2ME2对脊髓损伤大鼠运动功能及凋亡相关基因caspase-3表达的影响

目的探讨2-甲氧基雌二醇(2ME2)对脊髓损伤(SCI)大鼠运动功能及细胞凋亡相关基因caspase-3表达的影响。方法成年雄性SD大鼠72只按随机数字表法分为假手术组、脊髓损伤组和2ME2治疗组,每组24只,采用改良的Allen’s法制作脊髓损伤模型,2ME2干预组大鼠自脊髓损伤模型建立后第1天开始按24 mg/kg给予2ME2腹腔注射,连续注射7 d,在造模成功后1 d、3 d、7 d、14 d、21 d、28 d采用BBB运动评分系统对各组大鼠运动功能进行评估,造模成功后第7天应用免疫荧光技术检测各组大鼠caspase-3表达,应用TUNEL染色进行凋亡细胞计数。结果造模后14 d、21 d、28 d 2ME2治疗组BBB评分显著高于脊髓损伤组,差异具有统计学意义(P<0.05),与假手术组相比,脊髓损伤组及2ME2治疗组caspase-3表达阳性细胞数及凋亡细胞数显著增加,差异具有统计学意义(P<0.05),2ME2治疗组较脊髓损伤组caspase-3表达阳性细胞数及凋亡细胞数显著减少,差异具有统计学意义(P<0.05)。结论 2ME2治疗能改善脊髓损伤大鼠肢体运动功能,具有一定神经保护作用,其治疗机制可能与通过抑制脊髓损伤后的进一步细胞凋亡相关基因的表达有关。     

降纤酶对脊髓损伤后VEGF的表达及细胞凋亡的作用

目的 观察降纤酶对大鼠脊髓损伤后血管内皮生长因子(VEGF)的表达及细胞凋亡的影响.方法 SD大鼠随机分为假手术组、对照组、干预组,每组各30只.各组分别于伤后各个时间点进行运动功能(BBB)评分,并随机处死5只,损伤部位取材进行HE染色和免疫组化染色,在光镜下观察、计算VEGF阳性细胞数及凋亡细胞数.结果 假手术组的BBB评分为21分,对照组、干预组在各时间点评分明显降低,干预组在5d及之后的各时间点BBB评分明显高于对照组(P＜0.05),尤其7d、14 d、28 d时间点两组有显著性差异(P＜0.01).脊髓损伤后对照组VEGF在脊髓损伤及损伤周边区高表达,5d达高峰,7d、14d表达仍较明显,28 d见少量表达.干预组各时间点VEGF的表达和对照组相比明显增加(P＜0.05),其中3d、5d、7d、14 d时间点差异显著(P＜0.01).凋亡细胞在脊髓损伤后逐渐增多,1d达高峰,此后逐渐减少;干预组各个时间点凋亡细胞数较对照组明显减少(P＜0.05),其中3d、5d、7d时间点差异显著(P＜0.01).相关性分析发现对照组1～5d时间点VEGF阳性细胞数和细胞凋亡数呈负相关(r=-0.90052,P＜0.05).结论 降纤酶可能通过促进VEGF的表达减少细胞凋亡,从而对急性脊髓损伤起治疗作用.     

Meth对大鼠SCI后神经细胞凋亡及wnt/β-catenin信号通路的影响

目的 探讨甲基强的松龙(methylprednisolone,Meth)对大鼠脊髓损伤(spinal cord injury, SCI)后神经细胞凋亡及wnt/β-catenin 信号通路的影响。方法 将60只SD成年大鼠随机分为3组,即假手术(Sham)组、甲基强的松龙(Meth)组和生理盐水(Saline)组,每组各20只; 假手术组仅需切开椎板不损伤脊髓,甲基强的松龙组和生理盐水组采用改良Allens法制作大鼠脊髓损伤模型后立即从尾静脉注射大剂量MP治疗,并在术后第1、2 d相同的时间点分别注射1次; 采用尼氏染色(Nissl)观察组织形态变化; 采用免疫荧光观察蛋白caspase-3表达水平; 采用Western Blot检测各组wnt/β-catenin信号通路蛋白GSK-3β和β-catenin的表达水平。结果 甲强的松龙组(Meth)第7 d SCI较生理盐水组明显减轻(P<0.01); Meth组抑制凋亡蛋白caspase-3表达水平明显下调(P<0.01); 大鼠急性脊髓损伤(SCI)后第3、7 d,甲基强的松龙组呈现抑制蛋白GSK-3β表达(P<0.05),而蛋白β-catenin表达则明显上调(P<0.05)。结论 大鼠急性脊髓损伤后MP可能通过激活wnt/β-catenin信号通路来促进大鼠运动功能恢复以及抑制急性脊髓损伤神经细胞的凋亡。     

