岳培茹
目的对社区人群进行了为期十年的脑卒中综合性干预研究.方法分两阶段对5万人群进行综合性干预研究,包括社区高血压的管理、强化的健康教育、社区干预模式的建立及基层队伍的培训等诸多方面.结果社区高血压人群管理率达到50%～65%,高血压控制率达到77.2%,近1/3人群血压控制在正常值水平,脑卒中发病率、死亡率与对照组相比较有明显的差别.结论在我国城市社区心脑血管病高发人群中,进行大规模、系统社区综合性预防,降低心脑血管病发病率、死亡率有着重要意义.
作者：吴升平；王文志；杜晓立；鲍秋菊 刊期： 2002年第15期
目的探讨新生儿行为神经测定早期评估脑损伤的应用.方法选住院新生儿脑损伤患儿58例,正常对照组50例,进行新生儿行为神经测定(NBNA)评分,每周1次,共4次.对第1次评分分值≤35分者进行早期监测及干预.结果患病组随着病情恢复,在第2、3、4次评分时分值有逐渐恢复的趋势(F=16.00,P<0.01),而正常对照组无明显变化.随访50例患儿有46例(92%)于6个月～1岁恢复正常,4例(8%)存在不同程度脑损伤后遗症.结论新生儿行为神经测定(NBNA)可早期评估新生儿脑损伤的严重程度及预后,以便早期给予相应治疗减少后遗症的发生.
作者：梁星群；蔡定邦；李晖；乔萍；肖力 刊期： 2002年第15期
Objective To study the influences of physiology, psychology and neurolinguisticson Han language.Methods (1)Aphasia tests were perfumed for 1 670 stroke patients of unilingual Han nationality.(2)Hearing writing tests were performed for 135 healthy adults.(3)Comparison the aphasia incidences in stroke patients of different districts and different literate level groups.(4)Follow up study of aphasics intend to find their outcomes.Results (1)In our studies, the total aphasia incidence, the aphasia incidences after left and right hemisphere damage in dextrals, the aphasia types and other relevant symtoms of stroke patients were different from that in most western literarure.(2)In the results of hearing writing tests,there were more mistakes of single characters in hearing than two character words.Two character words vs,four character compound words or phrases were in a similar manner.(3)The aphasia incidences in the groups of higher literate level were lower than that in group of lower level.This result was also different from that in the Occidentals.(4)The outcomes of our aphasics were favorable than that reported in western literature.Conclusion The causes of difference between chinese and western people in language disorders after brain disease were due to the nature of language,ideograph and phonograph.The function of ideograph of Chinese is not only confined in the left but also in the right or rather diffusible in both hemispheres.On comprehension of ideographic language by Chinese might not be depended on the sound of the character or word.The unit of perception,code and memory might be on the levels of conception or proposition.
作者：张桂青；杨建霞；仇银全；浦忠才；胡浴桓 刊期： 2002年第15期
目的了解2型糖尿病患者情绪障碍.方法用焦虑自评量表(SAS)、抑郁自评量表(SDS)和自制的调查表对45例2型糖尿病患者进行调查,并与45例健康自愿者进行配比对照分析.结果2型糖尿病患者的焦虑抑郁总分明显高于对照组,患者中有肯定的焦虑占35.56%,有肯定的抑郁占31.11%.结论部分2型糖尿病患者有明显的情绪障碍.
作者：薛荣亮；段文峰；石玉中；娄百玉 刊期： 2002年第15期
Background: Ankylosing spondylitis(AS) is a chronic inflammatory disease that affects the joints between the vertebrae of the spine, and the joints between the spine and the pelvis. It eventually causes the affected vertebrae to fuse or grow together.The special cause and therapy for this disease is unknown. It is past to think the AS is a kind of less spinal column disease.Along with progress in study of rheumatology at our country,AS is considered a kind of commonly encountered disease in China.
作者：吴建农；张晓 刊期： 2002年第15期
作者从1984年10月～2000年10月共收治57例,现回顾性分析报告如下.1对象与方法1.1对象病例总数57例,男35例,女22例,占同期全部小儿头部外伤的6.3%(57/905).平均年龄7.5岁(其中小4个月,大13岁).均有不同程度的外伤史,其中跌落伤27例,撞击伤16例,车祸伤14例.外伤后有昏迷史者共18例(占31%):其中短暂昏迷(<30min)10例;昏迷30min～6h者5例;昏迷时间>6h者3例,均有合并脑挫裂伤或颅内血肿.其余无意识障碍.患儿伤后均出现不同程度瘫痪,其中偏瘫39例,单瘫12例,双侧肢体瘫痪2例,单纯中枢性面瘫4例.伴偏身感觉障碍21例,伴中枢性面瘫8例,伴失语5例,伴癫痫发作10例.伤后出现瘫痪的时间:<12h者16例,12～48h者32例,>48小时者9例.有高颅压症状者11例(占19%).全组病人均行头颅CT检查:6～24h发现梗死灶者21例.24～48h32例,其中有7例是伤后第1次头颅CT未见异常,出现瘫痪后复查CT才发现梗死灶.梗死灶在48～72h内发现者4例.CT特点均表现为基底节区低密度灶,呈圆形或随圆形,CT值在6.8～22.3Hu,面积在3mm×5mm～11mm×28mm之间,周围无明显水肿及占位效应.
