Electrophysiological manifestation of 8cases of poems syndrome

INTRODUCTIONPoemsdyndromisakindofrarelyseenclinicalsymptomeswithmultiplesystemimpairment，includingpolyneuropathy，swellingoforgans，endocrinedisorder，Mproteinandskinlesions．Othersymp－tomsincludinganasarca，profusesweating，hippocraticnailsandlowfebrile．GENERALDATA８casesofPoemssyndromepatienswerereceivedfromFebruary１９９３toDecember２００１with５malesand３females，agerangingfrom２０to４７yearswithaverage３８years．Firstexaminationtimewasrangingfrom８monthto１０years．Clinicalm…     

中国部分地区中老年人群骨质蔬松症流行病学研究

Theresearchisthelargesteffortonosteoporosisthathasbeenundertaken，andoneofthefewcountry－wideglobalefforts．TheresearchisespeciallyimportantwiththesuggestionthatChinesehavelowbonedensityingeneral，andtherapidagingoftheChinesepopulation犤１－２犦．１Materialsandmethods１．１SubjectsSubjectswereobtainedwithinformedconsentfrom５５９３HannationalityandregisteredinfiveareasofChinaincludingNorth，South－middle，East，South－westandNorth－eastbythestrati－fied－multi－steps－clustersamplingmethod…     

曲美他嗪对陈旧性心肌梗死康复期运动耐量的影响

Persistentinsufficientflowofcoronaryarterywillleadtohi－bernationofpartialmyocardiumfollowingmyocardialinfarctionduetocoronaryheartdisease，andthusdecreasingheartfunction，ex－ercisetolerance，andqualityoflifeduringrehabilitationphase．TMZ，theinhibitorof３－KAT，playsthecardinalroleinen－ergymetabolismofmyocardium．Inpresentstudy，weobservedim－pactofTMZonexercisetoleranceofpatientswitholdmyocardialinfarction．１Subjectsandmethod１．１Subjects５８patientssufferedfromcoronaryscopyorclini－…     

奇曼丁治疗晚期癌症疼痛的疗效

Itisestimatedthat７０％patientssufferedfromadvancedtumorsdevelopedpainofdifferentextent．Painaffectsqualityoflifedirect－ly，mind，psychology，socialandpersonalrelationandleadtodis－comfort犤１犦．WiththespreadingofWHOthree－stepmanagement，ad－ministrationwaysaretransformedfromdemanddependanttotimedepend犤１犦．Tramcontin（slowreleasedtramadol），theweakthebaicdrug，cancontrolmoderatepain．１Subjectandmethod１．１Subject１１６caseswithpathologicallyandradiologicallyprovedadvancedtumors（６…     

神经根性疼痛与肿瘤坏死因子相关性研究

Itisgenerallythoughtthatnerveroot，whichiscompressedbydiscprotrusionorbonehyerplasia，doesn＇tresultinpain．PGE－２，PLA－２，NOandsoonareallinflammationagents．TNFisalsoakindofinflammationagent．TNFhaswidebiologyrole．Itsimpor－tancewasemphasizedandithasbeenreportedthatTNFhasex－pressionindisc犤１犦．ThesubjectofthisarticleaimstostudythecorrelationbetweenTNFandnerverootpain．１Subjectsandmethod１．１SubjectsInthearticle４５caseswerereported，male２４cases，female２１cases；cervicalsy…     

采用四股半腱肌肌腱和缝线钢板重建前十字韧带后的康复训练

FromMay１９９７toApril２００１，wereconstructedoldanteriorcruciateligament（ACL）injuryusingquadrupled－strandedsemi－tendinosustendonandsutureplateand１－yearrehabilitationexer－cise，andtherapeuticeffectwasfavorable．Hereisthereport．１Subjectandmethod１．１Subjects５１patients（２７malesand２４femalesaged１３～５７years，meanage：２４．７）enteredourstudy．Patientswithseverecompoundinjuriesofposteriorinnerandouterligamentswereex－cludedfromourstudy．AccordingtoLysholmkneescorescale犤１犦…     

