学术投稿

小儿脑性瘫痪242例临床分析

赵蒙

关键词:小儿脑性瘫痪, 临床分析, cerebral palsy, Prevention of
摘要:BACKGROUND:Children cerebral palsy not only affects the quality of the affected children's lives but also burdens the family and the society heavily.Therefore, analysis of the disease and its causes from the viewpoint of clinic might helpful in treatment and prevention of the disease.
中国组织工程研究杂志相关文献
  • 循证康复医学:阿尔茨海默病治疗效果系统评价摘要

    作者: 刊期: 2003年第07期

  • 电生理检测对贝耳麻痹患者的预后评估

    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

  • 亚低温治疗重型颅脑损伤失败17例分析

    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

  • 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

  • 蒋晓江博士·教授

    作者: 刊期: 2003年第07期

  • 脑卒中偏瘫肢体的早期康复与中频治疗效果观察

    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

  • 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

  • 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

  • 阻滞加针刀减轻颞颌关节病后疼痛及活动障碍

    BACKGROUND:Therapy with block needle knife can block pain conduction pathway and prevent vicious cycle of pain, improve blood cirvulation and enhance inflammatory.With the help of needle knife, adhesion, keloid and muscles spasmed can be cut and isolated to active equilibarium of muscles around joints.

    作者:张庆君;魏斌 刊期: 2003年第07期

  • 住院糖尿病患者的健康教育

    HEALTHY EDUCATION METHOD The subject is population and population guide is performed.Healthy education was given to patients every week and prevention, treatment nutrient,parmacy and notice items of DM were instructed to the patients.Through blackboard,wallpaper,prevention manual of DM, the patients were told to control blood glucose by adjusting diet.Education direction were aimed at individuals.According to conditions,educational levels,sex,age and familial status,the nurses communicated with the patients and carefully answer their questions to receive confidence,understanding and support and promote confidence of defeat diseases.

    作者:孔素琴;徐秀芳 刊期: 2003年第07期

  • 应用MRI特殊序列诊断在三叉神经痛和面肌痉挛价值

    AIM:To evaluate the diagnosis value of MRI for neurovascular compression (NVC) in trigeminal neuralgia(TN) and facial spasm(FS).METHODS:15 patients with TN and 2 patient with FS underwent SE T1WI and T2WI first, then 3D- TOF- SPGR sequences.RESULTS:NVC was found in all the patients, MRI findings were consistent with the surgical operative findings completely.CONCLUSION:It is considered to be of important to use MRI to find out the causes of TN and FS,especially to utilize the 3D- TOF- SPGR sequences, which may possess high sensitivity in determining NVC.

    作者:公茂青;佟志勇;李喆;王运杰 刊期: 2003年第07期

  • 电刺激小脑顶核改善椎基底动脉供血不足32例

    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

  • 透明隔异常CT诊断的临床意义

    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

  • 脑电图对乳腺癌患者精神状态异常的评估

    MATERIALS AND METHODS Materials 18 cases females in our group had mental symptoms to various degree before and after operation,with age ranging from 38 to 51 years. There were 16 cases of psychological dependence before operation and 4 cases after operation.There were 1 case of Paranoia before operation and 8 cases after operation. There were 4 cases of delirium after oparation and 1 case of other type before operation and 2 cases after operation.All the patients were excluded space occupying lesion by head CT.

    作者:李秀香;邵林萍;刘广庆 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

  • 基于计算机运算特点的语言障碍分类

    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

  • 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

  • 高政硕士生导师·副教授

    作者: 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

  • 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

中国组织工程研究杂志

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