安金斗
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
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: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: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
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
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
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
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: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
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
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
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
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: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
作者： 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
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
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
作者： 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
