刘志红;李玉泽
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
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
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
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
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
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
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
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: 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
作者: 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
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
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
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
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
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
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: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 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