脑复素促进脑梗死患者神经功能恢复的作用

BACKGROUND:Braininfarctionisthemostcommontypeofischemiccerebrovasculardiseaseindiseaseincidence,whichcancausethedefectionofneuralfunction.OBJECTIVE:ToinvestigatetherehabilitationeffectofNao-fusuonstroke.UNIT:DepartmentofNeurology,AffiliatedHospitalofBeihuaUniversityMedicalCollege.SUBJECTS:Therewere70patientsrecruitedfromJanuary2000toJanuary2002,whichwerediagnosedasdefinitestrokebyCT.Theywererandomlydividedintotreatmentgroupandcontrolgroup.Therewere40casesintreatmentgroup,14ma…     

The acupuncture therapy and auricularplaster therapy on 22 patients with stubborn hiccup after stroke

BACKGROUND:Thepatientswithacutecerebralinfarctionoftensufferfromstubbornhiccupandaredifficulttocure.OBJECTIVE:Toobservetheeffectofacupuncturetherapyandauricular-plastertherapyonthepatientswithstubbornhiccupafteracutecerebralinfarction.UNIT:DepartmentofNeurology,202ndHospitalofPLA.SUBJECTS:Therewere42patientsregardedasacutecere-bralinfarctionaccordingtothecriteriaformulatedinNationwithstubbornhiccupafterstroke.Thepatientsweredividedintotwogroups.Therewere22casesintreatmentgroup,…     

内皮素1和前列环素在脑梗死病变过程中的相互作用

Inrecentyears,theresearchoftheendocrinefunctionofvas-cularendothelialcellscausedpepole'sextensiveconcern,andal-readydiscoveredthatendothelin-1(ET-1)andprostacyclin(PGI2)ofendothelialcellssecretorytopossesregulatingthetensionofvasculardissepimentandtheproliferationofsmoothmusclecell.ThemotivethisinvestigationistryingtofindouttheclinicalsignificanceandpathogenesisofplasmaET-1andPGI2inthedevelopmentofis-chemiccerebralinfarction.1Subjectsandmethods1.1Subjects(1)Studygroup:Therewere37patients,…     

Abnormal mental status evaluation o f breast cancer patients by electroen ci-phalogram

MATERIALSANDMETHODSMaterials１８casesfemalesinourgrouphadmentalsymptomstovariousdegreebeforeandafteroperation，withagerangingfrom３８to５１years．Therewere１６casesofpsychologicaldependencebeforeoperationand４casesafteroperation．Therewere１caseofParanoiabeforeoperationand８casesafteroperation．Therewere４casesofdeliriumafteroparationand１caseofothertypebeforeoperationand２casesafteroperation．Allthepatientswereexcludedspaceoccupyingle－sionbyheadCT．MethodsEEGexamination：NDC－２…     

Influence of dynamic condylar screw treating intertrochanteric fracture of the femur on early funtion exercise

Mostofpatientswithintertrochantericfractureoffemurweretreatedbyoperations,suchasDuogensineedle,Jewettpin,AOanglesteelplate,GammapinandRichardspin.Wetreated28casesofintertrochantericfractureofthefemurwithdynamiccondylarscrewfromJanuary1997toJanuary2000.Reportasfollow:1Subjectsandmethods1.1SubjectsTherewere28casesinthisgroup,including21malesand7females.Age26-82,average51.Therewere18casescausedbytrafficaccidents,6casescasedbytumbling,2casescausedbysmashand2casescausedbyfalling;1caseofEvansI…     

The rehabilitation effect of blood therapy after laser magnetization on patients with stroke

BACKGROUND:Therearelotsofmethodsforcuringstrokenowbuttheeffectoffunctionalrehabilitationisdifferent.Thispaperdealswiththerehabilitationeffectofbloodtherapyafterlasermag-netizationonpatientswithstroke.OBJECTIVE:Toinvestigatetherehabilitationeffectofbloodtherapyafterlasermagnetizationonpatientswithstroke.UNIT:DepartmentofInternalMedicine,CentralHospitalofJinzhouCitySUBJECTS:Therewere192patientsrecruitedfrom1998to2002provedbyCTorMRI,whichdiagnosisstandardaccordedwiththestandardof…     

