人神经生长因子治疗血管性痴呆疗效观察

Thewritertriesouttotreat２４caseswhowerediagnosedvas－culardementiawiththenervegrowthfactor（NGF），curativeeffectisobvious．Thefollowingistheresult．１Subjectsandmethod１．１SubjectsDuringOctober１９９７～March１９９９，４７patientswithvasculardementiaenteredthestudy．AllpatientswereexaminebyCT，andhadover２infractedfocuses，andallcaseswerediag－nosedaccordingtoNINCDS－ADRDAstandard犤１犦Accordingtodegreeofdementia，theyweredividedtothreetypes，milddegree（２４cases），moderatedegree…     

Hypoxemia features of sleep of pulmo nary heart disease and practical value of oxygen therapy and positive pressure ventilation with no trauma

１Subjectsandmethod１２patientsofpurepulmonaryheartdisease，１０males，２fe－males，agedform５４～７０yearsold（meanage：６０yearsold）．Amongthesepatients，therewere９caseswithlong－termsmokinghistory，７caseswithchronicbronchitisandpulmonaryemphysema，１casewithremotepulmonarytuberculosis，１casewithchronicbronchiectasis，２caseswithpulmonaryinterstitialfibrosis，１casewithchronicorga－nizedpneumonia．Weighingindex（２１～２４）kg／m２．Sleephypoxencicfollowinternationalsleepmedicaldiagnosis…     

巴曲酶对急性脑梗死患者神经功能恢复的影响

１Subjectandmethod１．１Subject６０patientswereadopted２４hoursafteronsetofacutebraininfarction．DiagnosiswasdoneaccordingtodiagnosticstandardsforcerebrovasculardiseasesestablishedbyChineseneu－rologicalsocietyandChineseneurosurgerysociety．AllpatientsshowedCTprovedbraininfarctionandnerveddefect．Patientswithhemorrhagedisease，ulcerdisease，seriousliverandkidneyinjurywereexcludedfromthestudy．Allpatientswererandomlydividedintotreatmentgroup（n＝１８）andcontrol（n＝１２）group．Patientsintr…     

陈旧性十字韧带和侧副韧带断裂康复治疗探讨

Satisfyingtherapeuticeffectwasachievedtoreducethetibi－a－femoralandpatellar－femoraljointsanatomicallywithCharleyar－ticulatedsplintandrecoverthebiologicaldynamiclineoftheknee．Nowreportedasfollows．１Subjectandmethod１．１Subject２４casesincluding２０malesand４femaleswiththeageof１８～４９years（mean：２７years）．１３woundedinrightkneesand１１inleftknees．Durationbetweeninjuryandoperationvariedfrom６to５７months（mean：２０months）．Amongthem，thereis５casesofante－directlability，３caseso…     

小剂量环磷酰胺冲击治疗狼疮性肾炎32例观察分析

采用环磷酰胺（ＣＴＸ）小剂量冲击治疗３２例狼疮性肾炎（ＬＮ），治疗方法为ＣＴＸ０．４加入生理盐水２０ｍｌ静脉缓推，每周１次，累积剂量６．０－８．０ｇ，疗程１５周－２０周，同时口服强的松０．５ｍｇ－１．０ｍｇ．ｋｇ＾－１．ｄ＾－１。结果显示，１０周及疗程结束，２４小时尿蛋白定量从治疗前３．５９±２．３６ｇ。分别降至１．２４±０．８３ｇ、０．４０±０．２０ｇ，比治疗前明显改善，血沉、抗ｄｓ－ＤＮＡ下降     

Repair of posterior skin of heel and postoperative rehabilitation

INTRODUCTIONInjuryofposteriorskinofheeloftencausesskinnecrosisandwhenareaofsofttissuedefectislargeorcomplicatedwithexposureofAchillestendonandbone，therepairisverytroublesome．MATERIALSANDMETHODS７patientswereinvestigatedincluding５malesand２femalesaged２４－４９（mean：３５）yearsoldamongwhichwere５casesofsofttissuedefectaftercrashing，２casesafterskinscald．５caseswerecomplicatedwithexposureoftendonorbone，１casewasduetofailureoffreeskingraft，３caseswerefailureafterlong－termdre…     

Combination of selective anterior and posterior rhizotomy with orthomorphy stage II in treating severe cerebral palsy in children

