运动疗法在脑卒中偏瘫康复中的应用

与老年性痴呆患者沟通技巧的探讨

INTRODUCTION It is reported 70%- 90% patients show dementia psychology and behavior in patients with aging dementia (AD),which are the main causes of hospitalization.Others can not understand AD patients who also can not understand the other persons affecting quality of nursing.So,to comprehend communication skills,to support them menally are very important for improvement of AD patients' quality of life.

作者：欧正红；黄丽葵；卢玉贞；孔容冰；马超 刊期： 2003年第07期

脑电图对乳腺癌患者精神状态异常的评估

MATERIALS AND METHODS Materials 18 cases females in our group had mental symptoms to various degree before and after operation,with age ranging from 38 to 51 years. There were 16 cases of psychological dependence before operation and 4 cases after operation.There were 1 case of Paranoia before operation and 8 cases after operation. There were 4 cases of delirium after oparation and 1 case of other type before operation and 2 cases after operation.All the patients were excluded space occupying lesion by head CT.

作者：李秀香；邵林萍；刘广庆 刊期： 2003年第07期

亚甲基四氢叶酸还原酶基因多态性与脑梗死的关系

目的探讨亚甲基四氢叶酸还原酶( methylene tetrahydrofolate reductase,MTHFR)基因 C677T多态性与脑梗死的关系.方法采用 PCR- RFLP技术,检测了 62例脑梗死患者和 79例对照者的 C677T突变的基因型.结果 MTHFR基因 C677T 突变型等位基因 (V)频率在患者组和对照组,差异有显著性意义 (χ 2=4.41, P< 0.05); 3种基因型频率在两组人群中差异均无显著性意义.基因型频率的相对危险分析, AV基因型比 AA基因型患脑梗死危险高 1.76倍; VV基因型比 AA基因型患脑梗死危险高 3.25倍.结论 MTHFR基因 C677T突变型等位基因与脑梗死有一定的关联,突变基因型增加了脑梗死的发病危险.

作者：赵永波；王乔树；王枫；郭春妮 刊期： 2003年第07期

运动疗法在脑卒中偏瘫康复中的应用

运动疗法是根据疾病特点和患者功能情况,借助治疗器械和 /或治疗者的手法操作以及患者自身参与,通过主动和 /或被动的方式来改善人体局部或整体的功能,提高身体素质满足日常生活需求的一种治疗方法.而其利用脑卒中偏瘫特点,根据神经生理学和发育学原理来促进中枢神经系统的功能康复,一般包括 Bobath技术, Rood技术, PNF技术, Brunnstrom技术等,运动疗法是脑卒中偏瘫康复基本手段之一 [1- 2].

作者：孟兆祥；李厥宝；倪朝民 刊期： 2003年第07期

早期应用高压氧对脑梗死患者日常生活活动能力的影响

BACKGROUND:Brain tissue is often thought as the most vigorous organ and is very sensitive to hypoxia.Hyperbaric oxygenation means improving blood oxygen content for decreasing the brain harm caused by stroke.Anaerobic metabolism of brain tissue decreases and aerobic metabolism increases,which cause more power and accelerate clearing of acidic product of metabolism,so provide fine material base for regeneration of neural tissue and recovery of neural function.

作者：杨晓娟；李凯；何韬 刊期： 2003年第07期

半夏白术天麻汤合六味地黄丸、温筒灸治疗手足徐动型脑性瘫痪

手足徐动是中医肝肾不足、虚风内动、风痰上扰的表现,治疗即要化痰熄风又要兼顾补肝肾之不足.用中药汤剂半夏白术天麻汤合六味地黄丸加减口服可以滋阴化痰熄风,温灸百会、风府以振奋阳气于阳中求阴,穴位注射药物营养神经.治疗手足徐动型脑性瘫痪取得了较好的疗效.

作者：刘卫民；袁海斌；黄笑；周雪娇 刊期： 2003年第07期

阻滞加针刀减轻颞颌关节病后疼痛及活动障碍

BACKGROUND:Therapy with block needle knife can block pain conduction pathway and prevent vicious cycle of pain, improve blood cirvulation and enhance inflammatory.With the help of needle knife, adhesion, keloid and muscles spasmed can be cut and isolated to active equilibarium of muscles around joints.