He-Ne激光重复照射抑制培养增生性瘢痕成纤维细胞胶原合成的实验研究

Hypertrophicscar（HS），atypeoffibrosisdiseaseofskinwhichischaracterizedbyhyperproductionanddepositionofcolla－genmatrix．So，inhibitionofcollagensynthesisanddepositionofcollageninfibroblastsareimportantforpreventionofHS犤１犦．Inthecurrentstudy，He－NelaserofvariouspowerdensitywasusedtoirradiateculturedfibroblastsderivedfromHStostudythepre－ventingeffectsofHe－NelaseronHS．１Materialsandmethod１．１Cellcultureandgrouping５casesofHSwereincludedinthisstudyaged１２～３１yearsold（２males，…     

P27基因对人喉癌细胞抑制作用的研究

１Materialsandmethods１．１CelllinesandvectorHumanlaryngealcarcinomacelllineHep－２weregrowninDulbeccomodifiedEaglemedium．Thep２７eu－karyoticexpressionvectorpCMV－p２７wasagiftfromDrLijinge．１．２DNAtransfectionDNAtransfectionbyLipofectamineac－cordingtothemanufacturer｀sinstructions（Gibco）．１．３AnalysisofcellcyclebyflowcytometryCellstransfectedwithpCMV－p２７werecollectedbytrypsinization，fixedwith７０％ethanol．After４８hours，cellswerecollected，resuspendedin１mloflysisbuffe…     

腹膜后转移瘤介入治疗后生存质量随访

Nowadays，interventionaltherapyacquiredmoresignificanceinthetreatmentofmalignanttumors．Weappliedintra－tumorinjectionofanti－carcinomadrugs，inducedbyB－ultrasound，totreatpost－peritoneummetastatictumor．Hereisthereport．１Materialsandmethods１．１Materials１１caseswithpost－peritoneummetastatictumorswerechosenduringJanuary１９９８andJanuary２００１．Theoriginaltumors：２casesoflungcancer，２casesofgastriccarcinomaand６casesofcoliccarcinoma．７malesand４femaleswithaverageageof４９years．１…     

腰椎间盘突出症术后早期主动训练效果的临床观察

FromJanuary１９９３toJanuary１９９９，wehaveobserved７９casesaftertheoperationformonosegmentallumberintervertebraldischer－niationcontinuously，andthepatientsweredividedintoearlyactivetraininggroupandroutinecontrolgrouprandomly，aswellasacceptedtrainingandfollow－upof１～６yearsrespectively．Theresultsshowedthattheearlyactivetraininggrouphadbetterrecentanddistantob－jectiveeffectandmorepatientsweresatisfiedwiththeoperationalef－fects．Sowewillreportitasfollowing．１ObjectsandMethod１．１Obje…     

Post—stroke dizziness and psychological disturbance

AIM:to study the relationship between post-stroke dizziness and psychological factors.METHODS:To choose 82 cases with dizziness after struke.The patients whose medical treatment were invalid were divided into two groups randomly.The experimental group of 43 cases was treated with antipsychotic and the controls group of 39 cases was treated with consolation.RESULTS:The total effective rate in experimental group was significantly higher than that in the control group (P<0.001),CONCLUSION:It is suggested that though the mental scales scores might be normal,post-stroke dizziness should be treated for a long-term helplessly be just a sign of psychological matter,It ought to be discerned and given pertinent treatments.     

