经如周围神经、植物神经、中枢神经、颅神经等,产生多种功能障碍如感觉障碍和运动障碍等,表现为疼痛、肢端感觉异常、痛觉过敏、发凉、步态不稳等.
作者：卢莹 刊期： 2003年第01期
0 引言万拉法新有效好的抗抑郁作用,其在治疗中的疗效和安全性如何 ?对此进行了万拉法新和阿米替林治疗抑郁症的开放对照观察,现将结果报道如下.
作者：陈恩民 刊期： 2003年第01期
0 引言眼睑痉挛发病以双眼睑间歇性或持续性不随意紧闭为特征 ,严重者因功能性盲而丧失自理能力. A型肉毒毒素已被临床证明可用于治疗眼睑痉挛,疗效和安全性有待进一步证实.
作者：曲芳；孙英健；由静；胡建华；宋怡；于萍 刊期： 2003年第01期
0 引言对阿尔茨海默病 (Alzheimer disease,AD)以上市的安理申和石杉碱甲 (商品名哈伯因,军事医学科学院研制、河南从生制药厂出品 )应用较为广泛.石杉碱甲治疗 AD的效果,文章对此作了报道.
作者：宋志宇；卢宏 刊期： 2003年第01期
0 引言糖尿病周围神经病变的患病率很高.中枢神经及周围神经均可累及, 尤以后者为常见.患者有疼痛前列腺素 E1或痛觉异常,常影响日常工作、睡眠,称为痛性糖尿病神经病变(PDN).
作者：张曼华；李娜；栾芳 刊期： 2003年第01期
近年来国内外微球制剂在靶向给药和非靶向给药等方面的微球制剂研制及临床应用的进展很快,尤其是在康复医学及康复肿瘤学中具有很大的应用价值.
作者：马骎骎；封兴华 刊期： 2003年第01期
目的:探讨氟西汀抗抑郁治疗对卒中后抑郁( Post Stroke Depression, PSD)患者神经功能康复的影响.方法:选取经临床体格检查、头颅 CT或 MRI确诊的急性脑卒中患者 132例(脑梗死 78例,脑出血 54例).将符合 DSM Ⅳ抑郁症诊断标准的脑卒中患者随机分成抑郁治疗组和抑郁对照组,治疗组予氟西汀治疗.分别在病程 2周、1月、3月、6月、12月时给每一位入组患者行神经功能缺损评分( SSS)、日常生活能力评分( ADL)、汉密尔顿抑郁量表( HAMD)、 Zung's抑郁自评量表( SDS)和焦虑自评量表( SAS)评分.结果:脑卒中患者中约 44.7%出现抑郁症状;抗抑郁药物 PROZAC(盐酸氟西汀)能明显改善病程 3, 6月时神经功能缺损,病程 12月时不仅抑郁症状减轻, ADL能力改善,神经功能缺损减轻尤为显著.结论:抗抑郁治疗能使 PSD患者抑郁症状明显改善的同时,显著提高 ADL能力和神经功能.
作者：程丰；邵国富；包仕尧 刊期： 2003年第01期
0 引言面神经麻痹肌电图、面神经运动潜伏期和 M波波幅的变化及其临床意义是目前诊断面神经麻痹好的、客观的定量检查手段.
作者：叶爱萍 刊期： 2003年第01期
目的:探讨老年脑血管病患者瞬目反射( BR)的改变及与临床表现的关系.方法:在眶上切迹处以脉冲方波电刺激眶上神经,用表面电极同时分别在双侧眼轮匝肌记录.一侧刺激同侧所记录到的 2个波分别为 R1, R2,刺激对侧所记录到的波为 R2'.结果:正常为 11例,异常为 25例. 25例异常者中各成分异常率为 R1: 16%, R2: 52%, R2': 46%.结论:大脑半球的病变对 BR是有影响的,主要表现在晚反应成分( R2, R2')上,呈现潜伏期延长、反应波幅降低或缺如, BR晚反应成分异常与偏瘫侧别有关,与是否存在面瘫及病变的大小、病灶的多少无明显关系.
作者：董艳娟；王苏；左桂金 刊期： 2003年第01期
目的:探讨手肌反射引发 HR′, LLR在中枢神经病损时的变化,揭示其作为诊断和康复评定的价值.方法:对 45例确诊为脑血管意外偏瘫患者进行电刺激偏瘫手腕部正中神经,引发手肌 (大鱼际肌 )反射模式,测定 HR′, LLR的潜伏期、时限、波幅和分化的情况,与健手作对照,半年后再进行复查对照.结果:偏瘫手与健手 HR′的潜伏期、时限、波幅和分化差异均无显著性 (P >0.05);偏瘫手 LLR潜伏期延长,波幅降低,与健手对比差异均有非常显著性 (P< 0.01).结论:电刺激正中神经引发手肌反射 LLR的潜伏期、波幅和分化情况均能反映中枢神经的功能状态,并可作为中枢神经病损康复评定的客观定量指标.
作者：梁镇宏；王汉明；张学成 刊期： 2003年第01期
0 引言注射性坐骨神经损伤是比较常见的医源性损伤之一,是周围神经损伤中较为棘手同时也是很难康复问题.