作者：张庆君；魏斌 刊期： 2003年第07期

临床康复相关链接:功能神经影像技术及其研究结果选编

作者： 刊期： 2003年第07期

综合疗法对脑外伤的康复作用

INTRODUCTION Cerebral trauma is a kind of injury of skull and brain induced by out force struck.Except the direct injury of skull and cerebral tissue, secondary injury such as intercranium hematom,cerebral edema and increased intracranial pressure always occurred.Sometimes,with compliance of fracture of cervical vertebra and spinal cord,peripheral nerve injury.If synthetic rehabilitation methods were used, good effect can be detected.

作者：唐梅 刊期： 2003年第07期

亚力克对大鼠定量脑电图及海马神经细胞的影响

目的 ALEC(亚力克 )是由α-亚麻酸( A)、 L-赖氨酸( L)、维生素 E( E)及维生素 C( C)组成的复方,通过正交试验设计,以脑组织中乳酸含量为指标,确定 4者比例( A: L: E: C为 432: 187: 18: 8) ,研究 ALEC对大鼠在局限性缺血、缺氧状态下的脑细胞保护作用.方法用定量方法分析在体皮层脑电( ECoG)在正常供气与停止呼吸情况下的变化,采用电凝阻断一侧中动脉造成局限性脑缺血模型及判断药物的脑保护作用.结果 ALEC高、中、低 3个剂量组均能延长大鼠急性反复性缺氧皮层脑电消失 /振幅达低时间,缩短脑电恢复时间.ALEC可减少大鼠大脑中动脉梗死( MCAO) 24 h后海马 CA1区细胞死亡数.结论 ALEC对脑细胞具有保护作用.

作者：潘建春；宋培贞；库宝善 刊期： 2003年第07期

缺氧缺血新生鼠脑内血红素氧化酶-1和一氧化碳的变化

目的研究新生大鼠缺氧缺血时脑内血红素氧化酶- 1( HO- 1)和内源性一氧化碳( CO)及环化鸟苷酸( cGMP)的变化,探讨锌原卟啉( Znpp)的治疗作用.方法 7 d SD大鼠随机分为假手术对照组,缺氧缺血组( HI)及缺氧缺血+锌原卟啉组( HI+ Znpp).利用分光光度法测定血 COHb含量和脑匀浆 HO- 1活性;放免法测定脑匀浆 cGMP水平,并观察脑病理改变.结果 HI组在 1, 4, 12 h HO- 1、 cGMP、 CO水平与对照组比明显升高( P< 0.01),在 12 h达到高峰; HI+ Znpp组 HO- 1、 cGMP、 CO水平在 1, 4, 12 h均明显低于 HI组( P< 0.01),但仍高于对照组( P< 0.01).脑组织病理检查可见 HI组呈重度缺氧缺血改变,多数神经元细胞肿胀变性;而 Znpp组神经元变性者少.结论 HI后脑内 HO- 1活性明显增高导致内源性 CO和 cGMP增高, Znpp可阻抑这一病理生理过程,减轻脑损伤.

作者：王玲；张薇；惠延平 刊期： 2003年第07期

大量脑出血锥颅血肿清除术与运动功能康复

INTRODUCTION Mortality of profuse cerebral hemorrhage is high.Objective of therapy is to reduce injury of edema and recover brain function,improve successive rate of salvage,and decrease disability incidence.Puncture and removal of cerebral hematoma and drain with urokinase under CT dirction(0.3 cm of vertebral cerebral aperture) is safe and simple,impact of which on muscle fore and movement function is investaged in this study.

作者：李康增；郑建明；郑志雄；彭友敬；张秀英；潘彬政 刊期： 2003年第07期

调节缝隙连接的开-关时机与神经元的损伤及保护

缝隙连接( gap junction, GJ)是相邻细胞间直接交流胞质成分进行通讯的唯一通道.中枢神经系统神经元间 GJ通讯涉及许多生理及病理的过程,其通道的开-关与神经损伤的修复、癫痫的发作、记忆的形成与再现、肌痉挛的发生等均密切相关.因此,通过了解调节 GJ开-关的诸多因素,阻止神经元损伤的扩延,在神经功能重建时期,开放 GJ通讯促进神经元的重塑具有重要的临床意义.

