张磊;金真;曾亚伟;王彦;郑冬;续元超
BACKGROUND:Temporomandibular disorders ( TMD) included a group of clinical symptoms and disorder of masticate muscle group and temporomandibular joint,while its causes are not clear.TMD is characterized by pain around temporomandibular joi nt,sanp,and movement disorder in mandible,Currently,it is generally accepted that multiple factors resulted in TMD,including mental and psychological,muscular and tooth factors.Comprehensive treatment rather than single treatment is suggested for TMD.
作者:黄昊红;徐文华;李佐强;韩永红 刊期: 2003年第07期
目的吸毒者心血管系统受毒品损害已有许多研究,为了获取更多信息,对相关指标进行统计分析.方法 19例吸毒者和 20例健康自愿者进行了 1/4全运动量 (1/4)下的心音图运动试验.同时记录心肌收缩能力和心动周期信号.把运动后第一心音( S1)幅值对安静时 S1幅值的增加倍数定义为心力变化趋势 (Cardiac Contractility Change Trend, CCCT).结果吸毒者的 CCCT(1/4)为 3.51± 2.05, 20例健康自愿对照者的 CCCT(1/4)为 7.21± 3.40, 吸毒者与健康对照组的心力变化趋势差异有非常显著性意义( P< 0.01).结论调查研究表明,这一方法适于对吸毒者的心肌收缩能力和心力储备作量化测试和评估.调查研究所得数据有利于向吸毒者和公众警示吸毒带来的严重后果.
作者:潘传中;李俐君;杨支国;刘千业;王宇虹;肖守中 刊期: 2003年第07期
路易体痴呆是神经变性痴呆中仅次于 Alzheimer病 (AD)居第二位的常见类型,约占痴呆的 15%~ 25%,已被公认为一个独立的疾病实体.与一般的单一疾病实体所不同的是,路易体痴呆包含了多种疾病的表现,其临床特征为波动性认知损伤 ,以视幻觉为主的精神症状和锥体外系症状,组织学必须满足大脑皮层及皮层下核团弥散分布的路易小体.由于路易体痴呆具有不同于其他变性痴呆疾病的病程、预后和治疗反应,因此准确的临床诊断和适当的管理措施如避免使用神经安定剂、合理正确的使用抗帕金森病 (PD)药物是临床医师的重要责任.
作者:解恒革 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: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
INTRODUCTION Knee osteoarthritis is a regenerated change of knee hyaline cartilage, complicated with bone hyperplasia,synovitis and articular capsule and muscle changes due to old age and knee joint injury, deformity and diseases etc factors.Osteoarthritis induced many clinical manifestations including knee ache,swelling and limited motion and seriously affected the quality of the patients'.
作者:徐振奇;姜贵云;刘旭东;柴叶红;李青 刊期: 2003年第07期
INTRODUCTION The incidence,handicapping and fatality of cerebrovascular accidence (CVA) are high.Preventing complications and sequela, promoting function recovery, using remaining function adequately and regulating psychic state can promote patients self- care ability.
作者:楚平华 刊期: 2003年第07期
INTRODUCTION Because nasopharynx is near to base of skull,radiation therapy might cause radiating brain injury that will influence patient's life quality.
作者:彭慧平;卢晓欣;汤永建 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
目的探讨单纤维肌电图 (SFEMG)在糖尿病周围神经病 (DPN)中的应用.方法 2型糖尿病患者 36例,采用 Viking IV肌电图仪,测定指总伸肌的颤抖和纤维密度 (FD),同时进行常规神经传导检测 (NCS)并测量空腹血糖和糖化血红蛋白 (HbA1c).结果颤抖和 FD具有相关性,且均与 HbA1c呈正相关.18例 NCS异常者,颤抖值均超出正常范围 (11例伴阻滞 ), 14例 FD增加; 18例 NCS正常者, 7例颤抖值增大 (3例伴阻滞 ), 5例 FD增加.结论颤抖和 FD所反映的失神经-神经再支配与代谢状况相关联; SFEMG是 DPN早期诊断的敏感手段,可发现亚临床神经病.
作者:王真真;陈文明;卢祖能;王镇涛;曾庆杏;聂传云 刊期: 2003年第07期
作者: 刊期: 2003年第07期
INTRODUCTION Poems dyndrom is a kind of rarely seen clinical symptomes with multiple system impairment,including polyneuropathy, swelling of organs,endocrine disorder,M protein and skin lesions.Other symptoms including anasarca,profuse sweating,hippocratic nails and low febrile.
作者:陈玮;锁海虹;赵琳;王桂荣 刊期: 2003年第07期
作者: 刊期: 2003年第07期
INTRODUCTION Brain injury is a common trauma which sequela causes severe influence on patient.In recent ten years,there are many reports about study of rehabilitation treatment on severe brain injury and results of most studies suggest that rehabilitation has obvious effect,rehabilitation at different degrees is achieved and therapeutic results are improved.
作者:王兴鹏;张锦宏;杨国瑞 刊期: 2003年第07期
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
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
INTRODUCTION Before the growth and development of brain,or before or after birth, if the brain was injured by damage or injury,permanet,partial or all of the extremeties may harbor motor or positional abnormorlites. This kind of the abnormality is changed with the development of the infant.At the same time,there were different problems and priority development points at different growth stage and can be classified as infant age, school age and puberty age.
作者:王育庆;段俊峰;施凤玲 刊期: 2003年第07期
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
INTRODUCTION In the medical service for people accepting resting therapy and senile cadres,some psychological misunderstanding of medication of the aged often are observed.Meantime,the problem of reasonable medication more and more cause attention of people.
作者:刘家寿;李秀琴;陈丽萍;林宏燕 刊期: 2003年第07期
INTRODUCTION In this study,we investigated effect of hyperbaric oxygen(HBO) on the hypertension- induced basio- cerebral hemorrhage.The affected patients often showed signs of cerebral circulation disorder,spasm of vessels,insufficiency of cerebral blood supply and intracranial hypertension.
作者:程晋成;沈月萍;王水平;吴杨 刊期: 2003年第07期