刘宪霜；崔旭；王鲁宁；李文彬；韩志涛；尹志奎；房征宇
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
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
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
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
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
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
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
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
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
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: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
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
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: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
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
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
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
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
中国组织工程研究杂志
主管:中华人民共和国卫生部
主办：中国康复医学会,《中国组织工程研究与临床康复》杂志社
