马莉；林伟；刘淑琴
饮食疗法、运动疗法和药物疗法是目前2型糖尿病患者主要的治疗方法.其中饮食疗法和运动疗法是基本的治疗方法,这两种方法应建立在科学合理的基础上.方法是采用康复评定Team会的形式,对具体糖尿病患者进行讨论,分析各项化验指标,制定合理的康复治疗方案,进行针对性康复治疗.治疗后进行再评定,以使患者的各项化验指标达到较好水平,延缓糖尿病慢性并发症的发生.
作者：吴毅；吴军发 刊期： 2002年第15期
1998～2000年住入的腓神经损害11例,均为臂部肌注青霉素后所致.经过运动、针灸、导平等一系列康复治疗,好转率达100%.1对象与方法1.1对象腓神经损害病例11例,均经过电神经生理学检查、临床康复评定,确诊.由于臂部肌注青霉素所致,年龄2.5～8岁,男8例,女3例.患儿肌注青霉素后即出现跛行,下肢活动障碍,肌力≥Ⅲ级.
作者：肖曙光；苏珍辉；段华林；王益梅 刊期： 2002年第15期
Hunt综合征临床上较为少见,表现也复杂多样,既有头痛、外耳道炎的症状,又有面瘫、疱疹的表现.如果不注意了解病史,极易误诊为某种独立的疾病.近几年共收治7例,现总结如下.1对象与方法7例患者,男4例,女3例,年龄27～42岁,病程8～21d;初期多表现为头痛、耳痛,耳部疱疹伴口角歪斜,吐字不清,继而又出现面瘫,病变侧额纹消失,睑裂扩大,鼻唇沟变浅,鼓腮不能,口角向健侧歪斜,受累耳廓有触痛,耳道布满颗粒样疱疹.
作者：李飞；常青；雷中杰；陈长芬 刊期： 2002年第15期
目的调查海洛因依赖人群中乙型肝炎和丙型肝炎的发病率,为预防提供科学的理论依据.方法对1000例海洛因依赖者进行丙型肝炎病毒抗体(HCVAb)和乙型肝炎核心抗体(HBCAb)的检测.按吸毒方式分为两个组,烫吸组和静脉注射组.对两组之间的差异进行χ2检验.结果静脉注射组45%的HBcAb阳性,61%的HCVAb阳性,烫吸组28%的HBcAb阳性,10.5%的HCVAb阳性.调查显示超过一半的吸毒人员不知道肝炎病毒(HCV)的传播方式.结论对吸毒人员进行乙型肝炎和丙型肝炎的相关知识教育.特别是对吸毒人群进行乙型肝炎和丙型肝炎的传播途径的宣传教育极其重要.
作者：郭瑞卿；徐本树；杨会；杨禹龙 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
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
目的探讨高脂血症对老年人听力的影响.方法对46例(92耳)60岁以上老年高脂血症患者的纯音听力和高刺激率听性脑干反应(ABR)进行了测试,并与20例(40耳)同年龄组健康老年人进行了对照.结果纯音听阈高脂血症组各频率均显著高于对照组;ABR测试高脂血症组I、III、V波潜伏期和III～V、I～V波间期均较对照组显著延长.结论高脂血症对老年人的外周和脑干听觉中枢均可造成损害,预防和治疗高脂血症是预防和延缓老年聋的重要措施之一.
作者：苗英章；步桂清；荣宏；张秀者；张勋 刊期： 2002年第15期
Background: Bronchial asthma is an allergic pulmonary disease. The attack is mostly induced by the inhalation of or contact with allergens, such as pollens, dusts, insects (such as mite), germs, etc. During the attack, patients have severe dyspnea which is due to spasm of bronchial smooth muscles, swelling of the bronchial mucosa, and hypersecretion of the mucus, leading to bronchial obstruction. To observe the endothelin(ET) and calcitonin gene related peptide(CGRP) changes in treating children with bronchial asthma by dopamine( DP), dobutamine( DOB),and regitine.
作者：吕汉文；卢远达；徐淑兰；叶彩丽；林灿华；周翔 刊期： 2002年第15期
1冬泳对中老年人免疫功能的影响通过实验对冬泳前后的人进行测试,冬泳后,口腔体温较前明显下降;白细胞总数从泳前的(5535±202)个/mm3升至(8132±457)个/mm3,有明显的统计学意义(P<0.01);淋巴细胞绝对数从泳前的(2481±129)个/mm3,升至(4235±291)个/mm3,也有显著差异(P<0.01).冬泳前后,E玫瑰花结,Y玫瑰花结的百分率的总数,均明显高于冬泳前,有显著统计学意义,说明冬泳锻炼对机体免疫功能有良好的效应.因为冷刺激可以引起机体的应激应答,通过神经-体液调节机制,促进物质代谢,促进白细胞刺激因子的分泌,提高造血器官的功能,使血液系统出现生理性适应变化,增强了免疫功能.
作者：徐岩；赵全红 刊期： 2002年第15期
Objective To observe the improving effect of carvedilol on cardiac function in patients with congestive heart failure(CHF) of dilated cardiomyopathy(DCM).Methods Total 60 patients with chronic heart failure secondary to DCM were divided into two groups randomly, namely carvedilol group additionally treated with carvedilol (the test group), conventional group receiving placebo (the controls). The left ventricular fraction shortening (FS), ejection fraction (EF), stroke volume (SV), left ventricular diastolic dimension (LVDD) were measured with echocardiography, were measured before and after 4 month treatment. Results After treated for 4 months , the cardiac function improved greatly in both groups.In the test group, LVDD, EF and 6 minute walking distance improved more signicantly compared to the controls. Conclusion Carvedilol can improve cardiac function and exercise tolerance in the patients with CHF of DCM obviously.