小切口复位单侧多功能外固定架对胫腓骨不稳定性骨折的康复作用

BACKGROUND:Therearemanytreatmentsandrehabilita-tionwaysforfractureoftibiaandfibula.Thisarticledealswiththerehabilitationeffectofsmall-cutsingle-sidemultiplefunctionalex-opexystandonpatientswithunsteadyfractureoftibiaandfibula.OBJECTIVE:Toinvestigatetheeffectofsmall-cutsin-gle-sidemultiplefunctionalexopexystandonpatientswithunsteadyfractureoftibiaandfibula.UNIT:DepartmentofOrthopaedics,People'sHospitalofLiaoningProvinceSUBJECTS:59patientsenteredthisstudy.Therewere36malesand23fema…     

The reasons analysis of failure in rehabilitation treatment of senile patients after stroke

BACKGROUND:Thedisablementrateofpatientsafterstrokeremainshigh,whichperhapsisassociatedwiththefactorthatmanypatientscannotgettimelyandreasonablerehabilitationtreatmentandthefactorthatsomemedicalstaffpayattentiontotreatmentbutig-noreearlyrehabilitationtreatment.OBJECTIVE:Toanalyzethereasonsoffailureinrehabilitationtreatmentofsenilepatientswithstroke.UNIT:DepartmentofRehabilitation,AffiliatedJinshanHospitalofFudanUniversity.SUBJECTS:Therewere24patientsrecruitedfromJune2001toMay200…     

Rehabilitation training of patients after skin flap incision of greater pectoral muscle

BACKGROUND:Wronganduntimelyfunctionalexercisesofpatientsafterskinflapincisionofgreaterpectoralmusclewillcausedysfunctionofaffectedlimbandqualityoflifewillalsobeaffected.OBJECTIVE:Toinvestigatetheeffectofrehabilitationtrainingofpatientsafterskinflapincisionofgreaterpectoralmuscle.UNIT:StomatologyMedicalCollegeofFourthMedicalUniver-sityofPLASUBJECTS:48patientsenteredthisstudy.Therewere29malesand19females,agedfrom42to61yearsold(withthemeanageof49yearsold).Ofthecases,26casesbelonge…     

The recovery comparison of comprehensive rehabilitation and simple pharmacotherapy on the patients after stroke during the period of sequela

BACKGROUND:Centralnervesystemhastheabilityofre-unitingofstructureandfunctionafterinjurythatishighplas-ticity,whichcanbestrengthenedandconsolidatedthroughcontin-uousstudiesandtraining.OBJECTIVE:Toinvestigatetheeffectofcomprehensivere-habilitationandsimplepharmacotherapyonthepatientsafterstrokeinrecoveryperiod.UNIT:DepartmentofInternalMedicine,People'sHospitalofXingtaiCity.SUBJECTS:Therewere92patientsrecruitedfrom1998-05/2000-03.Allthepatientswerediagnosedasdefinitehemiparalysisaf…     

缺血性脑卒中继发癫痫的影像学研究

目的：研究缺血性脑卒中后早发性癫痫和晚发性癫痫首次发作后再次发作的差异及其与梗死灶部位、大小的关系。方法：选择神经内科2006年9月—2010年1月首诊为缺血性脑卒中住院患者408例,随访时间1年。其中继发癫痫42例,分为早发性癫痫组（18例）和晚发性癫痫组（24例）。分析比较缺血性脑卒中后早晚期首次癫痫发作后再次发作的差异及其与梗死灶部位、大小的关系。结果：早发性癫痫和晚发性癫痫首次癫痫发作后再次发作的差异有显著性（P〈0.05）,皮质梗死是缺血性脑卒中继发癫痫的危险因素（P〈0.05）;梗死灶直径≥4 cm与〈4 cm分别发生早发性癫痫和晚发性癫痫的差异均无统计学意义（P〉0.05）。结论：缺血性脑卒中后晚发性癫痫更容易反复发作;缺血性脑卒中后癫痫的发作与影像学检查显示的梗死灶部位相关（累及皮质的梗死）,与影像学检查显示的梗死灶大小无关。     