半乳糖凝集素-1对急性脊髓损伤模型大鼠的保护作用及其机制

目的研究半乳糖凝集素-1(Galectin-1)对大鼠急性脊髓损伤的保护作用及其机制。方法 45只SPF级SD大鼠随机平均分为Galectin-1组、甲泼尼龙(MP)组和生理盐水对照组(生理盐水组)。以Allen's法打击脊髓造模,分别在术后1 d、7 d、14 d每组各取5只大鼠,先做BBB评分及斜板试验,然后处死大鼠取损伤处脊髓组织进行苏木精-伊红(HE)染色及胶质纤维酸性蛋白(GFAP)免疫组化染色检测,同时用酶联免疫吸附测定(ELISA)法检测血清白细胞介素-10(IL-10)的含量。结果术后1 d,3组大鼠BBB评分、斜板试验结果及血清IL-10含量的差异无统计学意义(均P0.05);术后7 d、14 d,MP组和Galectin-1组的BBB评分、斜板试验结果及血清IL-10含量均较生理盐水组高(均P0.05),而MP组与Galectin-1组之间的差异均无统计学意义(均P0.05)。HE染色显示术后各时间点,Galectin-1组和MP组脊髓损伤肿胀及出现核固缩或解离神经元的数量少于生理盐水组。术后1 d,3组大鼠脊髓星形胶质细胞(GFAP表达阳性)数量无明显区别;术后7 d、14 d,Galectin-1组及MP组明显多于生理盐水组,而Galectin-1组与MP组则无明显差别。结论Galectin-1对大鼠急性脊髓损伤具有一定的保护作用,其机制可能是通过增强机体IL-10的表达,从而抑制损伤后的炎症反应而发挥脊髓保护作用的。     

蛛网膜下腔移植骨髓基质干细胞治疗大鼠脊髓损伤模型Fas、Fas-L表达变化

目的 通过蛛网膜下腔移植绿色荧光蛋白转基因小鼠骨髓基质干细胞治疗大鼠脊髓挫伤模型,观察凋亡因子Fas和Fas-L在移植后不同时点的变化情况,为骨髓基质干细胞治疗脊髓损伤及机制提供实验室依据.方法 (1)成年健康SD雌鼠66只(体重200～250g)随机分成11组,每组6只,即空白对照组、损伤对照组、细胞移植治疗组(后2组再分为术后1、3、7、14、21d组).(2)在手术前、后对大鼠进行BBB评分和爬网格试验.术后第2d移植MSCs.之后,制作15～20μm厚的连续冰冻切片,间隔取片进行荧光细胞观察及Fas和Fas-L抗体免疫组织化学ABC染色.并在光学显微镜下对脊髓灰质前角进行阳性细胞计数,用图文分析系统检测Fas和Fas-L免疫阳性反应物的平均灰度值.应用SPSS11.0软件包进行组间多个样本均数比较的单因素方差分析、q检验.结果 3组脊髓组织中均可见Fas和Fas-L阳性细胞.损伤对照组和细胞移植治疗组Fas和Fas-L 阳性细胞数出现先升高后降低的趋势,1d组就出现表达,持续到14d组,21d组表达接近正常对照组,高峰出现在7d.21d接近正常对照组.损伤对照组与细胞移植治疗组相比较,阳性细胞数在7d、14d组出现差异(P＜0.05) 细胞移植治疗组Fas和Fas-L 1、3、7d组灰度值低于正常对照组(P＜0.05) .结论 与损伤对照组相比细胞移植治疗组7 、14d组Fas、Fas-L阳性细胞数下降,灰度值升高,2组间有显著性差异,说明移植骨髓基质干细胞下凋7d及14d组Fas、Fas-L的表达.     