作者：李晖 刊期： 2003年第01期
0 引言脑干听觉诱发电位 (BAEP)通过声音刺激反映脑干听神经通路病变时电位活动异常,短潜伏期体感诱发电位刺激上肢大神经在臂丛、颈髓、脊束核和感觉皮层产生一组波形.当颈椎病患者脑供血不足和颈神经根受压时 ,BAEP和短潜伏期体感诱发电位 (SEP)有不同的改变.
作者：宋品；李军；赵辉；金长宫 刊期： 2003年第01期
0 引言短暂性脑缺血发作早期可用经颅多普勒 (TCD),脑电图 /彩色脑电地形图 (EEG/BEAM)进行诊断并监测脑血管血流变化情况,但二者所见对比,准确性如何,本文对此进行探讨.
作者：王顺华 刊期： 2003年第01期
目的:癌因性疲乏是生活质量的重要评估指标,观察应用化疗辅助药物对卵巢癌患者癌因性疲乏的改善作用.方法:对 36例卵巢癌癌因性疲乏患者给予化疗辅助药物治疗观察癌因性疲乏和恶病质相关症状,并与 27例对照组比较. 结果:癌因性疲乏和恶病质相关症状改善显著,改善率分别为 28%和 52%～61%.结论:应用临床化疗辅助药物有助于治疗、改善癌因性疲乏与恶病质相关症状,可提高患者的生活质量.
作者：夏志军；张淑兰；张忠福 刊期： 2003年第01期
针对高能聚焦超声在肿瘤治疗的应用过程中要解决的关键问题-成像、定位和聚焦及对关键问题常用的解决方法进行了简介,在进行比较的基础上选定了成像和聚焦解决方法;并在此基础上提出了一种高能聚焦超声肿瘤治疗仪的实现方案,对超声肿瘤治疗仪的关键部件治疗头部和臂部的结构结合实现功能进行了分析.分析了高能聚焦超声肿瘤治疗仪进行肿瘤治疗的过程:术前规划和手术模拟、术中定位和跟踪和术后治疗效果的评价.
作者：项林清；马培荪；陈亚珠；潘刚 刊期： 2003年第01期
0 引言肺癌患者多有凝血机制异常,同时癌细胞本身能分泌促凝物质[1,2],因此肺癌并发下肢静脉血栓临床上并不少见,血栓多数发生于深静脉,引起下肢肿胀、疼痛、跛行.
作者：谢晓冬；刘永叶；刘大为；郑振东；单学健 刊期： 2003年第01期
目的:探讨应用姑息治疗对提高晚期癌症患者生活质量 (quality of life, QOL)的影响.方法:对 96例晚期癌症患者进行姑息治疗,采用 QOL观察指标对本组病例治疗前、后评分,将 QOL分为好≥ 41分;中 21～40分;差≤ 20分共 3个等级进行评估.结果:本组病例 QOL评分,治疗前≤ 40分、治疗后≥ 41分者为 71例;治疗前≤ 20分、治疗后≥ 21分者为 12例;治疗前后无效者 13例. QOL提高者占 86%,无效为 14%.结论:姑息治疗能提高晚期癌症患者的 QOL.
作者：赵勤 刊期： 2003年第01期
1 心力衰竭患者运动耐力下降的原因慢性心力衰竭是心肌梗死及其他慢性疾病(如未发生梗死的缺血性心脏病、高血压、各种感染、毒物代谢及内分泌紊乱)共同的结局.
作者：朱起东；史长河；张喜明 刊期： 2003年第01期
0 引言心脏康复锻炼的目的是:调整身体和精神的不适应,使之早日康复出院;预防疾病再复发;提高生活质量.
作者：刘志红；李玉泽 刊期： 2003年第01期
0 引言慢性阻塞性肺疾病 (COPD)的特点为进行性气道阻力增加,后导致慢性呼吸衰竭.本文对溴化异丙托品吸入治疗前后 COPD患者肺功能的改变作了观察.
作者：田军 刊期： 2003年第01期
0 引言1996/1999本院对合并心功能不全的急性心肌梗死患者在常规治疗的同时,开展了急性期康复治疗,现报告如下.
作者：段霄燕 刊期： 2003年第01期
作者： 刊期： 2003年第01期
作者： 刊期： 2003年第01期
作者： 刊期： 2003年第01期
目的:探讨运动疗法对妊娠糖尿病血糖的影响.方法:用上肢功率计及家庭运动方案治疗孕期在 22～34周的妊娠期血糖异常者 51例,观察运动治疗前后血糖变化情况.结果:过3～9周运动疗法治疗. 41例坚持上肢功率计运动及家庭运动的孕妇.在没有使用胰岛素的情况下,空腹血糖、餐后 1 h、餐后 2 h血糖显著降低.较运动前下降 2.0～3.5 mmol/L,达到控制范围.总有效率 80%.结论:安全有效的运动疗法对部分妊娠糖尿病患者可以免除胰岛素治疗.