From１９９７，wehavetreatedseverecerebralpalsyinchildrenwiththecombinationofanteriorandposteriorrhizotomywithortho－morphystageIIofthelowerextremitieswithsignificanteffect．１Subjectsandmethods１．１Subjects１２boysand３girlswithmeanageof７years（agerangefrom４．７～１０years）wereincludedinthisstudy．IntervalbetweenoperationsofstageIandIIwas８to２４months．Palsycon－dition：All１５caseshadpalsyofextremitieswithbasicallynormalupperlimbsin５cases．All１５caseshadscissor＇sgaitsupportedwithpa…     

儿童羟基磷灰石眼座眶内植入对眼眶发育的影响研究

From１９９５to２００１，５３anophthalmicchildrenhavebeenperformedorbitplastywithhydroxyapatiteplantwrappedupwithscleralorduramatershell，andallpatientshavegotsatisfactoryeffects．Theresultsarereportedasfollowing．１Subjectsandmethods１．１MaterialsAgroupof５３patients（aged２～１２averaged６．１，２９maleand２４female）wereafterenucleationofeyeball．Thecauseofenucleationincluded：variantocularinjuryfor３８cases，absoluteglaucomaandendophthalmitisfor６cases，con－genitalmicrophthalmiafor６case…     

Consultation analysis of somatic diseases accompanied by psychological disorder in general hospital

１ClinicaldataConsultationwasconductedfor１２０patientsatalldepartmentsduringJanuary２０００～June２００１．These１２０patientsconsistedof７６men，４４womenagedfrom１４～６８yearsoldwithmeanageof（４８±１４．２）years．Thediseasecourserangedfrom１hourto２０years．２７ofthemwereworkers，４３werepeasants，２０wereleadersand２４weresoldiers，６wereresidentsorpersonswithoutjob．５８hadhighschooleducationorabove，３０hadmiddleschooleduca－tion，２４hadelementaryeducation，and８wereilliterates．３…     

化疗引起的恶心呕吐

化疗引起的恶心呕吐［英］／ＷｅｂｅｒＭＳ…／／ＡｍＪ　Ｎｕｒｓ．－１９９５，９５（４）．－３４化疗病人约有６０％出现恶心呕吐症状，一般可分成三类：（１）急性的：用药后２４小时内发生；（２）迟发的：用药２４小时以后发生；（３）先期出现的：用药之前即有恶...     

Rehabillitation after reconstruction of anterior cruciate ligament with quadrupled-stranded semitendinosus endon and suture plate

Objective To introduce the rehabilitation methods after reconstruction of anterior cruciate ligament(ACL) with quadru-pled-stranded semitendinosus tendon and suture plate.Methods 51cases of ACL ruptures were reconstructed with quadrupled-stranded semi-tendinosus tendon and suture plate,The patients were instructed postoperationally for rehabilitation for more than I year.Results The range of motion of the injured knee were regained in all cases 3 months after operation,The quadriceps/hamstrings peak torque ratio reached approximately 80% of the uninjured leg 1 year after apeation.KT-1000 examination showed that the anterior laxity of the offected knee was greater than the healthy knee in 11.76% and in 10.41% of the patients respectively ,6and 12 months afteroperation,but the patients differences were less than 4 mm,In the other patients ,the anterior laxity of the affected knee was equal or less than the healthy knee 1 year after opation,95.83% patients regain normal gatis,and the total knee score were(97.8&;#177;1.2)according to Lysholm score scale,Conclusion This rehabilitation procedure was practical and effective for functional restoration of the injured knee as well as the injured leg in patients undergoing ACL reconstruction.     

自体四股半腱肌肌腱重建前交叉韧带的功能康复

目的；评价关节镜下用半腱肌肌腱和微型纽扣钢板重建前交叉韧带（ACL）的疗效，并探讨激进康复训练对手术疗效的影响。方法：膝关节前交叉韧带损伤患者32例，均采用关节镜下自体四股半腱肌肌腱和微型纽扣钢板重建ACL，术前后按激进康复方案和本体感觉强化训练。结果：32例患者术后早期均未发生严重并发症。经平均13个月随访，32例患者Lysholm和Gillquist膝关节评分由术前的35-80分提高至78-100分（P〈0．05），其中23例恢复到损伤前运动水平，9例运动水平较前有所下降。结论；关节镜下半腱肌肌腱和微型纽扣钢板重建ACL手术创伤小、出血少，术后恢复快，临床效果满意;配合系统的激进康复训练可明显缩短康复时间，更快地获得膝关节良好的功能。     