许旺细胞-海藻酸钠凝胶移植修复大鼠脊髓损伤*

目的：观察许旺细胞-海藻酸钠凝胶移植对大鼠脊髓损伤后细胞凋亡、Bcl-2表达及下肢运动功能恢复的影响。 方法：清洁级SD大鼠随机分为4组：正常对照组、单纯损伤组、许旺细胞组、许旺细胞-海藻酸钠凝胶组。后3组制作脊髓全横断损伤模型。正常对照组、单纯损伤组不进行移植处理,许旺细胞组植入吸附许旺细胞悬液的明胶海绵块、许旺细胞-海藻酸钠凝胶组植入许旺细胞-海藻酸钠凝胶。分别于 12 h,1,3,7,21 d对动物进行BBB评分后处死,取损伤区脊髓节段制成石蜡切片进行TUNEL、Bcl-2染色,观察脊髓内凋亡细胞、Bcl-2细胞的数量及分布变化。 结果：正常对照组仅有少量淡染Bcl-2阳性细胞;单纯损伤组神经元Bcl-2免疫反应阳性细胞表达的高峰在第3天,14 d时Bcl-2免疫反应阳性细胞表达接近正常水平。许旺细胞-海藻酸钠凝胶移植后损伤脊髓细胞Bcl-2免疫反应阳性细胞表达具有显著增高(P < 0.05),7 d高度表达并持续2周以上。单纯损伤组脊髓内细胞凋亡最多,并于损伤后1,7 d形成两个高峰,多分布于白质中。许旺细胞-海藻酸钠凝胶组BBB评分较单纯损伤组及许旺细胞组明显提高(P < 0.05)。 结论：许旺细胞-海藻酸钠凝胶移植能抑制大鼠脊髓损伤后脊髓细胞凋亡、促进Bcl-2的表达,提高了脊髓运动功能的恢复,但未达到正常水平。 关键词：脊髓损伤;细胞凋亡;许旺细胞;Bcl-2     

人脐血间充质干细胞移植促进大鼠脊髓损伤康复的研究

目的 观察人脐血间充质干细胞(MSCs)对大鼠脊髓损伤的治疗作用,为脊髓损伤的临床治疗提供新策略.方法 分离纯化人脐血MSCs,制备大鼠脊髓损伤模型,随机分为假手术组、模型组和MSCs移植组(BrdU标记),移植后7、14、21d,采用BBB评分评估大鼠行为学变化,免疫荧光法检测MSCs的迁移、存活情况,免疫组化法检测炎症冈子HMGB1、NF-kB及凋亡蛋白Caspase-3在脊髓损伤部位的表达变化.结果 移植后21d,MSCs移植组大鼠肢体功能恢复明显,与模型组比较差别有统计学意义(P<0.05).MSCs移植组大鼠脊髓损伤区及周边可见BrdU阳性细胞.相同时间点,MSCs移植组HMGB1、NF-kB和Caspase-3的阳性表达率远低于模型组,差别有统计学意义(P<0.05).结论 人脐血MSCs移植可显著促进大鼠脊髓损伤的康复,这可能为脊髓损伤的临床治疗提供一种新的途径.     

α-硫辛酸对实验性自身免疫性脑脊髓炎大鼠脑和脊髓内MMP-9表达的影响

目的通过α—硫辛酸(α—LA)对实验性自身免疫性脑脊髓炎(EAE)大鼠脑和脊髓内MMP—9表达水平的影响,探讨α—LA是否具有血—脑脊液屏障(BBB)的保护作用。方法选取雌性Wistar大鼠45只,随机分为3个组,对照组、EAE组、α—LA组(免疫后第6天开始给予腹腔注射30mg·kg-1),分别于免疫后8d、12d、20d断头取脑与脊髓,取大鼠脑和脊髓腰膨大处组织进行免疫组织化学染色检测脑组织和脊髓中MMP—9的表达。结果 EAE组12d组与对照组12d组比较,大鼠脑组织视交叉和脊髓腰膨大处MMP—9阳性细胞数明显增多;α—LA 12d组与EAE组12d组相比较,大鼠脑组织视交叉处和脊髓腰膨大处MMP—9阳性细胞表达数明显减少(P0.05)。结论α—LA可以降低EAE大鼠的发病率,能够降低BBB通透性的标志物MMP—9的水平,具有稳定BBB的作用,提示其在防治多发性硬化(MS)方面,具有很好的应用前景。     

