洛汀新对脑梗死后认知功能障碍患者认知及血清NOS水平的影响

目的:探讨洛汀新对脑梗死后认知功能障碍患者认知及血清一氧化氮合酶(NOS)水平的影响。方法:应用MMSE评定脑梗死后认知功能障碍患者认知功能,同时检测NOS水平,观察洛汀新对脑梗死后认知功能障碍患者认知及血清NOS水平的影响。结果:洛汀新观察组治疗后MMSE分值、NOS水平均提高,并且两者呈正相关。结论:洛汀新能通过提高NOS水平,改善脑梗死后认知功能障碍患者的认知功能。     

针灸联合西药治疗血管性头痛的临床疗效观察

目的:观察针灸联合西药治疗血管性头痛的临床效果。方法:选取近年来我院诊治的血管性头痛患者10例为研究对象。全部患者均在采取常规西医方法进行药物治疗的基础上联合中医针灸方法进行治疗,对患者的临床治疗效果进行观察分析。结果:患者临床治疗有效率为90.0%(9/10),其中临床治愈6例,好转3例,无效1例;治疗期间未见明显不良反应情况发生。结论:采取中医针灸联合结合西药治疗血管性头痛疗效显著,能够在保证安全的情况下提高临床疗效,对于此类患者的临床治疗具有参考价值。     

脑出血后早发性癫痫发作的发生率及其影响因素的分析

目的 了解脑出血后早发性癫痫发作的发生率并分析其影响因素.方法 采用回顾性分析病例的方法 ,观察脑出血后早发性癫痫发作的发生率;应用统计学方法 分析脑出血后早发性癫痫发作与各影响因素的关系.结果 524例脑出血患者中有早发性癫痫发作的患者37例,占7.1%.发作类型以全身强直-阵挛性发作多见.单因素分析显示,皮质出血、再发脑出血、电解质紊乱者易发生脑出血后早发性癫痫发作;Logistic回归分析显示,出血部位、出血次数和电解质情况与脑出血后早发性癫痫发作的发生有关,其中皮质出血为与脑出血后早发性癫痫发作有关的独立危险因素.结论 脑出血后早发性癫痫发作的发生率较高,皮质出血、脑出血史以及电解质紊乱是影响脑出血后早发性癫痫发作的重要因素,皮质出血为独立的危险因素.

Abstract：

Objective To investigate the incidence of early epileptic seizures after intracerebral hemorrhage and its involved factors.Methods The incidence of early epileptic seizures after intracerebral hemorrhage was observed by retrospective analysis.We also analyzed the relation of early epileptic seizures and its related factors by carrying out statistics.Results Among the 524 intracerebral hemorrhage patients,37 patients(7.1%)suffered from early epileptic seizures.The major seizure type was generalized tonic-clonic seizure.Univariate analysis revealed that a hiish incidence of early epileptic seizures after intracerebral hemorrhage ocurred in patients with cortical hemorrhage,the medical history of intracerebral hemorrhage,electrolyte disbalance.Logistic regression analysis revealed that the position of hemorrhage and times of hemorrhage and electrolytic states were positively correlated with the incidence of early epileptic seizures after intracerebral hemorrhage.The cortical hemorrhage Was the independent risk factor for the early epileptic seizures after intracerebral hemorrhage.Conclusions The incidence of early epileptic seizures after intraeerebral hemorrhage was high.The cortical hemorrhage and the medical history of intracerebral hemorrhage,electrolyte disbalance were the important related factors for the incidence of early epileptic seizures after intracerebral hemorrhage.The cortical hemorrhage Was the independent risk factor.     

急性脑卒中常见并发症的诊治

急性脑卒中时，由于脑缺血、缺氧和脑水肿，自主神经受损，神经一体液功能紊乱，可引起脑心综合征、肺部感染和肺水肿、脑肾综合征、水电解质紊乱、急性应激性胃肠黏膜病变伴出血、癫痫发作、应激性血糖增高等并发症，许多急性脑卒中患者并非因为卒中本身而常因其并发症导致死亡或致残程度增高，故积极预防、早期诊断和治疗急性脑卒中的各项并发症     

小脑卒中49例临床分析

小脑卒中由于临床表现缺乏特异性 ,在未行ＣＴ尤其ＭＲＩ等影像学检查时诊断较为困难。现将我院近年确诊的 49例小脑卒中分析如下。1　临床资料1 1　一般资料　男 31例 ,女 18例 ,年龄38～ 80岁 ,平均年龄 6 5 7岁 ,小脑梗死2 9例 ,小脑出血 2 0例 ,既往有脑卒中史者 6例 ( 12