王琳；高唱；周红杰
作者： 刊期： 2003年第07期
INTRODUCTION Recovery of normal sexual activity is the rehabilitation objective of patients with myocardial infarction.Guide to sexual activity should not be neglected for patients and their spouses.Health sexual life is necessary for improvement of quality of life and recovery to society.However,traditional culture made nurses and doctors shirk sexual education,patients and their spouses are reluctant to talk the sex to their doctors.Sex life had been neglected.Anxiety and fear for sex can be cleared by special staffs.Nurse,therefore especially circulation nurses should comprehend techniques and knowledge about health education of sex life.
作者：郭宏；姚宏利 刊期： 2003年第07期
INTRODUCTION Encephalopathy tarda of CO intoxication is the result of incomplete therapy or in- timely treatment of acut intermedium or severe CO intoxication leading to a series of nerve system injury.Due to long period of course,serious condition and unlcrear mechanism,therapy is difficult and poor effect.
作者：杨金华；王金春 刊期： 2003年第07期
目的神经干细胞体外培养的成功是进一步研究其分化机制的基础 ,从胚胎大鼠脑室下区分离、培养、鉴定神经干细胞 (neural stem cells,NSCs),并观察其向神经元的分化情况.方法分离胚胎 SD大鼠脑室下区的组织,采用无血清原代及传代培养方法,获得具有克隆能力的细胞群;应用免疫细胞化学方法鉴定神经干细胞并检测分化后特异性成熟神经细胞抗原的表达;应用流式细胞检测技术观测神经干细胞随时间向神经元的分化情况.结果从胚胎大鼠脑室下区分离培养的细胞群具有克隆增殖能力,表达神经上皮干细胞蛋白( nestin),分化后的细胞表达神经元、星形胶质细胞和少突胶质细胞的特异性抗原;随着贴壁后分化时间的延长,表达 nestin的细胞数量从 80.5%下降到 10.9%,而神经元特异性烯醇化酶( neuron specific enolase,NSE)阳性细胞数量则从 1.1%上升到 31.6%.结论用本方法分离的细胞具有自我更新和增殖能力,并具有多分化潜能,是中枢神经系统的干细胞;随着分化时间的延长,神经干细胞数量下降,而神经元比例有明显上升.
作者：张瑞国；万琪；李力；俞英欣；曹云新 刊期： 2003年第07期
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
目的研究帕金森病 (Parkinson disease, PD)患者睡眠障碍的特点及相关因素.方法对 45例 PD患者和 40例正常对照者,进行 Epworth Sleepiness Scale (ESS)问卷及 Zung' s self- rating depression scale (SDS)的评估.结果 PD组:睡眠障碍发生率为 67%.其中,白天过度困倦 12例 (27% ),失眠 10例 (22% ),睡眠呼吸暂停 5例 (11% ),不宁腿 3例 (7% ), ESS评分 10± 3, SDS评分 43± 8.对照者:睡眠障碍发生率为 15%.PD睡眠障碍相关因素:年龄: 60岁以下和 60岁以上患者睡眠障碍分别为 33%和 42% (P >0.05);患病时间: 5年以下和 5年以上睡眠障碍分别为 22%和 61% (P< 0.05);病情严重度:轻度和中、重度患者睡眠障碍分别为 10%和 51% (P< 0.05);每日服多巴胺量: 600 mg以下和 600 mg以上患者睡眠障碍分别为 29%和 86% (P< 0.05);抑郁程度 (SDS评分 ):得分 < 40分和 >40分睡眠障碍分别为 18%和 54% (P< 0.05).结论 PD伴睡眠障碍的发生率明显高于对照组.PD睡眠障碍的类型主要是白天过度困倦及失眠.PD睡眠障碍的发生与病程、病情严重度、抑郁及多巴胺能药物剂量有关,与增龄无关.
作者：彭海；李颍；李方明；梅元武 刊期： 2003年第07期
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
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
INTRODUCTION Patients in rehabilitation department were mostly transferred from internal neurology department.With short course and stalbe conditions,if the patients were treated with on time and activated routine rehabilitation therapy,nerve cells not injured can establish normal connections and cause rehabilitation of the hemiplegia extremities and reduce or eliminated the disable degree of the patients.