氯化锂对脊髓损伤大鼠内源性神经干细胞的影响

背景：对于脊髓损伤的治疗,移植外源性神经干细胞仍面临着诸多难题,因此激活内源性神经干细胞的“补充治疗”策略成为近来研究热点。已发现氯化锂可以明显抑制神经干细胞的分化而促进其增殖,其效应与Wnt信号通路有关。 目的：探讨氯化锂对大鼠脊髓损伤后内源性神经干细胞的影响。 设计、时间及地点：随机对照动物实验,于2008-03/08在珠江医院中心实验室进行。 材料：Wistar成年雌性大鼠55只,分为3组：正常对照组5只、单纯损伤组25只、氯化锂治疗组25只。氯化锂为广州光华化学试剂厂产品。 方法：单纯损伤组、氯化锂治疗组大鼠采用经典Allens重物坠落法在T10段制作急性脊髓损伤模型。从造模后1 h开始,氯化锂治疗组经腹腔注射氯化锂3 mmol/(kg•d),直至取材;单纯损伤组同法给予等量生理盐水;正常对照组不作任何处理。各组取材前24 h腹腔注射Brdu溶液进行标记,每8 h注射1次,共3次。对距离损伤中心5 mm处的脊髓进行Brdu、连环蛋白免疫组化检测。 主要观察指标：BrdU阳性细胞数及连环蛋白阳性表达面积。 结果：正常对照组脊髓中央管周围及外膜可见少量Brdu阳性细胞,几乎无连环蛋白阳性表达。单纯损伤组造模后24 h即可见大量Brdu阳性细胞及微量连环蛋白表达,1周时两者达到高峰,主要分布于损伤脊髓周围的灰质和室管膜区,2周后开始明显减少,4周时仅见少量Brdu阳性细胞及连环蛋白阳性表达。与单纯损伤组比较,造模后24 h氯化锂治疗组Brdu阳性细胞及连环蛋白的表达无显著性差异,1周时在中央管周围、外膜、灰质中Brdu阳性细胞数及连环蛋白表达量明显增多(P < 0.05),至2周时仍处于较高水平,4周时仍有大量Brdu阳性细胞及连环蛋白表达。 结论：脊髓损伤后氯化锂的应用可以明显提高损伤脊髓组织内连环蛋白的表达,伴随着连环蛋白浓度的提高及持续表达,促进内源性神经干细胞的增殖,其作用机制与Wnt信号通路有关。     

骨髓基质干细胞静脉移植治疗大鼠脊髓损伤模型后Bcl-2、Bax的表达

目的 通过静脉移植绿色荧光蛋白转基因小鼠骨髓基质干细胞治疗大鼠脊髓挫伤模型,研究骨髓基质干细胞的移植对Bcl-2、Bax表达变化的影响,探讨静脉移植骨髓基质干细胞治疗脊髓损伤的可行性.方法 SD成年雌性大鼠,随机分成正常组、对照组、静脉移植组(后2组再分为术后1、3、7、14、21、28d组).用自制改良的Allen 装置使不锈钢杆自由落下,造成T12脊髓节段挫裂伤.在术前及术后对大鼠进行BBB评分和爬网格试验.术后第2d移植绿色荧光蛋白转基因小鼠的MSCs.之后,分别于1、3、7、14、21、28d取损伤(T12脊髓节段)节段上下约3cm固定,制作15～20μm厚的连续冰冻切片,每隔5片取一片组织进行荧光细胞观察及Bcl-2、Bax抗体免疫组织化学ABC染色.在荧光显微镜下观察细胞移植组灾光细胞,在Olympus光学显微镜下对脊髓灰质前角进行阳性细胞计数,利用HPLAS-1000高清晰图文分析系统检测Bcl-2、Bax免疫阳性反应物的平均灰度值.应用SPSS11.0软件包进行组间多个样本均数比较的单因素方差分析、q检验.结果 在正常组脊髓灰质的前角可见Bcl-2、Bax阳性神经元的表达,Bcl-2免疫阳性产物主要定位于核膜中.Bax主要分布于位于神经元胞浆中.Bcl-2和Bax阳性细胞伤后7d达高峰,随后开始下降.细胞移植后该规律不变.对照组Bcl-2阳性神经元表达与各移植组比较有显著性差异(P＜0.05).结论 与损伤对照组相比细胞移植治疗组7、14d组Bcl-2阳性细胞数上升、Bax阳性细胞数下降,灰度值升高2组间有显著性差异,说明移植骨髓基质干细胞下调,7d及14d组Bax而上调Bcl-2的表达.     

