前庭性偏头痛患者位置性眼震的特征分析

目的 观察研究前庭性偏头痛(VM)患者位置性眼震的临床特征,探讨其可能机制.方法 回顾性分析经视频眼震图(VNG)记录的14例急性发作期VM患者和16例水平半规管良性阵发性位置性眩晕(HSC BPPV)患者在Dix-Hallpike试验和滚转试验(Roll-test)诱发下位置性眼震的类型、强度、时问等参数.结果 VM患者于多种诱发体位时出现混合性的眼震成分,其眼震成分主要为下跳性、离地性及向地性成分的单个或多个组合.VM组和HSC-BPPV组眼震的潜伏期、持续时间差异均无统计学意义(P＞0.05).VM组水平成分的眼震最大慢相角速度(SPVmax)为(11.4±2.3)°/s,低于HSC BPPV组[(56.8±9.4)°/s],两组比较差异有统计学意义(P=0.001).与HSC-BPPV组相比,VM组达到SPVmax时所需的时间(tm)较长[(18.1±2.0) svs (5.9±1.1)s,P＜0.001],其眼震变化速率较缓慢[(0.54±0.14)°/s2vs (7.21±1.79)°/s2,P＜0.001].HSC-BPPV组的强弱侧眼震强度的不对称比高于VM组,差异有统计学意义(P=0.02).结论 VM中异常的中枢整合机制可能引起紊乱的半规管旋转信息传递,导致变位试验时出现混合性眼震成分以及多种体位诱发的平坦型眼震.     

正弦摆动视眼动反射的反应特性

为弄清视眼动电图的各参数常值及扩大其在临床检测中的作用,以20名男性学员进行正弦模式视动刺激,并对眼震次数、最大快相速度、最大慢相速度、最大快相时间、最大慢相时间、增益等6项指标进行分析.研究表明视眼动各参数左右对称,个体之间有一定的差异.     

视动中枢检查对颅内占位性病变的诊断价值

总结56例经CT及手术证实的颅内占位性病变患者眼震电图视动中枢检查结果,发现扫视试验异常者占77％,凝视试验异常者占57％,视动性眼震试验异常者占77％,视跟踪试验异常者占80％。小脑桥脑角占位性病变患者视动性眼震试验100％异常,视跟踪试验和扫视试验92％异常。     

在摄影眼震图中诱发视动性眼震刺激角速度的选择

目的在摄影眼震图（VOG）中选择合适的视动性服震刺激条纹角速度。方法分别用6种不同的刺激条纹角速废对40名前庭功能正常的健康志愿者进行了视动性眼震检查。结果当刺激条纹速度为20°／s时,用VOG和传统眼震图（ENG）所得到的gain值分别为0．98和0．82,随着刺激条纹速度的增加,gain值下降,当刺激条纹速度超过50°／s时,gain值明显下降。结论在由德国SensoMotoric公司生产的摄影眼震图中,视动性眼震检查的最佳角度速度分别为20、35、50°／s。     

后半规管和水平半规管BPPV变位实验时眼震特点初步分析

目的分析良性阵发性位置性眩晕（BPPV）患者变位实验中眼震的参数特征,探讨其临床意义和产生机制。方法回顾性分析398 例BPPV 患者,应用视频眼震电图记录变位实验诱发的眼震,分析比较后半规管BPPV（PC-BPPV）和水平半规管BPPV（HC-BPPV）变位实验各头位眼震方向、潜伏期和持续时间等参数特点。结果BPPV 患者398 例,其中PC-BPPV 290 例,占73.1%（290/398）,271 例诱发出向地、旋转、向上型眼震,平均潜伏期（26.36±18.70）s,眼震持续时间平均（10.88±8.89）s;HC-BPPV 103 例,占25.8%（103/398）,76例诱发出水平向地性眼震,平均潜伏期（0.67±0.68）s,眼震持续时间平均（25.34±20.12）s,24 例HC-BPPV 水平离地性眼震患者平均潜伏期（3.59±2.01）s,平均持续时间（52.30±40.21）s。与PC-BPPV 相比,水平向地性HC-BBPV 在潜伏期、眼震持续时间差异具有统计学意义（t =21.13 和8.89,P =0.007 和0.002）;水平离地性HC-BPPV 在潜伏期差异无统计学意义（t =0.08,P =0.945）,而在持续时间差异具有统计学意义（t =6.10,P =0.003）。结论在变位实验中,PC-BPPV 眼震潜伏期长于向地性HC-BPPV,不一定长于水平性HC-BPPV,但持续时间短于所有类型HC-BPPV。     

椎-基底动脉供血不足性眩晕ENG和ABR检测的意义

目的 探讨椎-基底动脉供血不足性眩晕患者眼震电图(ENG)和听性脑干反应(ABR)的改变及其临床意义.方法 对60例椎-基底动脉供血不足性眩晕患者行眼震电图和听性脑干反应检测,观察视眼动系统反应、自发性眼震、冷热试验、位置性眼震和ABR各参数变化.结果 椎-基底动脉供血不足性眩晕组位置性眼震强度(7.76±6.05)°/s,明显高于对照组(P＜0.01).视动中枢检查共48例(75％)出现一项或多项异常.冷热试验总慢相速度为(34.68±5.66)°/s,对照组中总慢相速度为(46.57±6.34)°/s(P ＜0.01).听性脑干反应49例异常,占81.6％.脑干下部异常者25例(41.6％),脑干上部异常者12例(20％).结论 眼震电图和听性脑干反应检查可从电生理方面有效鉴别椎-基底动脉供血不足性眩晕患者的脑干与视眼动系统异常.尤其是对内耳与脑干功能损害的鉴别,ENG和ABR可提供客观有效的帮助.     