作者：宋伟健；杨振九 刊期： 2002年第15期
颞下颌关节紊乱综合征严重者影响语言和咀嚼功能,该病的治疗方法很多,但大多效果不稳定.采用锂离子导入法,经治疗观察,效果显著,具有显效快,疗效巩固等特点.1对象与方法颞下颌关节紊乱综合征患者66例,均经五官科确诊,男36例,女30例;年龄15～64岁;病程均在50d内;右侧发病29例,左侧发病31例,双侧发病6例;症状主要有张口困难、耳前胀痛、关节有摩擦音及咬牙合痛等,严重者咀嚼困难.
作者：何民；范忠宝；王立德；于淑梅 刊期： 2002年第15期
小儿周围性面瘫在临床并不少见,自2000年开始针刺配合推拿治疗小儿面神经瘫痪(面瘫)32例,收到良好效果,现总结如下.1对象与方法1.1对象本文32例患儿,均为门诊病人,经有关检查除外中枢神经系统疾病,均符合<实用中西医结合治疗学>中周围性面瘫诊断,32例患儿中,男18例,女14例;年龄8个月～12岁.病程短2d,长10d.
作者：郑丹红；赵辉 刊期： 2002年第15期
脑性瘫痪(CP)临床类型多、症状体征表现复杂,而且有些患儿同时合并几种类型,同时即使同一类型在不同年龄表现有所不同,致使许多患儿首诊时即被误诊或漏诊,从而失去了早期康复干预的关键时机,使其致残程度加重.本中心2001年3月～2002年3月共收治CP患儿248例(含家庭病床),首诊时误、漏诊者共99例,确诊率为40%,现将99例误(漏)诊者临床资料和原因探析报告如下.
作者：颜华 刊期： 2002年第15期
To improve ADL,quality of life,and realize goal of returning society,we performed rehabilitation therapy centralized on facilitation on 40 stroke patients and obtained good therapeutic effect.Here is the report. 1 Subject and method 1.1 Subject 80 inpatients with stroke recruited during 1997～ 2000 were randomly divided into rehabilitation group and control group,each group having 40 cases.Patients in rehabilitation group were 45～ 74 years of age(mean age:56 years) including 32 men and 8 women.13 cases in rehabilitation group suffered from cerebral hemorrhage,27 from cerebral infarction,22 from left paralysis,and 18 from right paralysis.Patients in control group were 43～ 75 years of age(mean age:55 years) including 29 men and 11 women.24 cases in rehabilitation group suffered from cerebral hemorrhage,18 from cerebral infarction,24 from left paralysis,and 18 from right paralysis.All diagnoses were carried out according with 4th national cerebrovascular disease meeting of China in 1995[1] and confirmed by CT or MRI.
作者：刘艳；崔树勤 刊期： 2002年第15期
自1998～2001年,收治颞下颌关节紊乱综合征患者96例.将病人分为2组,1组应用关节腔冲洗配合超短波治疗,另1组单纯应用超短波冶疗.临床疗效以关节腔冲洗配合超短波治疗组明显比单纯应用超短波治疗组好,现报告如下.1对象与方法颞下颌关节紊乱综合征患者96例,其中男37例,女59例,年龄10～63岁.病史4d～2年.单侧81例,双侧15例.以疼痛、张口受限为主诉者64例,以疼痛,张口受限伴弹响者22例,单纯关节弹响者10例.所有病例经X线片确诊均无明显器质性病变.随机将96例病人分为超短波治疗组45例,关节腔冲洗配合超短波冶疗51例.
作者：张永红；李巍 刊期： 2002年第15期
维持生命活动中不可缺乏的环节是睡眠,通过睡眠,体力和精力才能得到恢复,机体各个功能才能趋于平衡,有利于生活、工作和学习.睡眠型态紊乱,引起机体疲乏、无力、倦怠,甚至导致中枢神经系统活动失常,对人们的身心健康危害很大[1].因此,对老年人进行社区健康教育,延长睡眠时间,提高睡眠质量,对维持人体生命活动,促进身体健康,具有重要意义.
作者：孟祥云 刊期： 2002年第15期
Objective To evaluate recovered effect of sermior treatment on motor function of patients with acute cerebral infarction. Methods Prospect, random, single blind and control study on sermior, citicoline and cerebrolysin, using volume of low dense in CT (CTV), glutamate content in cerebral spinal fluid (CSF) and total fraction of Fugl Meyer motor function score as evaluating index to study inpatient patients. Result Decrease of CTV and glutamate content in CSF and increase of total fraction of Fugl Meyer motor function score in sermior treatment group, in citicoline treatment group, in sermior and cerebrolysin treatment group were significant compared with those of citicoline treatment group, cerebrolysin treatment group (P< 0.05). Conclusion Unite long term sermior therapy can decrease cerebral infarction volume and improve synthesize motor function apparently.
