雷显泽；周妮；黄良国
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 Sleep- wake rhythm is isolated from day- night rhythm of natural world;Sleep depends on the regulation of special structure of central nerve system and correlated neurotransmitters.This paper mainly introduces the research progress of neurotransmitter correlated to sleep.It benefits the comprehension of physiology,pathology and pharmacology of sleep and recognition of sleep.
作者：初建平；孟昭义 刊期： 2003年第07期
利用计算机智能模糊运算的方法实现计算机智能诊断,首先要有基于计算机运算特点的语言障碍分类.本文提出与计算机运算相结合的患者语言障碍类别有:语言输入障碍、语言处理障碍、语言输出障碍.与计算机运算相结合的听口语表达过程的障碍类别有:听觉障碍、失语症、智能障碍、构音障碍、其他障碍.具体分离出以下 19种障碍:听觉障碍(获得语言前)、听觉障碍(获得语言后)、 Broca失语、 Wernicke失语、传导性失语、经皮质运动性失语、经皮质感觉性失语、经皮质混合性失语、完全性失语、命名性失语、轻度智能障碍、中度智能障碍、重度智能障碍、运动性构音障碍、器质性构音障碍、儿童语言障碍、纯词哑、纯词聋、记忆力障碍.
作者：陈卓铭；黄舜韶；李巧薇 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
作者： 刊期： 2003年第07期
运动疗法是根据疾病特点和患者功能情况,借助治疗器械和 /或治疗者的手法操作以及患者自身参与,通过主动和 /或被动的方式来改善人体局部或整体的功能,提高身体素质满足日常生活需求的一种治疗方法.而其利用脑卒中偏瘫特点,根据神经生理学和发育学原理来促进中枢神经系统的功能康复,一般包括 Bobath技术, Rood技术, PNF技术, Brunnstrom技术等,运动疗法是脑卒中偏瘫康复基本手段之一 [1- 2].
作者：孟兆祥；李厥宝；倪朝民 刊期： 2003年第07期
目的制作一种新的猫脑损伤后持续性植物状态模型,观察其临床特征.方法将 40只猫行硬膜外水囊置放术,然后向水囊内注入无菌水直到昏迷,并对动物模型进行评估.结果手术 1个月后,有 12只猫处于植物状态,动物模型的临床表现、体征等与持续性植物状态患者相近.结论本实验制作的持续性植物状态动物模型与临床患者相似,是一种比较理想的持续性植物状态动物模型.
作者：肖华；徐如祥；李金彩 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
BACKGROUND:In China,steroid such as dexamethasone was often used for curing multiple sclerosis(MS),which had definitive effect but was slow in effect and needed a long time for taking medicine,more importantly,had severe side- effect.In recent years,high dose methylprednisolone has achieved some effect on immuno- neurologic diseases.
作者：陈运平；孙圣刚；梅元武 刊期： 2003年第07期
BACKGROUND:Motor obstacle of limbs directly resulted from hemiplegia after stroke seriously affect patients′ daily work and living.Conventional medicine treatment can improve the function of hemiplegic limbs at some degree, but more and more studies confirm that conventional acupuncture therapy is an effective method to improve motor function of limbs.By point stimulating channel system, acupuncture therapy can regulate qi and smooth channel system, thus regulate whole body to achieve the goal of curing hemiplegia. Acupuncture combined with hyperbaric oxygen therapy can accelerate regeneration of cerebral cells, and promote the recovery of motor function of paralyzed limbs.
作者：张志刚；孙毓 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
随着 133Xe吸入法测定局部脑血流量( topical cerebral blood flow,rCBF)的检查手段普遍推广应用,采用此法对持续性植物状态( persistent vegetative state, PVS)患者进行 rCBF测定.并对结果进行分析,从而进一步探讨 PVS患者不同病因、病情变化的 rCBF改变情况及机制分析.
作者：吴春平；陈立；马虎龙；王培东 刊期： 2003年第07期
作者： 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
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
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
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
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
MATERIALS AND METHODS Materials 42 cases of female patients were client from hospital,with age ranging from 38 to 55 years(average 46 years).Disease course was franging from 0.5 to 6.0 years.
作者：谢珍 刊期： 2003年第07期
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
中国组织工程研究杂志
主管:中华人民共和国卫生部
主办：中国康复医学会,《中国组织工程研究与临床康复》杂志社
