Rehabilitation of mental disturbance in patients with stroke

It is considered now that early rehabilitation interventional mechanism is related to the plasticity of brain that means after injury of neural function,cental nervous system has the ability of compensation and functional recombination.OBJECTIVE：To explore the effects of early rehabilitation on paralysis after cerebral infarction.     

Incidence and related factors of dysphagia in stroke patients

AIM：To investigate the incidence and related factors of dysphagia in stroke patients. METHODS:Water drinking test were applied to 100 patients who received continuously by neurology and rehabilitation department after their condition was stable. RESULTS:Dyshagia incidence of the 100 cases of stroke patients was 33%.CONCLUSION:Analysis of related factors indicates that incidence of dysphagia has no relationship with sex,age,positipn of the lesion and complications, but shows correlation with status of consciousness,cognitive skill,character of the lesion, position,course,exercise ability, daily life activites. buccofacial apraxia,speech apraxia and aphasia.     

Rehabilitation therapy centralized on facilitation and acupuncture on upper extremities spasm after stroke

AIM:To observe the therapeutic effect of rehabilitation therspy centralized on facilitation and acupuncture on upper extrmilies spasm after stroke.METHODS:56 cases of stroke patients with upper extremities spasm were divided into two groups by random.28 patients in treatment group were received rehabilitation therapy centralized on facilitation and acupuncture treatment.Others in control group were received traditional method.RESULT:All patients were evaluated by muscle tone evalustion of Ashworth Scale.The outcomes of two groups has significant different(P&;lt;0.01).CONCLUSION:We could archive the satisfactory effects with acupuncture and rehabilitation therapy centralized on facilitation on upper extremities spasm of stroke patients.     

高压氧对中枢性眩晕的治疗作用

目的探索脑卒中所致眩晕最有效合理的综合治疗方法。方法脑卒中所致眩晕病人72例,随机分为药物组34例,男20例,女14例,平均(64±7)岁,病程2d～5年,用低分子右旋糖酐250ml加入复方丹参20ml,静脉输液1次/d;尼莫地平40mg,口服3次/d;安定5mg,口服2次/d。高压氧(HBO)治疗组38例,男22例,女16例,平均(63±7)岁,病程1d～5.5年,在上述药物治疗基础上,用双人纯氧舱治疗,压力196kPa(2ATA),治疗总时间90～95min,1次/d。两组疗程均为10d,均于入组前后对眩晕强度、显效时间及伴随症状进行定量评价及统计学处理。结果两组降低眩晕强度较治疗前均显著(P<0.01),但HBO组比药物组降低眩晕强度更明显(P<0.05)。HBO组缩短显效时间比药物组显著(P<0.05),对耳鸣、听力下降、共济失调等伴随症状的改善也比药物组显著(P<0.05)。结论HBO综合治疗脑卒中所致眩晕其疗效优于单纯药物治疗。