作者：吴大庆；杨永健 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
由于篮球运动的专项特点和膝关节在一定范围内存在的解剖生理缺陷,据调查资料,篮球运动中膝关节损伤占全身部位损伤的34%,同时膝关节损伤占下肢损伤的61%,而前交叉韧带是易发生损伤的部位.膝前交叉韧带损伤严重的影响了篮球运动员运动水平的发挥和运动能力的提高,缩短了运动员的运动寿命,危及运动员的身体健康.因此,正确认识篮球运动中膝前交叉韧带的损伤机制,这对科学地指导训练和比赛,避免运动员膝关节损伤的发生,提高运动能力,延长运动寿命具有十分重要的意义.
作者：刘瑞峰 刊期： 2002年第15期
经皮冠状动脉内成形术(PTCA)对急性心肌梗死(AMI),尤其大面积心肌梗死的救治十分重要.术后早期、合理、适度的体能康复,对愈后及减少术后并发症,缩短病程有重要意义.1对象与方法1998年3月～2002年3月收住CCU的AMI急症PTCA术后病人16例,其中,男13例,女3例,年龄38～62岁,平均50岁.冠状动脉造影显示:LAD10例、RCA4例、LCX2例.
作者：崔瑛 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
脑神经元移行异常是由于成神经细胞在迁移过程中受损导致的一组先天性脑发育畸形.现就本病特征性的MRI表现对38例患儿进行对照分析,以提高对本病的认识.1对象与方法2000年11月～2001年10月,38例小儿经MRI诊断为脑神经元移行异常.男23例,女15例,年龄3个～14岁,平均4.2岁.临床表现为癫痫11例,智力减退17例,运动及体能发育落后16例.无脑回畸形20例,脑裂畸形16例,孤立性灰质异位2例.MRI检查采用Toshiba0.35T超导型MRI扫描系统,自旋回波(SE)序列,T1加权图像(T1WI)500/25ms,T2加权图像(T2WI)2000～4000/80ms,层厚5～10mm,常规行矢状及轴位扫描.
作者：吴奎；范国光 刊期： 2002年第15期
目的探讨音乐放松辅助治疗对高血压患者自主神经平衡状态的影响.方法将100例高血压患者随机分为治疗组和对照组各50例.两组均保持入组前所用抗高血压药物的种类和用量,治疗组每天进行音乐放松治疗.治疗前后测定自主神经平衡状态及症状改善情况.结果治疗组患者自主神经平衡指数下降,心率减慢,血压下降,各种主诉症状明显减轻,与对照组比较差异有显著性.结论音乐放松辅助治疗可改善高血压患者的自主神经平衡状态,降低血压.
作者：于兰；吕秋禄 刊期： 2002年第15期
自1997年3月～2001年3月,笔者运用计划饮食配合运动疗法对肥胖症患者进行治疗,效果较好,现报道如下.1对象与方法37例患者均为该院的学生和教师,其中男18例,女19例,年龄22～63岁,病程1年2个月～11年4个月,按超过正常体重的百分比分为轻、中、重三级:超过20%～30%为轻度肥胖11例;超过30%～50%为中度16例,超过50%以上为重度10例,以上患者伴高血压24例,伴糖尿病6例.
作者：郝瑞兰；母春雷 刊期： 2002年第15期
目的观察电刺激小脑对脑性瘫痪(脑瘫)儿童的康复作用.方法小脑电刺激组:采用小脑电刺激治疗;神经生理学疗法(Bobath + Vojta)+康复中心训练;康复组:执行神经生理学疗法+康复中心训练;对照组仅由治疗师上午执行30min神经生理学疗法,其余时间指导家长在家康复.疗程均为3个月.结果小脑电刺激组法效果较为理想.结论小脑电刺激可作为脑瘫康复的较好手段之一.
作者：赵聪敏；王燕；刘立；廖伟；姚俐；艾友平；奚敏；于若谷 刊期： 2002年第15期
舌癌的治疗仍采用以手术为主的综合治疗.手术切除后的功能取决于残存舌的多少,而同期缺损修复又因部位不同或切除深度不同而存在差异[1].由于舌体缺损,患者存在语音障碍,通过语音康复训练,可提高患者的语音清晰度,提高患者生存质量.1对象与方法1.1对象男9例,女4例,平均年龄65.6岁,其中行舌骨上、肩胛舌骨上及功能性颈淋巴清扫术9例,行根治性颈淋巴清扫术4例,舌体切除均在病变外1.5cm,深层肌肉在距癌块边界30～40cm外切除.术后1个月进行语音训练,训练1个月,训练前后分别进行语音评价.
作者：付显俊；李英香；李文波 刊期： 2002年第15期
We chose the evaluation of health education from patients to nurses as the method of nursing care management, and analyzed the relation between the evaluation and the passed rate of health education. Now we summarize them as below. 1 Subjects and methods 1.1 Subjects The patients were came from two regions in department of internal medicine from September 1998 to December 2000.Their ages were from 18 to 55.They all had elementary or secondary education, and were farmer or worker.They received II Grade nursing care and had no handicap in communications.
作者：郭小红 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
