血管内皮生长因子和第VIII因子相关抗原在脑出血大鼠脑内的表达

Poems综合征8例肌电电生理表现

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

蒋亚斌硕士·副主任医师

作者： 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

小儿脑性瘫痪242例临床分析

BACKGROUND:Children cerebral palsy not only affects the quality of the affected children's lives but also burdens the family and the society heavily.Therefore, analysis of the disease and its causes from the viewpoint of clinic might helpful in treatment and prevention of the disease.

作者：赵蒙 刊期： 2003年第07期

顽固性呃逆的穴位、针灸、验方治疗

INTRODUCTION Hiccups is autonomic intermittent contraction of Diaphragm.It is thought as a kind of nerve reflex action, and can be cured spontaneously or after treatment.But refractory hiccups isn't easy to cure because of long duration, frequent onset and severe degree.

作者：邓炳海；迟振海；王桂梅；张超；李爱民 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

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

脑干听觉诱发电位对前庭系统眩晕的作用

对于前庭系统性眩晕,仅靠临床表现来判断病变部位有无器质性损害,容易出差错.应用神经电生理检查,显示电生理改变,是否对临床医生有指导作用?为此,对前庭系统性眩晕患者进行脑干听觉诱电位( BAEP)检测,结合影像学资料及住院观察其转归情况,分析 BAEP的临床应用价值.

作者：吴振东；周宏君；李壮丰；陈汉波 刊期： 2003年第07期

循证康复医学:阿尔茨海默病治疗效果系统评价摘要

作者： 刊期： 2003年第07期

老年脑梗死患者血清同型半胱氨酸水平及药物干预研究

目的了解正常人颈动脉硬化患者及脑梗死患者血清同型半胱氨酸 (serum total nomocysteine,tHcy)水平及给予叶酸和维生素 B12治疗后血 tHcy含量的变化.方法脑梗死组 80例,男 71例,女 9例,年龄 63～ 80岁,平均 74岁,符合脑梗死的诊断标准,均在发病后 2周内测定 tHcy含量;颈动脉硬化组 80例,男 71例,女 9例,年龄 62～ 79岁,平均 72岁.双侧颈动脉 B超检查均存在颈动脉硬化及 (或 )粥样斑块.以上两组均除外甲状腺功能减退及肾功能减退.入选者在测定血清叶酸、维生素 B12、肌酐、血糖、血脂水平及血压和体重指数后,各组均随机分为两组,即干预治疗组及非干预治疗组,每组 40例.干预治疗组患者给予叶酸 1.25 mg,隔日 1次,维生素 B12 8 μ g, 1次 /d,口服 10个月后复查上述各项指标.结果治疗前 3组血 tHcy水平各不相同,脑梗死组为 (16± 5) μ mol/L,颈动脉硬化组为 (14± 5) μ mol/L,正常老年人组为 (12± 3) μ mol/L, 3组比较差异有显著意义.血 tHcy含量增高,叶酸水平越低.相关分析发现,血 tHcy水平与叶酸、维生素 B12呈负相关.干预治疗后,治疗组患者的血 tHcy含量均有所下降.结论不同程度的脑缺血性疾病与血 tHcy水平有一定的关系,补充营养元素有助于降低血 tHcy水平,以减少高 tHcy对血管的素性作用.

作者：黄延焱；卢晓喆；程梅芬 刊期： 2003年第07期

高压氧综合治疗鼻咽癌患者放射性脑损伤26例

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

上海地区帕金森病基因与4种多巴胺递质代谢相关基因

目的:探讨 4种多巴胺递质相关基因 COMT, DBH, DAT1 和 MAOB的多态性与上海地区居民帕金森氏病的易感性的关系.方法:用聚合酶链式反应和限制性片段长度多态性( PCR/RFLP)技术检测 4种多巴胺能递质代谢相关基因多态性,对 144名原发性帕金森病病人和年龄相匹配的 188名健康人进行相关性分析.结果:与健康人相比,帕金森病患者 DBH 基因型或等位基因的分布不同,两组之间的差异有统计学意义.结论: DBH多态性在中国汉族人帕金森氏病的易感性中可能起作用.

作者：赵晓萍；谢惠君；汤国梅；赵武伟；徐玲；林大宇；朱琪泉；苏敬敬；韩海雄；郝怡鑫；兰和魁；王荫榆；任大明 刊期： 2003年第07期

早期康复护理对脑卒中患者日常生活能力的影响

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

认识路易体痴呆

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

医用红外热像图反映周围神经病的冷激发试验

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

语义记忆损伤的检测及神经机制

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

高龄重度心功能不全患者的护理评估

INTRODUCTION Severe heart failure threatens people's health,especially old patients.Nursing assessment for patients with congestive heart failure is an important premise for improvement of nursing quality.

作者：王霞 刊期： 2003年第07期

心肌梗死后患者恢复性行为的康复宣教

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

中药薰洗治疗膝关节骨性关节炎

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

星状神经节阻滞改善肩手综合征的水肿及关节活动度

INTRODUCTION:Shoulder- hand syndrome(SHS) also called reflective sympathetic malnutrition is a common syndrome and often seen in stroke paralysis,which early manifestation is sudden edema of hand,pain,increased skin temperature,shoulder pain.If treatment is prolonged,muscle atrophy of hand and permanent loss of range of movement might occure.Comprehensive rehabilitation treatment has a good effect on SHS.In this article,effect of block of ganglion stellatum on SHS is observed on base of comprehensive rehabilitation treatment.

作者：曾西；陈尚康；关晨霞；姜丽；王留根 刊期： 2003年第07期