单隧道四股半腱肌股薄肌肌腱重建前交叉韧带后的康复训练

【目的】探讨采用单隧道四股半腱肌股薄肌肌腱重建前交叉韧带后的康复训练方法,总结其近期康复效果。【方法】对49例前交叉韧带断裂的患者采用单隧道四股半腱肌股薄肌肌腱进行重建,术后进行1年以上系统的康复指导。包括支具制动及肌力、活动度、本体感受器训练和肌肉牵张训练等。观察其可行性和效果。【结果】术后3个月,患者膝关节的活动度均恢复正常。术后12个月,患肢的股四头肌和胭绳肌峰力矩比值超过正常侧的82％。术后6个月,膝关节Lanchman试验和轴移试验均为阴性。术后6个月,膝关节功能评分为与术前相比差异有显著性（P〈0．01）。【结论】对于前交叉韧带损伤患者,在采用单隧道四股半腱肌股薄肌肌腱进行重建后进行此康复训练是安全有效的。     

跟腱重建前十字韧带术后康复治疗恢复膝关节功能的疗效分析

Inrecentyears，withtherapidpopularizationofarthroscopictechniquesandsuccessfulapplicationofallogenictissuegraft，wereconstructedACLusingallogenicachillestendonunderarthroscopybyisometricreestablishment，biologicalfixation．１Subjectandmethod１．１SubjectFromJanuary１９９６toJune２００１，３８patientswererecruited．Thesepatientsincluded３１men（３２lesions），３womenaged１８～３６yearswithmeanageof２４．３．Lesionsconsistedof１２leftinjuries，２１rightinjuries，１bilateralinjury．Causesofinj…     

自体胭绳肌腱重建前交叉韧带术后康复的临床研究

目的观察比较自体胭绳肌腱重建前交叉韧带（ACL）术后三种不同康复方案的临床效果。方法将单侧自体胭绳肌腱重建膝关节ACL手术的患者45例,随机分为保守康复组（A组）,激进康复组（B组）和自制康复组（C组）,每组15例。术后3、6、12个月时比较关节活动受限度、大腿周径差值、IKDC评分、三维重建CT检查移植物骨隧道直径。结果三组在关节活动度受限及大腿肌肉萎缩方面：术后3、6、12个月A组明显大于B、C组,有显著性差异（P〈O．05）;IKDC评分方面：术后3、6、12个月C组优于A、B组,有显著性差异（P〈O．05）;骨隧道扩大方面：B组明显大于A、C组,有显著性差异（P〈O．05）。结论自体胭绳肌腱重建膝关节ACL术后早期康复可以改善膝关节功能,但是并非越激进越好,应以适度康复为原则。     

关节镜下前交叉韧带重建的术后康复

目的探讨关节镜下自体半腱肌、股薄肌肌腱双束重建前交叉韧带手术的康复治疗方法。方法前交叉韧带断裂病人46例,关节镜下重建前交叉韧带,术后给予系统康复治疗,应用等速测评指导训练,锻炼采取循序渐进的方式实施,并采用LYSHOLM评分标准进行膝关节功能评分。结果 46例中43例恢复正常的关节活动度,LANCHMAN前抽屈试验均转为阴性,LYSHOLM评分优良率为91.3%,等速肌力测试术后峰力矩较术前平均提高35%。结论恰当的术后康复治疗能安全、有效地促进前交叉韧带重建术后患肢的功能恢复。     

膝前交叉韧带损伤及重建术后的等张肌力评定

目的:运用等张肌力测定系统对膝前交叉韧带(ACL)断裂患者及重建术后患者进行肌力评定,了解其变化规律,指导术后康复治疗。方法:膝ACL断裂患者15例,膝ACL重建术后康复3个月患者20例,术后康复12个月患者20例。使用EN-TreeMExplosivepulley等张肌力测试系统测试双侧伸、屈肌肌力。对照比较各项肌力参数。结果:膝ACL断裂后患膝伸肌及屈肌最大输出功率、最大收缩速率、最大力量较健侧有显著差异(P<0.05);疲劳系数无显著差异(P>0.05)。术后康复3个月屈肌肌力大部分参数与健侧无显著差异;伸肌除耐力外,各项参数均有显著差异(P<0.05)。术后康复12个月患膝伸、屈肌肌力大部分参数与健侧无显著差异。结论:等张肌力测定可以提供多项量化的肌力参数,是一项实用的功能性肌力评定方法。膝ACL断裂后膝关节屈伸肌力下降,重建术后经康复治疗屈肌肌力首先恢复,伸肌于12个月逐渐恢复。     

