陈玮;锁海虹;赵琳;王桂荣
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
AIM:Abnormal transparent septum is common in clinical works but little in meaning,so some CT reports are not listed.We collected complete abnormal transparent septum cases to perform comparison analysis between CT diagnosis and clinical data.METHODS:109 abnormal transparent septum diagnosed by CT was compared with symptom of clinics.Axis scanning and no enhanced scanning were used in CT and 2 doctors in charge of sample collection.The 109 cases were excluded with abnormal transparent septum induced by secondary local cerebral atrophy and secondary perforation deformity.RESULTS:There were 15 cases with the fifth ventricle of cerebrum and 22 cases with the fifth and sixth ventricle of cerebrums,10 cases with transparent septum cyst,28 cases with translocation of transparent septum,8 cases with no crack in the forebrain,6 cases with poor development of keratoma and 20 cases of other deformity.CONCLUSION:Abnormal transparent septum cannot be omitted and should be clearly diagnosed by CT.
作者:曹连义;张勇 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
作者: 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
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 People have paid great attention to how to elevate curative effects and decrease relapse of severe cardiac insufficiency patients in rehabilitation stage.Foreign researches showed that specific health education can enhance patients' self- care ability,ameliorate prognosis and decrease relapse.Our research tried to elevate rehabilitation nurse quality of senile patients through rehabilitation guide of senile severe cardiac insufficiency patients in recovery stage.
作者:罗仕兰;江洁 刊期: 2003年第07期
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
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
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
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
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
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 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
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 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 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
AIM:To analyze relationship between health quotient and mood stability of 202 cases of Department of Physical Education and 786 cases of public course 2000 in Shaanxi Normal University.METHODS:Mood stability and health quotient were surveyed through questionnaire for 202 students of physical department of grade 1998- 2001 and 286 of public lessons.RESULTS:Percent of students of physical departments with abnormal mood was lower than that of public lessons,more students with high score of mood stability for physical departments compared with public students.CONCLUSION:Quotients index has close relation with mood stability for students of physical department and public lessons.
作者:马亚妮;王保平;颜礼波 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
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