鲍海平;常宇;毛艺芳;尹琳;高政
INTRODUCTION The headache of common nature as well as headachic epilepsy and hemicrania pianheadache often affects the children.Hemicrania is the result of mental and vascular disorder,which is examined with transcranial Doppler(TCD) and electroencephalography(EEG).In this study,we analyzed the characteristics of vascular headache of children compared with adults.
作者:孟庆荣 刊期: 2003年第07期
BACKGROUND:Post stroke depression(PSD) directly affects quality of life and neural rehabilitation.Effect of traditional Chinese medicine is favorable.
作者:王凤起;董晓瑞;潘云霞;刘敏 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
INTRODUCTION Bed score is formed due to continuous compression on local tissues and poor blood circulation.Local tissues were ischemia,anoxia and nutritious metabolism disorder and degeneration occurred.Because of low immunology function, poor nutritious status and hyperglycemia of diabetes patients,specificity of skin was increased to stimulations. Once injured, the wound is difficult to heal and thus care is difficult,as well.
作者:于淑英;赵敏;徐书卉 刊期: 2003年第07期
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
INTRODUCTION Subhypothermic treatment is the most effective method for treatment of severe cranial injury and its application in clinic in recent years has achieved good effect.But some difficulties still need further exporation.
作者:张锦宏;王兴鹏 刊期: 2003年第07期
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
BACKGROUND:Brain stem auditory evoked potential(BAEP) can objectively reflex nerve conduction function of auricular conduction pathway and indirectively reflex functional status of the brain stem.
作者:魏明辉;王玉洁;姜新;陈晓虹 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
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
BACKGROUND:During the therapy of cencers,it is difficult to continue chemiotherapy due to frequent vomiting,especially commonly used drugs such as side effects of cisplatin.Although new pharmacy appeared in greatly relieve vomiting effect of the chemiotherapy, there were no satisfied drugs to settle this problem.
作者:王中华;陈冬波 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
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 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
丘脑出血是脑卒中的一种类型 , 丘脑卒中后肩痛严重影响脑卒中患者的情绪及功能恢复.为探讨磁疗治疗丘脑出血后肩痛疗效,应用磁疗方法治疗丘脑出血后肩痛患者 11例 ,均取得明显疗效 ,提示磁疗法对改善丘脑出血后肩痛有效.
作者:王旭 刊期: 2003年第07期
INTRODUCTION With aging of population structure and small- size of family structure the need of senile patients on long- term rehabilitation serves increases,which greatly improve and propel the development of rehabilitation nursing of senile people in domain of nursing speciality. The assessment of need of senile people on long- term nursing and knowing about available service items of senile nursing of community and on what extent the items satisfying providing massage and foundation for senile nursing are urgently needed from the levels of body, psychology and social support through social investigation,which also can provide reference about plan and policy for managers of senile health serve system.
作者:苗文哲;姜万梅;赵薇;姜艳滨 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 the expression of vascular endothelial growth factor(VEGF) and Factor VIII related antigen(FVIII- R Ag) in rats brain tissue in the border zone of the hematoma,and explore the relationship between the expression of VEGF and the brain angionesis after intracerebral hmorrhage(ICH). METHODS:Rat of model of ICH was induced by injection of collagenase physiological saline into the right caudate nucleus.The immunohistochemical methods were performed by using different antisera of VEGF and FVIII- R Ag in serial sections of rats brain at 12 h,1 d,3 d and 7 d after ICH respectively.RESULTS:The amount of VEGF positive cells was markedly increased,and reached the highest at 7th day in the border zone after ICG(P< 0.01),but there were no significant difference among the mean value of A of cells at different time points (P >0.05).Compared with the controls,both the FVIII- R Ag positive endothelial cells and the A of cells were significantly different in experimental ICH goups after 1 day.CONCLUSION:The upregulated expression of VEGF might induce proliferation of endothelial cell and angiogenesis in the border zone after ICH in rats.
作者:揣兰香;张微微;戴卫平 刊期: 2003年第07期
目的口吃者言语产出自动化问题是多年来理论的关键问题之一,研究此问题可揭示大脑言语产生的作用机制,并对口吃矫正的理论和方法具有实际的应用意义.方法应用双任务探测反应时的行为实验范式,通过复杂性不同的单字实验和两字实验,分别检测了 22例发展性口吃者在朗读和默读汉字两种阅读状态下探测任务(语音搜索和语音比较)的按键反应时.结果朗读状态下探测任务的反应时在单字和两字实验中都较默读状态延长,其中单字实验中的差异有显著性意义( P< 0.05),两字实验中的差异有非常显著性意义( P< 0.001);而且单字与双字语音产出时间(朗读与默读探测反应时之差异量)的比较具有显著性( P< 0.01),表明两字朗读状态下语音产出反应时较单字明显延长.结论发展性口吃者朗读时的语音产出为一种自动化程度较低的控制性加工,言语复杂性增加使不流利言语增多可能与语音产出需要的注意资源增加有关.
作者:宋鲁平;宁宁;彭聃龄;解蕾;张兆利;黄永旺 刊期: 2003年第07期
AIM:To estimate the prognosis of Bell palsy.METHODS: Blink reflex (BR), electromyography(EMG),motor latency(ML) and amplitude (AMP) of facial nerve were performed in 42 patients with Bell's palsy.The patients were followed about half a year.RESULTS: (1)When 1 of the 3R waves related with the ill side existed or appeared in 3 weeks after onset,97% patients could recover completely.The recovery time was related to the time of the occurrence of R wave.(2) When 1 of the 3 R waves appeared in the 4th week, 60% patients could recover completely.When none of the 3 waves appeared after the 4th week,100% patients could not recover completely.EMG showed spontaneous activities in 3 of the 6 patients in the 4th week.(3) Motor latency and amplitude of facial nerve were examined when the illness stopped developing.All patients had normal latencies.5 patients' amplitudes reduced more than 90% . 3 of the 5 patients did not appear the related R waves after the 4th week.CONCLUSION:BR might provide the early sign of good prognosis of Bell's palsy. BR together with EMG and ML and AMP of facial nerve might provide the later sign of poor prognosis.
作者:鲍海平;常宇;毛艺芳;尹琳;高政 刊期: 2003年第07期