指导社区推进康复服务需解决的几个问题

社区康复指导工作是确保整个社区网络康复工作良性运转的重要环节。随着社区网络的建立和发展，康复业务的不断增多，如何正确指导各社区网点全面普及现代康复知识和残疾预防知识，并充分利用卫生资源，及时、方便、有效、低廉地提供全科医学服务，不断满足患者日益增长的...     

CLINICAL OBSERVATION ON TREATMENT OF CHILD CEREBRAL PALSY WITH PENETRATION NEEDLING FROM SISHENCONG TO BAIHUI POINT

Childcerebralpalsy(CCP)isanon-pro-gressivecerebralinjury-inducedsyndromeoccur-ringwithinamonthfrompre-birthtopoSt-birth,manifestedmainlybycentralneurogenicdyskinesiaandabnormalPosture,disturbanceofvision,audition,speechandintelligence,andepilepticattack.Itseriouslyendangerschildren'smentalandphysicalhealthandoftenresultsinpermanentdisability.Uptonow,therehavenoyetbeenanyspecialtherapeuticapproaches.Inrecentyears,theauthorsadoptedpenetrationneedlingandmoxibustiontotreatCCPandachievedsatisfac…     

醒脑益智冲剂治疗弱智临床研究

目的探索一种治疗弱智的中药制剂。方法 105例弱智儿童随机采用辅读教育与中药结合(观察组)和单纯辅读教育(对照组)两种不同方法治疗,观察两组智商与学习成绩的变化。结果观察组的显效率,总有效率均优于对照组(P<0.01)。结论醒脑益智冲剂对提高弱智儿童智力水平和学习能力具有肯定的疗效,开发醒脑益智冲剂对弱智儿童的康复具有积极的推动作用。     

肉毒毒素A治疗痉挛型脑瘫探讨

目的 探讨肉毒毒素A(botulinum toxin A,BTX-A)在脑瘫康复治疗中的应用价值。方法 将47例痉挛型脑瘫儿童随机分为治疗组(32例)和对照组(15例)，两组均接受正规康复训练，治疗组辅以痉挛肌注射BTX-A，观察商组患儿的内收肌角与回常生活活动能力(activities of daily living,ADL)变化。结果 治疗3个月和6个月后，治疗组患儿的内收肌角、ADL改善精况明显优于对照组(P＜0．01)。结论 康复训练仍是有效的脑瘫治疗手段，BTX-A局部注射作为一种重要的输助方法，可为康复训练提供良好时机，两者结合可明显缩短疗程、提高疗效，在脑瘫康复治疗中具有应用价值。     

脑血管病再卒中13例临床分析

目的： 探讨脑血管病再卒中及其影响因素。方法：进行生物、心理、社会医学因素检查及评定。结果：本组１３ 例原发病均末被控制;用ＣＥＳ－ Ｄ对抑郁症状评定,发病９／ １２ 例;用Ｆｕｇｌ＿Ｍｅｙｅｒ９ 项生活满意度量表评定,其中职业、业余生活、性生活满意度明显下降,总体生活满意度下降。结论：初发脑卒中后要进行早期康复训练,注重整体康复,强化社区康复,改善生物、心理、社会因素的不良影响,防止再卒中     

努力推动省级康复中心的创新与发展

甘肃省康复中心于 1993年建立 ,目前建筑面积10 0 0 0平方米 ,固定资产 2 0 0 0多万元 ,拥有 15 0张康复病床 ,设有康复门诊部、聋儿康复部、假肢矫形器装配部、视力康复科、截瘫康复科、脑瘫康复科、偏瘫康复科、康复训练科 (内设传统康复室、ＰＴ室、ＯＴ室和ＳＴ室 )、社区康复科、脑病康复研究所和两个社区康复门诊部等。省残疾人社区康复指导中心、省聋儿康复中心、省残疾人康复学会、省盲人按摩中心、省盲人医疗按摩中级职称评审委员会均设在我中心 ,从而使中心成为多功能、综合性的残疾人康复服务机构。自 2 0 0 0年以来 ,中心先后被…     