作者：郑衍平；何明利 刊期： 2002年第15期
近研究发现65岁以上老年人癫痫3个常见的病因是脑血管疾病(大约2/3病例),中枢神经系统(CNS)的变性性疾病和CNS肿瘤[1-2].近Olsen报道卒中后癫痫发病率是10%,其中5%是早发性癫痫(高峰发生在卒中后第1天),其他5%是晚发癫痫(高峰发生在卒中后6～12个月)[3].在栓塞性卒中后,因为通常累及大血管而使皮层受损,故癫痫的发病率范围是23.1%～42.8%.朱培俊等报道我国卒中后癫痫的发病率是9.1%,早发癫痫是6.04%,晚发癫痫3.09%.变性性痴呆也与癫痫发病率有关,据报道痴呆患者癫痫的发病率范围是10%～20%.在一项住院患者痴呆的调查中,发现年轻的癫痫患者中,根据精神状况测量,认知功能损害与只有痴呆的对照组患者比明显增加.Alzheimer病(AD)是引起老年癫痫的CNS疾病的变性病之一.本文综述了对此类病人药物治疗的有关问题.
作者：何跃 刊期： 2002年第15期
作者： 刊期： 2002年第15期
Background:Diabetes is a factor resulting cerebral infarction.Neurological injury in patients suffered from cerebral infarction complicated with diabetes is more common and severe than that in patients with cerebral infarction alone.From December 1990 to Octomber 2001,144 patients with CT proved cerebral infarction were surveyed including 28 patients suffered from cerebral infarction complicated with diabetes and 116 patients with cerebral infarction alone.Here is the report.
作者：江先娣；冼明健 刊期： 2002年第15期
1对象与方法本组皆为住院患者,全部经临床、心电图及心肌酶学检查,均符合WHO的急性心肌梗死(AMI)诊断标准.27例中男20例,女7例.年龄43～79岁,平均58.6岁.梗死部位:心内膜下梗死4例,前间壁梗死6例,下壁梗死6例,前壁梗死5例,高侧壁梗死1例,多壁梗死5例.并发心律失常、急性心力衰竭各1例.对照组选择同期病情相似AMI患者27例.两组之病情、梗死范围、并发症及年龄、性别等均有可比性.
作者：任淑芳 刊期： 2002年第15期
Background:With the setting up of the custodial room to infant serious illness,many infant patients with hypoxic ischemic encephalopathy(HIE) has survived.It has been reported that long term prognosis of serious HIE infant patients is bad and its percentage has gone to 73.6% (including sequela and death).Therefore how to improve these infant patients' prognosis are more and more thought highly of.We exerted intervention treatments in 12 months without intermission on 27 infant patients, and got significant effects.
作者：张敬芳；张瑞玲 刊期： 2002年第15期
Objective To observe the change of the cardiovascular effect of estrogen replacement therapy in rat after treated with progesterone. Method Thirty female rates were randomly divided into three groups: group A: ovarietcomy; group B: ovariectomy with estrogen replacement therapy and group C: ovariectomy with estrogen and progesterone replacement therapy. The estrogen receptors (ER) in the artery of the rat were measured and the serum level of nitric oxide (NO), endothelin 1 (ET 1), prostacyclin (PGF1a) and thromboxane (TXB2) were detected 2 months later. Results (1) There was no apparent difference in ER expression, serum NO and PGF1a level between group C and group B; these index of group B and C were higher than those of group A; (2) there was no significant difference in blood viscosity, the congregate index of red blood cell and platelet adhesiveness rate between group B and C; these index of group B and C were lower than those of group A. Conclusion Estrogen replacement therapy adding progesterone makes no influence on arterial ER expression, hemorheology index and regulation of estrogen to cardiovascular cytokines generation. It suggested that estrogen combined with progesterone replacement therapy could be a safe and effective method to prevent coronary heart disease.
作者：阮云军；董凤英；邱建；吴赛珠 刊期： 2002年第15期
目的探讨新生儿缺血缺氧性脑病(HIE)脑干听觉诱发电位(BAEP)监测的临床意义.方法对34例HIE患儿进行疾病急性期及康复期BAEP测定.结果急性期BAEP异常率为55.9%,随病情好转而降低.与同年龄正常新生儿相比,HIE患儿各波潜伏期明显延长,但波间期及波幅差异无显著意义.急性期有中枢性异常患儿的预后较差.结论对HIE患儿进行较长期的BAEP观察,可早期发现听力损害,及时进行干预.
作者：张芳军 刊期： 2002年第15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
