马骎骎;封兴华
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
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
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
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
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: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 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
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: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
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: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
作者: 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
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
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
作者: 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
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: 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