The effect of age of onset of PD on risk of dementia

Background Dementia occurs in the majority of patients with Parkinson’s disease (PD). Late onset of PD has been reported to be associated with a higher risk for dementia. However, age at onset (AAO) and age at baseline assessment are often correlated. The aim of this study was to explore whether AAO of PD symptoms is a risk factor for dementia independent of the general effect of age. Methods Two community-based studies of PD in New York (n = 281) and Rogaland county, Norway (n = 227) and two population-based groups of healthy elderly from New York (n = 180) and Odense, Denmark (n = 2414) were followed prospectively for 3–4 years and assessed for dementia according to DSM-IIIR. All PD and control cases underwent neurological examination and were followed with neurological and neuropsychological assessments. We used Cox proportional hazards regression based on three different time scales to explore the effect of AAO of PD on risk of dementia, adjusting for age at baseline and other demographic and clinical variables. Findings In both PD groups and in the pooled analyses, there was a significant effect of age at baseline assessment on the time to develop dementia, but there was no effect of AAO independent of age itself. Consistent with these results, there was no increased relative effect of age on the time to develop dementia in PD cases compared with controls. Interpretation This study shows that it is the general effect of age, rather than AAO that is associated with incident dementia in subjects with PD. Received in revised form: 22 December 2005     

腺垂体功能减退症临床特征变化分析

目的探讨腺垂体功能减退症患者的病因结构变化及临床表现。方法回顾性分析我院2013-01—2016-12住院及门诊78例腺垂体功能减退症患者的临床资料。结果男32例(41.03%),女46例(58.97%);诊断时年龄11~89岁,平均62.5岁;鞍区占位(包括术前及术后)52例(66.67%),席汉综合征8例(10.26%),空泡蝶鞍9例(11.65%),病因不明8例(10.26%),垂体-下丘脑发育不良1例(1.28%)。首次就诊科室:纳差厌食、恶心呕吐就诊于消化内科36例(46.15%)最常见。ACTH+TSH+Gn+G激素缺乏为19例最多,占24.36%,ACTH+TSH+Gn缺乏15例,占19.23%。结论腺垂体功能减退症病因结构发生变化,发病人群、首发症状及受累激素也不同,患者女性多于男性,发病年龄偏高,症状不典型,分布于临床多个科室,其中以低钠血症为首发临床表现就诊消化内科最多。     

Standards of instrumentation of EMG

Standardization of Electromyography (EMG) instrumentation is of particular importance to ensure high quality recordings. This consensus report on “Standards of Instrumentation of EMG” is an update and extension of the earlier IFCN Guidelines published in 1999. First, a panel of experts in different fields from different geographical distributions was invited to submit a section on their particular interest and expertise. Then, the merged document was circulated for comments and edits until a consensus emerged.The first sections in this document cover technical aspects such as instrumentation, EMG hardware and software including amplifiers and filters, digital signal analysis and instrumentation settings. Other sections cover the topics such as temporary storage, trigger and delay line, averaging, electrode types, stimulation techniques for optimal and standardised EMG examinations, and the artefacts electromyographers may face and safety rules they should follow. Finally, storage of data and databases, report generators and external communication are summarized.     

帕金森病运动症状进展分析

目的分析帕金森病(PD)患者运动症状进展特点。方法采用PD统一评分量表(UPDRS)Ⅲ对912例PD患者进行评估。结果与病程1年的患者比较,除病程1~2年的患者外,其他病程患者的UPDRSⅢ评分、强直分、姿势或步态异常分、轴性症状总分、言语分、步态分显著升高(均P0.05),病程5~6年及14年患者的震颤分,病程5~6年、7~8年、9~13年、14年患者的运动迟缓分、姿势分显著升高(P0.05~0.01)。轴性症状进展速度高于UPDRSⅢ评分。结论 PD患者病程早期UPDRSⅢ评分进展快,震颤症状进展独立于其他症状,轴性症状评分较UPDRSⅢ更敏感地反映疾病加重趋势。     

Frequency of accumulation of filaments in adaxonal cytoplasm of Schwann cells of myelinated fibers of rat spinal roots

Summary The frequency of accumulation of 6-nm filaments in the adaxonal cytoplasm of Schwann cells in the 6th lumbar dorsal and ventral roots was evaluated in 4-, 8-, 26- and 45-week-old Sprague-Dawley rats. The frequency was higher in 4- and 8-week-old (growing) rats than in 26- and 45-week old (mature) rats, and also higher in ventral than in dorsal roots in 4-, 8- and 26-week old rats. There were no clusters on certain groups of myelinated fibers according to the size of transverse axonal area, in both the ventral and dorsal roots. Therefore, this accumulation may reflect certain functions of the adaxonal cytoplasm of Schwann cell during natural growth and maturation of the axon and myelin sheath.     