作者：屠霞芬；陈文华；郁嫣嫣 刊期： 2003年第01期
0 引言中国是世界上提出体育疗法治疗糖尿病早的国家,目前世界各地也公认体育锻炼是治疗糖尿病的一项重要措施.
作者：王英侠；李玉洁；宁依群 刊期： 2003年第01期
0 引言糖尿病合并抑郁症的患者并不罕见,抑郁症可引起血糖控制不良和治疗配合程度下降,故应引起重视.
作者：陈超 刊期： 2003年第01期
0 引言本文测定糖尿病患者骨形成生化标志血清骨钙素 (BGP)和骨密度,用以探讨糖尿病患者骨代谢改变的研究.
作者：于青琳；于庆潭 刊期： 2003年第01期
心脏康复医学是一门发展中的科学,它的理论与实践处于起步阶段,为适应心血管医学发展的需求,要掌握心脏临床医学的发展动向,并突出本学科特点的优势,发展成为心血管医学中重要的组成部分.心脏康复的研究有着广阔的应用前途,其研究成果将丰富康复医学和心血管临床医学.
作者：张宝慧 刊期： 2003年第01期
组织化卒中医疗是指多学科的、合作的和整合的医疗计划,目的是提供给患者佳医疗服务.佳医疗服务包括高质量、标准化、有效的和花费效果合适的措施.组织化卒中医疗的基本文件是卒中指南和整合医疗路径.组织化卒中医疗的项目和形式包括欧洲的卒中单元、美国的卒中中心、加拿大阶梯工程和北京组织化卒中医疗体系.
作者：王拥军 刊期： 2003年第01期
在康复医学领域如何开展循证医学?循证医学证据的分级,实践循证医学的步骤,以及怎样才能够通过临床医师参与和利用Cochrane协作网、阅读和应用循证医学文献来寻找到目前好的证据,以解决患者的实际问题;循证医学应用于心肺疾患、神经系统疾患、骨关节疾患等已取得较好的经济效益和社会效益;而目前的部分系统评价所收集的原始文献尚不充分,大部分缺乏大型、多中心随机对照试验的支持,有的系统评价无法得出对临床有帮助的结论.文章综述了康复科主要相关疾病的循证医学研究概况,为临床康复医师如何实践循证医学和进行康复医学科研提供参考.
作者：何成奇；丁明甫 刊期： 2003年第01期
目的:观察综合康复治疗对社区2型糖尿病患者的疗效,探讨适合我国国情的社区糖尿病康复治疗模式.方法:对本市社区的2型糖尿病患者进行1年的综合康复治疗随访观察.结果:1年康复治疗后糖尿病患者的空腹血糖较1年前有显著降低,平均降低1.75mmol/L;三酰甘油和胆固醇水平降低明显,高密度胆固醇(HDLch)虽有所升高,但差别不显著;体重指数(BMI)、腰臀比(WHR)和血压康复治疗后都有显著下降.糖尿病患者每人每季度平均医疗费用较康复治疗前减少331元,费用下降幅度达41.2%.结论:在社区开展糖尿病患者的康复治疗可有效控制糖尿病患者血糖水平,降低糖尿病危险因素水平,增强患者的体质,这对预防糖尿病并发症的发生起到重要作用.
作者：吴毅；孙莉敏；胡永善 刊期： 2003年第01期
按刘海若康复医疗小组制订的康复医疗计划进行的康复医疗活动,基本达到了预期的目的,可以预料刘海若的功能恢复将是比较理想的.从这个重症复合性损伤的个案治疗中体会到:在综合医院中,康复医疗的早期介入、与临床相关学科的密切配合、强调预防性康复和主动性康复、对多种损伤的全面康复考虑和对康复医疗功能后果的全面考虑等,是制订康复计划和实施康复医疗成功的前提条件.因此,作为综合医院临床科室的康复医学科的医生,必须具有扎实的临床基础.
作者：王茂斌；高谦；李广庆 刊期： 2003年第01期
0 引言婴幼儿早期是学习语言的关键时期,在此时期轻度听觉功能障碍也可能导致小儿心理和行为交往方面的缺陷.因此婴幼儿早期听力测试的准确性直接影响到听力障碍的诊断,从而进一步影响到有听力障碍的婴幼儿今后治疗与康复训练.
作者：姜苏敏 刊期： 2003年第01期
0 引言腭裂患者早期行腭裂修复手术,可使腭咽闭合功能有所改善或达到完全恢复,但仍存在发音障碍,需要长期的语音矫正治疗.
作者：张永红；苏健；陈秀萍 刊期： 2003年第01期
0 引言经颅多普勒( TCD)借助脉冲多普勒技术和 2 MHz频率超声波,经特定颅骨透声窗,直接描记脑血管多普勒信号,以获取脑动脉血流动力学参数,进而反应脑血管功能状态.
作者：李秀珍；史洪润；张国忠；姚勇；李新民；殷宇刚；韩恩吉 刊期： 2003年第01期
0 引言新生儿缺氧缺血性脑病(HIE)是指在围产期窒息导致脑的缺氧缺血性损伤.
作者：陈虹；王倩；黄瑞兰 刊期： 2003年第01期
作者： 刊期： 2003年第01期
作者： 刊期： 2003年第01期