张力平衡针法对脑卒中痉挛瘫痪患者血脂和血糖的调节作用

目的：观察张力平衡针法对脑卒中痉挛瘫痪患者血脂、血糖的影响。方法 选择脑卒中痉挛瘫痪患者220例。随机法分为A组与B组各110例，分别采用张力平衡针法（A组）与传统针法（B组）进行对照观察，并于治疗前后测定患者血脂、血糖含量的变化。结果：治疗30d后，与治疗前比较2组患者肌张力改善．血脂、血糖指标均有下降，A组与B组比较改善更显著（P〈0．O5）。结论：张力平衡针法能显著改善脑卒中痉挛瘫患心并的肌张力和恢复神经功能，在下调血脂、血糖方面亦优于传统针法组。     

音乐健身行走对脑卒中后抑郁障碍患者康复的影响

目的 探讨音乐健身行走对脑卒中后抑郁障碍患者临床康复的影响.方法 将24例脑卒中后抑郁障碍患者随机分为两组,均维持脑卒中治疗方案不变,研究组联合音乐健身行走,对照组联合抗抑郁剂治疗.观察8周.治疗后以临床症状缓解程度及汉密顿抑郁量表总分减分率判定临床疗效,副反应量表评定不良反应.结果 研究组总有效率为83.3％,对照组为75.0％,两组比较差异无显著性（P＞0.05）.研究组不良反应主要表现为疲乏、口干,对照组主要表现为恶心、头晕、食欲减退、心悸、便秘.结论 音乐健身行走治疗脑卒中后抑郁障碍临床疗效确切,方法简便,安全性高.     

FOME在脑卒中患者记忆功能障碍评估中的应用

目的:探讨Fuld物体记忆评估量表(FOME)在脑卒中患者记忆功能障碍评估中适用性及其应用。方法:收集脑卒中患者116例及对照组人群120例,收集受试者背景资料并分别进行FOME及蒙特利尔认知评估量表(MoCA)北京版评估。比较2组FOME、MoCA评分结果,并将FOME各项结果与MoCA、受试者年龄及教育程度进行相关性分析。结果:FOME各项结果在中风组与对照组中存在显著性差异(P0.01)。FOME各项结果与MoCA得分为高度相关(P0.01)。FOME各项结果与年龄呈弱相关,与教育水平未有显著性差异。结论:FOME适用于脑卒中后记忆功能障碍的评估。它受教育程度的影响小。可用于探查中风后痴呆症,并能指导脑卒中后记忆功能训练。     

西酞普兰合并丁螺环酮治疗卒中后抑郁的疗效与安全性

目的：探讨西酞普兰合并丁螺环酮治疗卒中后抑郁的疗效与安全性。方法：脑卒中后抑郁患者60例随机分为观察组和对照组各30例,均服用西酞普兰20mg/d,2周内增至30-40mg/d;观察组同时加用丁螺环酮30mg/d。结果：与治疗前比较,治疗1周时,汉密顿抑郁量表（HAMD）评分,观察组即明显下降（P〈0.05）,治疗2周时对照组开始下降。治疗8周时,2组HAMD和中国卒中量表（CSS）评分均显著下降,日常生活活动能力量表（ADL）明显提高（P〈0.05或0.01）;与对照组比较,观察组HAMD、ADL改善更明显（P〈0.05）,副反应量表（TESS）则无差异。治愈显效率观察组优于对照组（83.3%、60%,P〈0.05）。结论：西酞普兰合并丁螺环酮能加强卒中后抑郁的治疗作用,且起效迅速,患者症状改善明显,显示出联合用药的优点。     

呼吸促进技术配合针刺对脑卒中后顽固性呃逆的疗效观察

目的观察呼吸促进技术结合针刺治疗脑卒中后顽固性呃逆的效果。方法将68 例脑卒中后顽固性呃逆患者分为观察组和对照组,每组各34 例。对照组进行毫针针刺治疗,观察组在毫针针刺治疗的基础上配合呼吸促进技术训练。分别在治疗3d、7 d 后评价患者呃逆改善情况。结果两组连续治疗3 d 及7 d 后进行疗效观察,观察组总有效率均高于对照组(P<0.05)。结论呼吸促进技术可以有效地治疗脑卒中后顽固性呃逆。     