Function of circle of Willis

Nearly 400 years ago, Thomas Willis described the arterial ring at the base of the brain (the circle of Willis, CW) and recognized it as a compensatory system in the case of arterial occlusion. This theory is still accepted. We present several arguments that via negativa should discard the compensatory theory. (1) Current theory is anthropocentric; it ignores other species and their analog structures. (2) Arterial pathologies are diseases of old age, appearing after gene propagation. (3) According to the current theory, evolution has foresight. (4) Its commonness among animals indicates that it is probably a convergent evolutionary structure. (5) It was observed that communicating arteries are too small for effective blood flow, and (6) missing or hypoplastic in the majority of the population. We infer that CW, under physiologic conditions, serves as a passive pressure dissipating system; without considerable blood flow, pressure is transferred from the high to low pressure end, the latter being another arterial component of CW. Pressure gradient exists because pulse wave and blood flow arrive into the skull through different cerebral arteries asynchronously, due to arterial tree asymmetry. Therefore, CW and its communicating arteries protect cerebral artery and blood–brain barrier from hemodynamic stress.     

Release of endogenous catecholamines from slices of hypothalamus of rats

The release of endogenous catecholamines from superfused slices of rat hypothalamus was studied under basal conditions and during release evoked by 40 mM K⁺. Catecholamines in superfusates, and in extracts of the tissue after stimulation, were isolated by column chromatography and quantitated by liquid chromatography with electrochemical detection. Norepinephrine (NE) was not consistently demonstrable in superfusate collected under basal conditions, but 40 mM K⁺ caused the release of from 2 to 4 ng/g of tissue per min. The addition of cocaine to the superfusate caused increases in basal and evoked release of NE. Epinephrine (E) could be measured in superfusates of slices from male but not female rats and then only when cocaine was added to the superfusate. Accordingly, the concentration of E in hypothalamus was greater in male rats than in female rats. Dopamine (DA) was not consistently measurable in the spontaneous overflow from slices either in the presence or absence of cocaine. K⁺-evoked release of DA could be demonstrated in slices from female rats. The addition of cocaine increased the evoked release of DA from slices from both sexes. Corticosterone, added to cocaine, had no effects on the efflux of any of the catecholamines. The experiments suggest that neuronal reuptake of all catecholamines is very efficient in the hypothalamus both under basal conditions and during evoked release.     

Effects of prevention of afferentation of the development of the chick optic lobe

BONDY, S. C., M. E. HARRINGTON AND C. L. ANDERSON. Effects of prevention of afferentation on the developmentof the chick optic lobe. BRAIN RES. BULL. 3(5) 411–413, 1978.—The effects of unilateral extirpation of the right optic cup of the three-day incubated chick embryo upon the rate of synthesis and the stability of DNA in the non-innervated optic lobe, have been studied. This surgical procedure prevents innervation of the optic lobe contralateral to the removed eye, while the other optic lobe is normally innervated by retinal ganglion cells of the remaining eye. At the 20th day of incubation, the DNA content of the non-innervated lobe was below that of the paired lobe receiving normal innervation. This deficiency of cell number was caused by two events; death of an excess number of neurons formed early in embryogenesis and a reduced rate of glial proliferation in the later stages of incubation.     

《绵阳市社会心理服务工作管理办法》解读

2018年,国家卫生健康委员会等10部委联合发布《关于印发全国社会心理服务体系建设试点工作方案的通知》,四川省绵阳市被列为全国第一批试点地区。绵阳市人民政府依据《中华人民共和国精神卫生法》等相关法律法规和文件精神,结合前期调查研究和社会心理服务工作的试点实际,编制出台了《绵阳市社会心理服务工作管理办法》,并于2021年12月25日起施行。本文围绕社会心理服务的相关概念、办法总则、重点内容、保障措施等方面进行解读,以期为社会心理服务工作的规范、持续和有效开展提供参考。     

阿立哌唑对精神分裂症患者生活质量的影响

目的:比较阿立哌唑与利培酮对精神分裂症患者生活质量的影响。方法:60例精神分裂患者随机平分为两组各30例,分别给予阿立哌唑和利培酮治疗。疗程8周。用生活质量综合评定问卷-74(GQOLI-74)、阳性与阴性症状量表(PANSS)及副反应量表(TESS)评定疗效及不良反应。结果:阿立哌唑与利培酮均能显著提高精神分裂症患者生活质量,但阿立哌唑在改善GQOLI-74总分、躯体健康及社会功能维度优于利培酮。结论:阿立哌唑治疗有利于提高精神分裂症患者生活质量。