综合疗法对脑外伤的康复作用

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

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

郁康宁丸对脑卒中后抑郁及神经功能康复的作用

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

急性心肌梗死患者的心理评估及护理

BACKGROUND:Acute myocardiar infarction(AMI)threaten patients' life.Alteration of life modes,disease,risk of family life,economic and occupational stress all contribute to psychological disorder,anxiety,horror in myoinfarction.

作者：刘娟 刊期： 2003年第07期

糖尿病合并压疮的护理

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

海洛因对女性生殖系统损害的特征

目的通过生育年龄吸毒女性及自愿受检非吸毒正常女性,从下丘脑生殖轴、外周血女性相关激素水平及临床症状体征 3个水平进行对比研究,以探讨长期使用海洛因对女性生殖系统的损害.方法填写调查表、对患者进行相关体检,抽血进行女性激素检测、阴道细胞涂片查雌激素影响程度或卵巢功能低下情况、妇科彩色 B超测量子宫及其内膜和卵巢大小.结果吸毒组促性腺激素释放激素( GnRH)、雌二醇( E2) 、孕酮( P)明显低于正常组,而卵泡刺激素( FSH)、黄体生成素( LH)相反明显高于正常组( P< 0.01及 < 0.05);与正常组比,吸毒组阴道雌激素水平降低、而阴道 pH值升高( P< 0.05);皮下脂肪减少、子宫、子宫内膜、卵巢、乳房、脂肪、大阴唇等明显萎缩( P< 0.05或 P< 0.01);另吸毒组多数显现月经紊乱、停经或闭经.结论长期使用海洛因可通过抑制生殖轴、抑制排卵及卵巢功能等途径,对女性生殖系统造成明显损害.长期吸毒可致卵巢功能减退甚至衰竭危险.

作者：严海燕；杨仁美；木兆慈；张秋红；李鹏；赖宏芳；杨一平；程玲；孙杏娟；王平华；李娜；骆跃 刊期： 2003年第07期

高压氧综合治疗中、重度颅脑外伤68例

INTRODUCTION Neurotrophic drugs,resting treatment,and proper physical therapy are generally suggested for rehabilitation after head trauma.In recent years,hyperbaric oxygen a new,safe and effective therapy had been used for rehabilitation following head trauma,which is safe,and effective.

作者：周宏图；王建宏；袁建国；张雪春 刊期： 2003年第07期

脑内转移瘤切除术后手指运动M1功能区重组的功能磁共振研究

目的探讨功能磁共振 (blood oxygenation level dependent functional MRI, BOLD fMRI)在临床医学方面的应用价值.方法对 1例右侧顶叶单发转移瘤患者在手术前、后分别进行了双侧动手试验的脑功能成像.结果脑功能成像准确地反映了运动功能激活区的位置及激活程度,肿瘤侧运动区可因肿瘤占位效应产生移位,手术前的手动试验潜在功能区并未被激活,但是在肿瘤切除术后,主运动区 M1以外可见潜在重组的功能区激活.结论脑内重要功能区肿瘤切除术患者,应常规进行术前和术后 fMRI的研究,这对于提高术后患者生活质量、避免医源性损伤或将其减至低水平有极大的帮助.

作者：张磊；金真；曾亚伟；王彦；郑冬；续元超 刊期： 2003年第07期

单纤维肌电图对糖尿病周围神经病的诊断价值

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

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

胚胎大鼠神经干细胞的分离培养及自然分化的初步观察

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

物理疗法配合按摩在颞下颌关节紊乱病中的应用

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

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

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

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

杏丁注射液改善急性脑梗死患者神经功能的效应

INTRODUCTION Xingding is a compound agent of the fourth edition extract of ginkgo leaf,with addtion of agacore.Its main ingradient are ginkgo seed flavonoid glycoside(24% ), ginkgo seed lactone(3% ),bilobalide(3% ) and agacore(10% ).With ginkgo leaf acid smaller than 5× 10- 6,many clinical and basic research prove it has many biological effects.

作者：雷显泽；周妮；黄良国 刊期： 2003年第07期

中药薰蒸治疗风湿性疾病84例

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

脑性瘫痪患儿不同生命阶段康复的优先发展点

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

鲍海平硕士·副教授

作者： 刊期： 2003年第07期

康复护理在社区老年人慢性病医疗中的作用

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