付显俊；李英香；李文波
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
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
目的探讨学习乐器与儿童感觉统合能力的关系.方法选用感觉统合评定量表对学习乐器的78名儿童(研究组)与未学习乐器的78名儿童(对照组)进行调查.结果学习乐器的儿童感觉统合失调发生率明显低于对照组,具有显著性差异(P<0.05).结论学习乐器的儿童感觉统合能力发育较好.
作者：李淑英；张卫军；胡强 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 explore the effect of Daicong solution (DCS) on aged rats dementia model.Method The experiment used 22 month old rats whose basal nuclei was destroyed by bilateral electrolytic method as model for aged rats dementia.They were treated with DCS for a month.Then the level of superoxide dismutase (SOD),lipid peroxide(LPO),monoamine oxidase (MAO) and cholinesterase(CHE) in the serum was measured. Result Compared with the control,the activity of SOD increased markedly(P< 0.01), the content of LOP and activity MAO and CHE were decreased(P< 0.01).Conclusion DCS is effective in treating the aged dementia.
作者：赵淑梅；张太国；岳启安；左凤英；李光宗；高敬宗；尤敏；管福来 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
康复期精神病人精神症状基本消失,自知力开始恢复,对自己所患疾病有了初步认识.该阶段患者的心理活动非常复杂,常产生自卑、悲观、烦恼、恐惧等负性情绪,不利于身心健康及病情的继续康复,而且易导致意外事故发生.因此,在这一敏感时期,针对病人的心理特点,进行健康教育尤为重要.1康复期精神病人的心理特点自卑感:精神病人进入恢复期,往往觉得自己得了精神病,感到低人一等.特别是多次复发的患者,因反复发作不能胜任家庭角色及工作角色,更易产生自卑感,表现常独居一处,不愿与人交往,行为孤僻退缩,有时甚至产生轻生观念.
作者：刘云波 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
作者： 刊期： 2002年第15期
目的探讨中老年勃起功能障碍(ED)与血浆内皮素(ET)的关系.方法随机选取40～70岁ED患者82例为观察组,并以勃起功能正常者74例为对照组,均检测血浆内皮素,用统计学方法对两组检测结果进行分析.结果观察组血浆ET水平明显高于对照组(P<0.01).结论血浆ET水平增高在中老年ED病理生理机制中起重要作用.
作者：王义围；孙宁玲 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
Objective To assess its significance to diagnosis, treating and prognosis of ischemic cerebrovascular disease by measuring plasma D dimer of 100 patients. Method By enzyme linked immunosorbent assay and double antibody sandwich assay, making color matching under 492 nm wavelength and to gain the plasma D dimer content value according to the standard curve.Result Serum D dimer content of acute cerebral infarction patients was significantly increase, which reflect increase of fibrinolysis activity and increase of thrombin production.It is a valuable index to hypercoagulation state and thrombosis. The Older the age, the higher the plasma D dimer content. Conclusion It is suggested that there was apparent change of D dimer in course of ischemic cerebrovascular diseases and in patients beyond 60, which engender hypercoagulation state leading to disease.
作者：李东燕 刊期： 2002年第15期
Isolated hypoglossal nerve palsy(IHNP) is a rare condition.There are a few reports in the literature of isolated,unilateral hypoglossal nerve palsy secondary to an infectious process,vaccination,aneurysms,trauma,caries,dislocation of vertebrae,and intracranial tumor.We report a case of unilateral,isolated hypoglossal nerve palsy with full recovery.
作者：朱丹彤；杨晓苏；金丽娟；肖波 刊期： 2002年第15期
目的研究脑缺血再灌注(IR)后神经元DNA损伤及Bcl-2的调控作用.方法制作局灶性IR模型,按再灌注时间分6组,检测不同时相缺血区神经元DNA损伤、Bcl-2表达变化和MDA含量.结果IR后6h,TUNEL阳性细胞数升高,24h达高峰,72h仍有较强表达;Bcl-2表达IR后1h升高,6h达高峰,72h趋于阴性;IR后1h,丙二醛(MDA)含量显著升高,6～12h后恢复假手术组水平,24h又出现增高.脑组织DNA损伤与Bcl-2表达呈显著负相关.结论Bcl-2通过抑制氧自由基的产生而减少神经元DNA损伤,具有神经元自我保护作用,提高了神经元的存活率.
作者：邓娟；周华东；张莉莉；沈诚 刊期： 2002年第15期
目的探讨长期吸氧+双水平气道正压通气(BiPAP)对重叠综合征患者心肺功能及生存质量的影响.方法23例能适应BiPAP的重叠综合征患者作为治疗组,24例单纯吸氧治疗的患者作为对照组.治疗前及2年后测超声心动图、肺功能、吸入空气时动脉血气及生存质量(QOL)评分.结果治疗组肺动脉压较治疗前下降,对照组则恶化.治疗组大吸气压力、大呼气压力、血氧分压、二氧化碳分压及治疗后QOL得到明显改善,而对照组恶化.结论长期吸氧+BiPAP治疗较单纯氧疗更能有效改善重叠综合征患者缺氧及二氧化碳潴留,改善患者心肺功能和生存质量.
作者：陈献亮；张罗献；王凯 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 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
产后抑郁不仅对产妇及婴儿构成一定的危害,而且对家庭也构成一定的危害.心理因素、社会因素是产后抑郁症者发病的诱因,因而心理调节与心理干预应引起人们的高度重视.1对象与方法为1999年10月～2001年10月,在我院住院的产妇409例,年龄21～36岁,住院时间为6d,为正常分娩,无并发症.
作者：崔菊德；张玉兰；王新 刊期： 2002年第15期
Objective To evaluate efficacy of intermittent urethral catheterization in the treatment of intractable diabetic neurogenic bladder.Method 41 patients with intractable diabetetic neurogenic bladder were randomly divided into study group(n=21) and control group(n=20).Study group received intermittent urethral catheterization and control group received routine therapy.Therapeutic effect of two groups was compared.Result Total effective rate was 90.5% and 40.0% for study group and control group respectively(P< 0.01). In study group,area opaca of residual urine shown by ultrasound examination and number of urination decreased,urine volume increased(P<0.05)which were both better than those of control group after treatment.Conclusion Intermittent urethral catheterization can effectively manage intractable diabetic neurogenic bladder,improve urinary incontinence,urinary retention,resume reflection bladder.
作者：谢英才；徐明利；陈文璞；陈晓铭；武革 刊期： 2002年第15期
Background:There are many surgery methods to evacuate hematom when cerebral hemorrhage,but they also can cause some secondary injuries,which are harmful to early rehabilitation.We use combination of TCM and western medical therapy to evacuate hematom and after dynamic observing, analyze its effects on extremities function, and amentia.
作者：李巍；孙博谦；王红艳 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
