孔素琴;徐秀芳
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
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
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
作者: 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
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
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
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
INTRODUCTION To explore the effects of early rehabilitation training on kinetic dysfunction after craniocerebral trauma,effects of rehabilitation training on patients with hemiplegia are observed in this article.
作者:杜谦;王天成;刘会;谢少波;吴兴凯 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
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 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 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
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
目的遗传性脊髓小脑共济失调 7型( SCA7)是 SCA系列中首个确定累及视网膜的疾病,该研究探讨中国 SCA7的临床特点.方法对一个表现为视力下降、辩色力异常和共济失调的 SCA7家系 23例成员( 8例患者)进行了系统的家系调查、体格检查及头颅 MR、眼底照相、视觉诱发电位、视网膜电流图等有关的辅助检查,结合国内外文献总结 SCA7临床特点.结果该家系为常染色体显性遗传,多数患者视力损害先于共济失调,存在视网膜色素变性 , 为蓝-黄色盲或蓝色盲,无夜盲,无智能减退.结论中国 SCA7患者临床表型存在多样性.
作者:韩燕;郑惠民;丁素菊;蒋建明;余龙;黄兴华;马丽杰 刊期: 2003年第07期
BACKGROUND:Under the prerequisit of radical cure modern treatment of tumor need keep or rebuild functions of patients and improve their quality of life during the period of suvival.
作者:丁仕章;何玉芳;张镇平 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
目的研究新生大鼠缺氧缺血时脑内血红素氧化酶- 1( HO- 1)和内源性一氧化碳( CO)及环化鸟苷酸( cGMP)的变化,探讨锌原卟啉( Znpp)的治疗作用.方法 7 d SD大鼠随机分为假手术对照组,缺氧缺血组( HI)及缺氧缺血+锌原卟啉组( HI+ Znpp).利用分光光度法测定血 COHb含量和脑匀浆 HO- 1活性;放免法测定脑匀浆 cGMP水平,并观察脑病理改变.结果 HI组在 1, 4, 12 h HO- 1、 cGMP、 CO水平与对照组比明显升高( P< 0.01),在 12 h达到高峰; HI+ Znpp组 HO- 1、 cGMP、 CO水平在 1, 4, 12 h均明显低于 HI组( P< 0.01),但仍高于对照组( P< 0.01).脑组织病理检查可见 HI组呈重度缺氧缺血改变,多数神经元细胞肿胀变性;而 Znpp组神经元变性者少.结论 HI后脑内 HO- 1活性明显增高导致内源性 CO和 cGMP增高, Znpp可阻抑这一病理生理过程,减轻脑损伤.
作者:王玲;张薇;惠延平 刊期: 2003年第07期