皮层脑电图监测切除伴发癫痫的颅内病变

目的:探讨皮层脑电图(CEEG)监测下切除伴癫痫症状的颅内病变手术效果。方法:23例患者,其中胶质瘤9例,动静脉畸形2例,脑膜瘤6例,蛛网膜囊肿6例。术中行CEEG监测,先切除病变再行CEEG监测,如仍有棘慢波则提示仍存在痫灶,时非功能区则予以切除,对功能区则用低功率电灼该处皮层,直至棘波和慢波消失。结果:23例患者切除病变前均可通过CEEG捕捉到痫波,病变及痫灶完全切除或热灼后,术后常规脑电图检查全部病例均未发现癫痫波。出院后随访12～23个月,22例痊愈,1例尚有部分性发作,但发作频率明显减少,间隔时间延长,口服抗癫痫药可控制。结论:术中CEEG监测可明确致痫灶位置,对提高手术疗效有一定价值。     

脑卒中后癫痫的危险因素分析

Inthisstudy，etiologyofepilepsywasanalyzedusingmulti－variatenonconditionlogisticanalysistoprovidebasisforpreventionandrehabilitationofepilepsy．１Subjectandmethod１．１SubjectDuringNovember１９８７～May１９９６，１６２６sub－jectsunderwentfirstonsetofcerebrovasculardiseasewerere－cruitedfromintraneuralDepartment．１７９patientsexperiencedepilepsysecondarytostroke．AllprimarylesionswereprovedbyCTorlumbarspinepuncture．Nopatientshadhistoryofepilep－sy．Rheoencephalogramshowedepilepticchanges…     

颞叶蛛网膜囊肿伴癫痫患者的临床相关特点

目的探讨伴有癫痫的颞叶蛛网膜囊肿(AC)患者的相关临床特征,以及颞叶AC与癫痫发作类型、脑电图异常之间关系。方法选取2012年12月至2019年5月在唐都医院神经外科癫痫组就诊的64例颞叶AC合并癫痫患者为研究对象。将所有患者按照囊肿类型、囊肿大小及癫痫类型、脑电图类型进行分类,并分析其相互关系。结果各年龄组及总体患者中,男性占比高于女性。在三种囊肿类型、两种不同大小的囊肿及总体患者中,全面性起源的癫痫为最多的类型,未知起源的癫痫为最少的类型;脑电异常患者占比远高于脑电正常患者占比,间期脑电异常均以广泛性为主。三种囊肿类型、两种不同大小的囊肿和癫痫、脑电图类型之间不存在统计学关联及差异。结论颞叶AC伴癫痫的患者中,男性多于女性,全面性起源的癫痫和广泛性异常脑电图最常见。囊肿类型、大小与癫痫、脑电图类型之间无明显相关性。     

情感障碍与癫痫患者生活质量及癫痫控制的关系

目的探讨癫痫患者的情感障碍对其生活质量及癫痫控制率的影响。方法采用汉密尔顿抑郁量表(HAMD)及汉密尔顿焦虑量表(HAMA)评价癫痫患者的抑郁焦虑状况,以癫痫患者生活质量量表-31中文版(QOLIE-31中文版)评估癫痫患者的生活质量,正规抗癫痫(AEDS)治疗至少12个月,评价癫痫控制情况。结果癫痫患者的情感状况相差各异,合并抑郁焦虑的癫痫患者生活质量及癫痫控制率均明显低于不合并单纯癫痫组。结论癫痫患者合并情感障碍时严重影响其生活质量并与癫痫控制不良相关。而积极抗抑郁焦虑治疗后癫痫控制率明显提高。     

脑卒中后癫痫发作的临床研究

目的　研究脑卒中后癫痫发作病人的临床分型及其与原发病和病灶部位的关系,评价脑电图、CT、MRI对癫痫的诊断价值以及治疗的效果。方法　收集门诊、病房几年来治疗的脑卒中合并癫痫发作的病人 68 例,按癫痫发作的时间和临床表现分型。每例病人均做CT、MRI和EEG。结果　本资料中,早期型癫痫22例(32%),迟发型癫痫46例(68%)。癫痫发作类型以额叶癫痫最常见。脑梗死及多发病灶患者占多数。药物治疗控制发作效果较好。脑电图能反映病情变化,病情控制后,脑电图也逐渐好转。而 CT、MRI对病灶的定位不能反映癫痫的类型。结论　额叶癫痫最常见,多发病灶易致癫痫发作。脑电图对癫痫的诊断和判断癫痫的控制有帮助,CT、MRI无助于癫痫的分型和治疗的评价。药物治疗效果较好。     