Contralateral limb strength deficits after anterior cruciate ligament reconstruction using a hamstring tendon graft

BACKGROUND: The purpose of this study was to determine whether current post-operative rehabilitation protocols return the strength of the contralateral uninjured limb knee flexors and extensors after an anterior cruciate ligament (ACL) reconstruction to those of an uninjured control group. METHODS: Subjects with a hamstring tendon ACL reconstruction (n=12) were compared to an active control group (n=30). Comprehensive bilateral knee flexor and extensor isovelocity strength testing was performed (five speeds, 5-95 degrees , concentric and eccentric contractions). FINDINGS: After hamstring tendon ACL reconstruction and rehabilitation, bilateral strength normalization (within 10% of the contralateral limb) is achieved by the knee extensors but not the knee flexors. When compared to the uninjured control group, large and statistically significant strength deficits were demonstrated in the knee extensors and knee flexors of both the anterior cruciate ligament reconstructed (extensors 24.8%; flexors 26.8%) and the contralateral uninjured (extensors 21%; flexors 13.5%) limbs. INTERPRETATION: These findings suggest that improvement can be made in knee flexor rehabilitation after ACL reconstruction and limit the validity of the use of a contralateral leg as a rehabilitation endpoint or as a control in the ACL reconstructed population.     

关节镜下半腱肌/股薄肌腱移植重建前交叉韧带

目的 探讨膝关节镜下采用自体半腱肌／股薄肌腱移植重建前交叉韧带的方法和效果。方法 回顾分析54例膝关节镜下应用自体双股半腱肌／股薄肌腱移植重建前交叉韧带的情况，随访2年以上纳入分析。采用Lysholm关节评分、国际膝关节文献编制委员会0KDC）分级评估标准和KT-1000关节测量仪测定稳定性评价疗效。结果 平均随访30．8个月，Lysholm关节评分由术前58分提高到术后95分，优良率96．3％。IKDC功能评价29例（53．7％）正常、24例（44.5％）基本正常、1例（1．8％）异常。KT-1000测定优38例（70．4％），良15例（27．8%），差1例（1．8%），平均移动度2．1mm。结论 关节镜下自体双股半腱肌／股薄肌腱移植重建前交叉韧带方法可行，疗效确切。术后能早期康复锻炼，稳定性好，并发症少。     

膝关节前交叉韧带重建的生物学及生物力学特性

目的通过总结前交叉韧带重建的生物学及生物力学特性,探讨早期锻炼对膝关节前交叉韧带重建后移植物愈合及膝关节运动功能恢复的作用.资料来源应用计算机检索MEDLINE1970-01/2004-01期间有关膝关节前交叉韧带重建及其生物力学特征的文献,检索词"anterior cruciate ligament,knee ioint,biomechanics",并限定文章语言种类为英文.资料选择对资料进行初审,选择有关膝关节前交叉韧带重建及其生物力学特征的文献,开始查找全文.选择随机对照类文章,当同一作者有多篇文章时,选择病例数最多的予以纳入;排除综述类及Mete分析类文章.质量评价主要考察资料的真实性,调查、实施过程是否严密.资料提炼共检索到46篇有关膝关节前交叉韧带重建及其生物力学特征的文章,29篇符合以上纳入标准,排除的17篇文章中,9篇为小样本分析,8篇为综述类或Mete分析类文章.资料综合通过了解正常前交叉韧带的生物力学特征制定重建措施及康复计划指导.重建后前交叉韧带动物实验提示膝关节运动功能恢复均不理想,而人体实验结果优于动物.随机对照实验表明,前交叉韧带重建后立即持重不增加膝关节的松弛性,反而有利于减轻髌骨疼痛.结论前交叉韧带损伤重建后固定膝关节,限制关节周围肌肉收缩活动,导致韧带、关节及周围肌肉运动功能受限.早期康复锻炼可以减轻疼痛,改善关节软骨代谢,防止关节囊挛缩,有助于重建后膝关节前交叉韧带运动功能的恢复.