脑瘫丸对神经细胞损伤修复及缺氧缺血幼鼠认知功能障碍的影响

BACKGROUND： Hypoxia and ischemia induce neuronal damage, decreased neuronal numbers and synaptophysin levels, and deficits in learning and memory functions. Previous studies have shown that lycium barbarum polysaccharide, the most effective component of barbary wolfberry fruit, has protective effects on neural cells in hypoxia-ischemia. OBJECTIVE： To investigate the effects of Naotan Pill on glutamate-treated neural cells and on cognitive function in juvenile rats following hypoxia-ischemia. DESIGN, TIME AND SETTING： The randomized, controlled, in vivo study was performed at the Cell Laboratory of Lanzhou University, Lanzhou Institute of Modern Physics of Chinese Academy of Sciences, and Department of Traditional Chinese Medicine of Gansu Provincial Rehabilitation Center Hospital, China from December 2005 to August 2006. The cellular neurobiology, in vitro experiment was conducted at the Institute of Human Anatomy, Histology, Embryology and Neuroscience, School of Basic Medical Sciences, Lanzhou University, and Department of Traditional Chinese Medicine of Gansu Provincial Rehabilitation Center Hospital, China from March 2007 to January 2008. MATERIALS： Naotan Pill, composed of barbary wolfberry fruit, danshen root, grassleaf sweetflag rhizome, and glossy privet fruit, was prepared by Gansu Provincial Rehabilitation Center, China. Rabbit anti-synaptophysin, choline acetyl transferase polyclonal antibody, streptavidin-biotin complex kit and diaminobenzidine kit （Boster, Wuhan, China）, as well as glutamate （Hualian, Shanghai, China） were used in this study. METHODS： Cortical neural cells were isolated from neonatal Wistar rats. Neural cell damage models were induced using glutamate, and administered Naotan Pill prior to and following damage. A total of 54 juvenile Wistar rats were equally and randomly assigned into model, Naotan Pill, and sham operation groups. The left common carotid artery was ligated, and then rat models of hypoxic-ischemic injury were assigned to the model and Naotan Pill groups. At 2 days following model induction, rats in the Naotan Pill group were administered Naotan Pillsuspension for 21 days. In the model and sham operation groups, rats received an equal volume of saline. MAIN OUTCOME MEASURES： Neural cell morphology was observed using an inverted phase contrast microscope. Survival rate of neural cells was measured by MTT assay. Synaptophysin and choline acetyl transferase expression was observed in the hippocampal CA1 region of juvenile rats using immunohistochemistry. Cognitive function was tested by the Morris water maze. RESULTS： Pathological changes were detected in glutamate-treated neural cells. Neural cell morphology remained normal after Naotan Pill intervention. Absorbance and survival rate of neural cells were significantly greater following Naotan Pill intervention, compared to glutamate-treated neural cells （P 〈 0.05）. Synaptophysin and choline acetyl transferase expression was lowest in the hippocampal CA1 region in the model group and highest in the sham operation group. Significant differences among groups were observed （P 〈 0.05）. Escape latency and swimming distance were significantly longer in the model group compared to the Naotan Pill group （P 〈 0.05）. CONCLUSION： Naotan Pill exhibited protective and repair effects on glutamate-treated neural cells. Naotan Pill upregulated synaptophysin and choline acetyl transferase expression in the hippocampus and improved cognitive function in rats following hypoxia-ischemia.     

脑血管病再卒中13例临床分析

目的：探讨脑血管病再卒中及其影响因索。方法：进行生物、心理、社会医学因素检查及评定。结果：本组13例原发病均末被拉制；用CES-D对抑郁症状评定．发病9／12例：用Fugl-Neter9项生活满意度量表评定，其中职业、业余生活、性生活满意度明显下降，总体生活满意度下降。结论：初发脑卒中后要进行早期康复训练，注重整体康复，强化社区康复，改善生物、心理、社会因素的不良影响．防止再卒中。