作者：蒋晓江；李书林 刊期： 2003年第07期

言语测听在助听器选配中的应用

目的言语测听在助听器的选配中有决定性的作用,中国临床应用较少,通过言语测听了解耳内式助听器和耳背式助听器的使用者在言语分辨率的差别.方法采用开放法和闭合法 ,分别对耳内式、耳背式助听器使用者,进行单耳聆听条件下的言语测试.言语信号类型选用单音节词和双音节词,每耳测听单音节词和双音节词各为 20个.结果耳内式、耳背式助听器使用者的使用效果相比,在言语分辨率上无论开放式、闭合式对双音节词、单音节词的分辨率无显著性差异( P >0.05);双音节词和单音节词的分辨率比较,开放式的状态下,有显著性差异( P< 0.05);闭合式的状态下,无显著差异( P >0.05).结论在助听器的选配中言语测听的实际实施受诸多因素的影响.

作者：高建林；杨月珍；梁晨；王晓阳；吴竹梅；杨丽 刊期： 2003年第07期

手法治疗颈源性心律失常2例

MATERIALS AND METHODS Materials 2 cases were diagnosed as arrhythmia without clear reasons by ECG and were confirmed that they didn't suffered organic diseases.All the cases received anti- arrhythmia and heart muscle nutrition drugs and didn't gain good effects.

作者：林绵辉；陈镇荣 刊期： 2003年第07期

脑外伤后持续性植物状态的动物模型

目的制作一种新的猫脑损伤后持续性植物状态模型,观察其临床特征.方法将 40只猫行硬膜外水囊置放术,然后向水囊内注入无菌水直到昏迷,并对动物模型进行评估.结果手术 1个月后,有 12只猫处于植物状态,动物模型的临床表现、体征等与持续性植物状态患者相近.结论本实验制作的持续性植物状态动物模型与临床患者相似,是一种比较理想的持续性植物状态动物模型.

作者：肖华；徐如祥；李金彩 刊期： 2003年第07期

液态氮冷冻治疗沙眼及康复

INTRODUCTION 856 cases of severe trachoma were treated from May 1984 by freezing combined with drugs,the effects were satisfying.

作者：于亚东；张东航；王永毅 刊期： 2003年第07期

高血压患者脉压差与左心功能的关系

AIM:Discuss the relationship of pulse pressure and left ventricular function in hypertensive patients.METHODS:We observed the relationship of the pulse pressure and the times of again occurred coronary artery diseases, left ventricular fore and after span, left ventricular back wall thickness and left ventricular ejection fraction(EF) by color Doppler ultrasound in hypertensive patients. RESULTS:The times of again occurred coronary artery diseases, the left ventricular fore and after span and left ventricular EF of each pulse pressure group were significantly difference(P< 0.05, P< 0.01). CONCLUSION:The pulse pressure may take part in the further impair of left ventricular function coronary artery diseases.Control the pulse pressure coronary artery diseases have an important meaning in decreasing the further impair of left ventricular function.

作者：杨文；王浩；刘志发 刊期： 2003年第07期

灯盏花素穴位注射改善脑卒中肢体功能障碍

针刺改善脑卒中后肢体功能障碍已有大量临床报道,以灯盏花素穴位注射方法用于脑卒中肢体功能障碍的治疗,检验水针疗法改善脑卒中后肢体功能障碍的疗法优于单纯针刺的假设.

作者：李颖 刊期： 2003年第07期

微量蛋白尿的2型糖尿病患者下肢血流动力学的变化

INTRODUCTION It has been proved recently that obesity, microalbuminuria (MAU) and low- insulin resistance are independent risk factors and increase the mortality of cardiovascular diseases in type 2 diabetic patients. In order to study the relationship between microalbuminria and early larger artery lesions in type 2 diabetic patients,we analyzed the relationship between urine albumin excretory rate and arterial hemodynamic change in lower limbs.

作者：何伟民；郭树龙；林毅辉 刊期： 2003年第07期