脑外伤后综合征患者视频眼震电图检查结果分析

目的采用视频眼震电图检查对脑外伤后综合征患者眼球运动异常进行定量分析,探讨脑外伤后综合征患者眼球运动改变及其意义。方法选取38例脑外伤后综合征患者作为病例组,同时选取30例健康的受试者作为对照组。对病例组和对照组进行视频眼震电图检查,检查内容包括自扫视检查、平稳跟踪检查、视动性眼震检查及凝视检查。对检查结果分别进行两组间的比较。结果与对照组相比,病例组扫视速度降低,扫视潜伏期延长（P〈0．05）;左向扫视时,病例组、对照组准确度异常的发生率分别为14．44％和8．67％,右向扫视时,病例组、对照组准确度异常的发生率分别为16．11％和9．33％,差异均有统计学意义（P〈0．05）;病例组平稳跟踪试验速度增益明显低于对照组（P〈0．05）;视动性眼震、凝视眼震在两组之间差异元统计学意义。结论脑外伤后综合征患者眼球运动异常的发生率较高,主要表现在扫视和平稳跟踪运动;视频眼震电图检查可作为脑外伤后综合征的无损伤性检查技术之一,有助于进一步了解脑外伤后综合征的发病机制,并指导临床治疗。     

眼震电图诊断颅后凹占位性病变37例分析

作者总结了经手术及CT证实的颅后凹占位性病变37例的眼震电图表现。除2例外,其余35例均有单项或多项视动中枢改变,占94.59％。初步分析了小脑半球及小脑桥脑角病变眼震电图的各项目特征,并提出前庭眼反射对病变侧别、范围均有重要的诊断价值。认为在当前CT尚未普及的情况下,眼震电图检查对颅后凹占位性病变的定位诊断有一定意义。     

眼震电图在椎-基底动脉供血不足性眩晕诊断中的应用

目的研究眼震电图在椎-基底动脉供血不足性眩晕诊断中的应用.方法总结104例以眩晕为主诉,经临床及影像检查为轻型椎-基底动脉供血不足患者的眼震电图变化.结果椎-基底动脉供血不足患者出现自发性眼震者占17.3%,位置性眼震占33.6%;扫视运动潜伏期延长,扫视速度减慢;跟踪实验41%呈Ⅲ型曲线,43%失真度超过正常值;视动眼震强度与正常人无显著性差异;冷热反应值较正常人低下,不对称比值增高,20.2%出现固视失败.结论眼震电图在椎-基底动脉供血不足性眩晕诊断中具有重要意义.     

水平视动性眼震与血管性眩晕关系的研究

目的：探讨水平视动性眼震对血管性眩晕的诊断价值。方法：对５０例水平视动性眼震异常蟀晕患者行经多普勒超声检测,与正常水平动性眼震眩晕患者对比,比较二者差异。结果：５０例水平视动性眼震异常的眩晕患者其脑血管供血不足者４２例,占８４％,而２０例正常水平视动性眼震眩晕患者其脑血管供血不足仅４例,中２０％,二者差异显著,结论：水平视动笥眼震可作为血管性眩晕患者的辅助检查。     

Acupuncture Treatment of Vomiting

CASE HISTORY A female patient, 46 years old, head of the foreign affairs department of a certain university in Beijing, paid her first visit on October 9, 2006, with the chief complaint of vomiting for one month. She got vomiting after meals in early September. Before that, she had discomfortable sensation in the stomach due to angry with others, but she didn't pay much attention. Later, it developed into vomiting after eating. After the vomiting, the discomfort would be relieved, but with slight hypodynamia. She was once diagnosed as having 'neurogenic vomiting'. Having taken some western and Chinese drugs, the above symptoms were a little bit improved, but she would have nausea upon eating and with regurgitation. Because of the fear for vomiting, she did not dare to have food intake, with body weight reduction of 6 kilos in one month.     

Qiu Baoguo''''s Experience in Treating Consumptive Syndromes after Radio-Chemotherapies

Radiotherapy and chemotherapy are the important modern medical therapies for malignant tumors,yet they can also bring about serious local and systemic toxic side reactions so to decrease the patient;'s life quality,manifested by a series of consumptive symptoms.Having engaged in the combined work of Chinese and western medicine for nearly 50 years,the research fellow Qiu Baoguo in Henan Provincial Academy of TCM has developed his unique views on the TCM study of consumptive syndromes.The author of this essay had once the fortune tO follow Dr.Qiu in clinic,and specially would like to introduce in the following Dr.Qiu's experience in treating consumptive syndromes after radio-chemotherapies for patients with malignant tumor.     