舒血宁联合氟桂利嗪治疗椎-基底动脉供血不足性眩晕的临床效果观察

目的探究舒血宁联合氟桂利嗪治疗椎-基底动脉供血不足性眩晕的临床效果。方法以该院2016年2月至2018年2月收治的60例椎-基底动脉供血不足性眩晕患者作为研究对象,按住院号尾数单双号分为观察组(舒血宁联合氟桂利嗪治疗)和对照组(氟桂利嗪治疗),每组各30例。探讨实施不同治疗方案对治疗效果的影响。结果观察组患者总有效率(96.67%)明显高于对照组(80.00%),差异有统计学意义(P<0.05);治疗后观察组患者全血比黏度、血浆黏度、纤维蛋白原、红细胞比容等血液流变学指标水平均明显低于对照组,差异均有统计学意义(P<0.05);治疗后观察组患者生活质量评定量表各维度评分均高于对照组,差异均有统计学意义(P<0.05);治疗过程中所有患者肝、肾功能未见明显异常改变,未发现药物不良反应。结论舒血宁联合氟桂利嗪治疗椎-基底动脉供血不足性眩晕时,可协同改善椎-基底动脉供血不足,通过氟桂利嗪解除血管痉挛。舒血宁可降低血液黏稠度,清除自由基,减轻缺血再灌注损伤,减少神经细胞凋亡,有效改善临床症状,值得临床推广应用。     

交变电磁场疗法对脑卒中后抑郁的临床效果

目的：探讨交变电磁场疗法对脑卒中后抑郁（PSD）患者的临床效果。方法：PSD患者119例,分为磁疗组61例和对照组58例,均配合心理治疗及服用帕罗西汀片,磁疗组增加交变电磁场治疗30 min,每日1次。治疗前后均采用汉密顿抑郁量表（HAMD）、临床神经功能缺损评分（CNS）及ADL评分评定抑郁状态、神经功能缺损程度及ADL。结果：经过平均4周的治疗,2组HAMD及ADL评分与治疗前比较均有明显下降,磁疗组表现更明显（均P〈0.01）。CNS评分,磁疗组较治疗前及对照组明显下降,对照组治疗前后变化不明显。治疗后临床疗效比较,磁疗组痊愈率及总有效率均明显高于对照组（47.5%、88.5%与25.9%、74.1%,P〈0.05）。结论：应用交变磁场治疗脑卒中后抑郁能明显改善患者精神症状,降低神经功能的缺损程度。     

情志护理对改善脑卒中后抑郁症状的效果观察

[目的]探讨情志护理对改善脑卒中后病人的抑郁状态效果。[方法]根据Zung抑郁自评量表,将有抑郁状态的285例病人随机分为观察组(140例)和对照组(145例)。两组均采用常规治疗和护理,观察组给予情志护理。[结果]观察组抑郁状态明显低于对照组。[结论]实施情志护理可改善脑卒中后病人抑郁的状态,且效果显著。     

卒中单元病房综合治疗脑卒中后抑郁状态的疗效

目的：探讨卒中单元病房综合治疗对脑卒中后抑郁状态的疗效。方法：随机抽取卒中单元病房的脑卒中患者450例为卒中组和普通神经内科住院的脑卒中患者180例为对照组,均采取常规药物治疗;卒中组同时配合综合康复治疗,包括肢体运动康复、语言训练、心理康复和健康教育等。将2组患者的PSD发生率进行比较,对有PSD患者进行治疗,并比较疗效。结果：治疗2周后,卒中组患者PSD的发生率低于对照组（P〈0.01）;治疗8周后,卒中组PSD患者汉密尔顿抑郁量表（HAMD）评分与治疗前及与对照组PSD患者比较均明显降低（P〈0.01）。结论：在卒中单元病房综合康复治疗能降低卒中后PSD的发生率,并能显著改善PSD患者HAMD评分,提高临床疗效。