作者：尹虹；田玉波 刊期： 2003年第07期
AIM:To observe therapeutic effect of fumigation and steaming with Chinese drugs in the rheumatic diseases.METHODS:Drugs removing rheumatic disease,warming channels and dispersing cold,activating blood circulation were used for fumigation and steaming treatment in 84 cases with rheumatic diseases,once a day,20 min each time,10 times as a treatment course. Among them,4 cases received treatment for 2 and 3 course of treatment respectively.RESULTS:18 cases were corrected completely,64 were improved,2 showed no improvement,and total effective rate was 98% . CONCLUSION:Through hot and therapeutic effect of drugs,lesions can be managed directly in fumigation and steaming treatment.
作者：沈鹰；康贤通；毛婷丽 刊期： 2003年第07期
BACKGROUND:Motor obstacle of limbs directly resulted from hemiplegia after stroke seriously affect patients′ daily work and living.Conventional medicine treatment can improve the function of hemiplegic limbs at some degree, but more and more studies confirm that conventional acupuncture therapy is an effective method to improve motor function of limbs.By point stimulating channel system, acupuncture therapy can regulate qi and smooth channel system, thus regulate whole body to achieve the goal of curing hemiplegia. Acupuncture combined with hyperbaric oxygen therapy can accelerate regeneration of cerebral cells, and promote the recovery of motor function of paralyzed limbs.
作者：张志刚；孙毓 刊期： 2003年第07期
INTRODUCTION Recently,death rate of stroke acute stage decreased dramatically due to improvement of diagnosis,salvage and treatment in cerebral vascular.However,mutilation rate increased.In order to relieve disable and improve ability of daily life in stroke patients,early rehabilitation care should be taken in acute stroke patients to get better effects.
作者：逄桂英 刊期： 2003年第07期
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
INTRODUCTION At present,ultrasonic doppler is used to examine blood circulation in big vessels in clinic,but there isn't still good and simple method for examination of blood circulation and vascular functions of limbs end and infrared thermography has some advantage in this aspect.It is well known that Raynaud phenomenon is caused by spasm and lesion of small end vessels of limbs.In clinic,provocation test might be used to provoke its onset and acknowledge of reaction condition of provocation in healthy people is the premise to judge abnormality and other lesions.
作者：张志强；苑秀华；沈艺莲；李少忠；俞澄；田丽君 刊期： 2003年第07期
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
AIM:To observe the influence of psychological intervention on mental health of hemiplegias after stroke.METHODS:82 hemiplegias after stroke were divided into control and intervention groups in certain conditions.Patients in control group received only routine treatment,while patients in intervention group received psychological intervention as well.Symptom Checklist was adopted to measure the mental health of patients.RESULTS:The scores of panic,anxiety,depression and stubborn in intervention group were significantly lower than that in control(P< 0.05 or P< 0.01). CONCLUSION:Early psychological intervention can improve the mental health of hemiplegias after stroke.
作者：谢淑丽；朱明光；崔焕波；刘海燕 刊期： 2003年第07期
作者： 刊期： 2003年第07期
近年来国内外研究资料表明,小脑顶核( fastigial nucleus,FN)可能在脑血流量的调节方面具有重要作用 [1],顶核电刺激( fastigial nucleus stimulation,FNS)可增加大脑血流量 [2].椎基底动脉供血不足是神经科常见的一组以眩晕为主要临床表现的缺血性脑血管疾病,临床治疗主要采用扩血管、活血化瘀类药物治疗,在药物治疗的基础上采用电刺激小脑顶核治疗椎基底动脉供血不足并观察治疗前后脑血流速度的变化与平均住院天数,以探讨 FNS在椎基底动脉供血不足治疗中的应用价值.
作者：李亚新；阎平建 刊期： 2003年第07期
脑损害患者存在的语义范畴特异性损伤现象激发了人们对语义知识神经表征规则的研究.传统的神经心理学检查法及功能成像技术是研究语义记忆神经基础的主要方法.神经心理学是通过研究患者脑损伤部位与其损伤的语义知识范畴间的关系来推断语义知识的神经基础;而功能成像技术是通过直接检测正常人在提取各范畴语义知识时的脑活动模式来揭示语义知识的神经基础.因此,作为语义记忆探测材料的认知任务的设置直接影响到研究的效度与结果.因各研究所用的认知任务不同,研究结果与结论也呈现出较大的分歧,部分学者认为语义记忆是一单一的统一体,但部分学者认为语义记忆是一由类别子系统或是通道子系统组成的集合体.
作者：金花；莫雷；陈卓铭 刊期： 2003年第07期
INTRODUCTION Cerebrovascualr disease is common disease of senile nerve system, and is also main reason to epilepsy. Handicapping rate of cerebral stroke is high. There was few report on EEG and TCD of epilepsy after stroke.
作者：麦训良；叶小红；林玉兰 刊期： 2003年第07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
