沈淑花
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
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
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
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
作者： 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
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
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
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
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
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
作者： 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
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
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
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
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
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
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
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