脑磁图在癫(癎)诊断和治疗中的应用

目的应用脑磁图(MEG)技术对致灶进行定位,比较其与头皮脑电图(EEG)在神经影像学方法的应用价值,探讨MEG技术对癫灶定位的应用前景。方法对113例癫患者进行手术治疗,术前均通过临床症候学、头皮EEG、MRI、MEG检查,进行MEG与其他检查方法和临床症候学在定侧、定叶诊断的对比研究。手术在皮层EEG及脑深部EEG监测下进行,手术治疗结果以Engel疗效分级评价。所有手术标本常规行光镜检查。结果113例患者中MEG定位局限于单个叶的为91例,头皮EEG仅为30例。术前致灶定位依据多种检查结果和临床症候学综合定位。MEG与MRI、临床症候学在定侧诊断准确性方面比较差异有显著性。MEG与MRI在定叶诊断准确性方面的比较差异有显著性。36例术前头皮EEG表现为双侧或全导癫波的癫患者,其中有34例MEG表现为单侧癫波,具有定侧诊断的意义。结论头皮EEG、MRI、正电子发射计算机断层扫描(PET)、临床症候学均不足以做出独立精确的致灶定位诊断,综合比较MEG比上述方法定侧和定叶的准确性高。MEG空间分辨率、时间分辨率高,有助于区分致灶和镜灶。     

应用FAIR技术评价难治性和非难治性颞叶癫痫灌注异常

目的用FAIR技术评价难治性及非难治性颞叶癫痫患者发作间期rCBF异常的模式是否不同.方法 9例难治性颞叶癫痫、21例非难治性颞叶癫痫患者及13名正常志愿者,测量其双侧大脑半球及双侧内侧颞叶的rCBF,并计算不对称指数(AI).结果难治性及非难治性癫痫患者大脑半球AI值与正常对照组之间有统计学差异(P值分别为0.012和0.029);难治性颞叶癫痫患者内侧颞叶AI值与正常对照组之间无统计学差异(P＝0.102),而非难治性癫痫患者与正常对照组之间有统计学差异(P＝0.049).结论难治性和非难治性颞叶癫痫患者发作间期rCBF异常的模式有所不同,虽然均可出现较广泛的rCBF异常,但难治性癫痫更倾向于出现双侧内侧颞叶低灌注,这可为判断预后提供帮助.     

癫痫并发偏头痛患者36例临床特点分析

目的 分析癫痫合并偏头痛患者和单纯癫痫患者的临床特点.方法 2009年10月至2011年3月我院神经内科住院及门诊诊断为癫痫以及癫痫合并偏头痛的患者190例,其中单纯癫痫患者(E组)154例,偏头痛合并癫痫患者(EM组)36例.比较两组患者的临床特点.结果 EM组女性比例、癫痫发作频率、平均癫痫病程与E组比较,差异均有统计学意义(P<0.05);癫痫分型两组差异无统计学意义(P>0.05).结论 癫痫与偏头痛可能存在相互联系及作用,偏头痛可能加重癫痫疾病严重程度,给癫痫治疗带来负面效果.     

高压氧综合治疗癫痫的经验

目的　通过回顾性临床分析，探讨有选择地综合应用高压氧（ＨＢＯ）治疗癫痫（Ｅｐｉｌｅｐｓｙ，Ｅｐ）的作用和经验。方法　原发性和继发性Ｅｐ １０２ 例，采用单人氧舱，按不同病因、年龄、病程制订出不同的治疗方案进行治疗。结果　全部病例共行２ １５１ 次高压氧治疗，总有效率达９５％ ，高于单纯药物或外科手术治疗的效果，未发生毒副作用和加重Ｅｐ 发作。结论　ＨＢＯ 治疗对Ｅｐ 有确切的疗效，具有疗程短、疗效高、无毒副作用等优点