Insomnia Due to Deficiency of Both the Heart and Spleen Treated by Acupuncture-Moxibustion and Chinese Tuina

OBJECTIVE: To observe therapeutic effects of the comprehensive therapy of acupuncture-moxibustion and Chinese Tuina for treatment of insomnia due to deficiency of both the heart and spleen. METHODS: 92 cases were divided randomly into the treatment group (treated by acupuncture-moxibustion and Chinese Tuina) and the control group (treated by acupuncture-moxibustion). RESULTS: The therapeutic effect of the treatment group was obviously superior to that of the control group (the CHI2 test showed P < 0.01). CONCLUSIONS: The comprehensive therapy of acupuncture-moxibustion and Chinese Tuina can give marked therapeutic effects for treatment of insomnia due to deficiency of both the heart and spleen.     

Analysis of CK-19,PDX-1,Nestin,Ngn3 in different donor islet purity in rats

Objective: To investigate if there are the CK-19, PDX-1, Nestin, Ngn3 positive cells in the donor islets of different purity in rats. Methods: Thirty male adult SD rats were randomly divided into 3 groups. Islets were isolated using digestion by ductal injection of collagenase. Group Ⅰ (n=10): Separating cell preparations were not purified, Group Ⅱ(n=10): Islet sediment was purified with 25% Ficoll400 ,Group Ⅲ (n=10): Islet sediment was purified with 25% and 11% Ficoll-400. The levels of protein of CK-19, PDX-1, Nestin and Ngn3 were detected by immunohistochemistry and the mRNA of CK-19, PDX-1, Nestin, Ngn3 was amplified by RT-PCR. Results: After two different purification methods applied, three islet preparations of different purities were obtained. The difference of islet purity was significant among various groups (P＜0.05). Compared with group Ⅱ and group Ⅲ,the protein and mRNA of CK-19, PDX-1, Nestin,Ngn3 were both higher in group Ⅰ; group Ⅲ was poorly expressed. Conclusions: The three different islet purity donor islet have different CK-19, PDX-1, Nestin, Ngn3 positive cells within them, indicating that there are some islet stem cells in the purified donor islet.     

A preliminary screening study on the associated proteins in human psoriasis vulgaris by serum proteomics technologies

Objective：To investigate the optimum screening conditions of associated proteins in human psoriasis vulgaris by serum proteomics technique, and to screen the different expression proteins related with psoriasis vulgaris. Methods：Serum samples of peripheral blood were collected from newly diagnosed psoriasis vulgaris patients in the clinic, and 20 matched healthy persons. Serum albumin IgG was removed by filtering with ProteoExtract Albumin/IgG. After comparative proteomics analysis the different protein spots were identified using 2-DE and MS. Results ：Electrophoresis figures with high resolution and reproducibility were obtained. Three different expression proteins were found only in the serum from psoriasis vulgaris patients, while nine other different proteins expressing from healthy volunteers. Conclusion：The protein expression was different in the serum between the psoriasis vulgaris patients and healthy volunteers. It was hoped that we could find the biomarkers related to psoriasis vulgaris by using proteomics.     

A CASE OF HUGE GASTRIC DISOPYROBEZOAR

PYTOBEZOARS are common bezoars in gastrontestinal tract, commonly seen in stomach and mall intestine,1but huge disopyrobezoars are     

Acupuncture Treatment of Chest Bi Syndrome

CASE HISTORY A male,a retired officer of 61 years old,paid his first visit on May 12,2006.The patient stated that 2 weeks before he suddenly got paroxysmal precordial choking pain,with irregular attacks.Each attack would last several seconds to several minutes.The attack was accompanied with heavy oppressed sensation in the precordial region,palpitation,lassitude,and in severe cases,sweating,which was once diagnosed by a hospital as'coronary heart disease'.Recalling the case history,the patient said that several days before he got angry with others because of some affairs in work,and he was not so used to the life pattern since he had just retired from his busy working post.At usual times,he was quick tempered and peevish.In recent days,he had poor appetite,and loose stool.     

Instructions to Contributors

The English edition of Chinese Journal of Integrative Medicine is edited and published by the Chinese Journal of Integrated Traditional and Western Medicine Press.Original scientific papers of advanced clinical and experimental medicine in the field of complementary/alternative medicine or integrative medicine are expected.     

Development Is A High Level Inheritance for China Time-honored Brand Products

<正>As culture is the soul of a nation,the three books,"History of Chinese Philosophy,""History of Chinese Culture"and"History of Chinese Science and Technology"have demonstrated the superiority of our great Chinese culture,and its significant impact in the field of international culture.Both core value and practical value of the Chinese culture are very clear,reflected in the views of universe,nature,life,health,disease,and therapy and related considerations,concepts,and technical methods.