中医治疗带状疱疹后遗神经痛概况

中医药治疗带状疱疹后遗神经痛（postherpetic neuralgia,PHN）效果明显,主要是以＂痛＂为主证出发,＂不通则痛＂、＂通则不痛＂,无论是针灸、中药还是其他方法,都是疏通病变部位的气血经络,从而达到祛瘀排毒的效果,具有一定的临床意义。文章就近年来中医药治疗带状疱疹后遗神经痛作一综述。     

脑卒中患者的精神抑郁与远期死亡率的临床研究

目的研究脑卒中患者的心理压抑与脑卒中远期死亡率的关系。方法选择近3年来532例脑卒中患者．采用GHQ-28问卷调查法,分为心理压抑组和心理健康组,进行近期或远期死亡率分析比较。结果研究分析表明．心理压抑组的死亡率明显高于心理健康组。结论根据实验结果,脑卒中后心理压抑与卒中后远期死亡率密切相关。脑卒中后患者的心理情绪变化,将对增加脑卒中后患者的生活质量和寿命起到积极作用。     

调神疏肝针刺法对脑卒中后抑郁的干预作用

目的探讨调神疏肝针刺法对脑卒中后抑郁的干预效果。方法将60例脑卒中后抑郁患者随机分为治疗组和对照组。对照组予以盐酸氟西汀口服治疗,治疗组在对照组治疗基础上加以调神疏肝针刺法治疗。结果治疗组总有效率为86.67%,对照组总有效率为63.33%,两组总有效率比较差异有统计学意义(P<0.05)。治疗组HAMD评分、MESSS评分及Barthel指数评分与对照组比较差异有统计学意义(P<0.05)。结论调神疏肝针刺法能改善脑卒中后抑郁患者的抑郁状态,改善神经功能和生活能力。     

Post traumatic pituitary apoplexy with contiguous intra cerebral hematoma operated through endonasal route—a case report

Pituitary apoplexy is a clinical syndrome occurring as a consequence of fulminant expansion of pituitary tumor due to massive infarction, necrosis, and hemorrhage. Its association with head injury is rare and only few reports are available. Shear forces on stalk and arterial vasospasm have been proposed to be the possible reasons. The clinical picture is characterized by sudden onset headache, visual symptoms, multiple cranial nerves involvement, meningismus, altered mental status, and hormonal dysfunction. Transsphenoidal decompression is the standard treatment but suprasellar and widespread extension of hematoma may need intracranial approach. We are reporting a rare association of head injury with pituitary apoplexy, where endonasal surgery proved to be a simple useful approach to evacuate contiguous intra-cerebral hematoma with excision of apoplectic pituitary adenoma.     

超声诊断在下肢静脉血栓及后遗症的实用价值

目的探讨二维及彩色多普勒超声检查对下肢静脉血栓的诊断价值。方法应用二维及彩色多普勒超声对4H4例急性下肢静脉血栓,16例慢性下肢静脉血栓及血栓后遗症患者进行检查,观察血管内径、血栓范围、血栓回声特征及血流情况。结果急性下肢静脉血栓形成后血管内径明显增宽,血栓表现为均质低回声图像,慢性血栓回声较高,血栓部位管腔无血流显示或血流充盈缺损,并可继发深静脉瓣功能不全。结论左下肢静脉血栓发病率明显高于右下肢。彩色多普勒超声检查不仅可诊断下肢静脉血栓,同时可通过动态观察其演变情况,判断临床治疗效果,彩色多普勒超声诊断下肢深静脉血栓形成无创、准确、高度敏感,是诊断下肢静脉血栓的首选方法。     

脑卒中后尿失禁的针灸治疗进展

脑卒中后尿失禁是中风恢复期常见症状,严重影响患者的生活质量,针灸疗法作为传统中医疗法的重要组成部分,治疗该病具有简、便、廉、验的特点,临床疗效满意。从针灸治疗机理、常用穴位、临床疗效报道等方面介绍和总结近几年来脑卒中后尿失禁的针灸治疗进展,以期为该病的临床治疗提供参考。     

Sequelae following sural nerve biopsy in type 1 diabetic subjects

Objectives –  To detect post-operative sequelae of sural nerve biopsy.
Materials and methods––  A questionnaire mailed to type 1 diabetic patients ( n  = 24; male/female 23/1; reply n  = 23) 2 years after biopsy.
Results –  Type 1 diabetic patients (age 56 [11]; median [interquartile range]) had a long duration of diabetes (DM; 20 [19] years) and all had neuropathy. Three out of 24 patients developed infection (two superficial and one deep) and one had a post-operative bleeding. Less frequent pain among the patients were reported from one centre. About one-third or more of the patients still complained of pain, mostly mild, in the biopsy area and paraesthesia in the foot 2 years after surgery. More than two-thirds of the patients were reluctant for further biopsy; a crucial information in drug trial planning.
Conclusions –  Sequelae of a sural nerve biopsy occur in type 1 DM. The risk for wound infections should be considered.     

综合治疗中风后肢体运动功能障碍５１例疗效观察及其机理探讨

采用推拿与心理疏导为一体的综合疗法治疗脑中风后肢体硬瘫患者５１例。结果：经３次治疗，患肢运动功能得到迅速改善。根据ＦＭＡ评估标准的级别变化统计，有效３３例，有效率为６４.71%提示：患肢运动功能迅速改善并能巩固的可能机理是脑中风后大脑病变区及周围组织，有部分神经元由于自我保护性抑制而进入“休眠”状态，采用这种疗法后能“激活”或“唤醒”这些神经元，并恢复原有的生理功能。     

Antifungal drug resistance mechanisms

The present view focuses on the possibility that cationic antimicrobial peptides (CAMPs) might, in addition to their killing effects due to permeabilization of microbial membranes, also function similarly to β-lactam antibiotics to activate nascent autolytic wall enzymes, leading to bacteriolysis. Since the massive release of microbial cell wall components is a major cause of postinfectious sequelae, the in vivo process of bacteriolysis must be controlled. Due to the emergence of antibiotic resistance in pathogenic bacteria, CAMPs might be useful as an alternative to antibiotics. However, they should be used with caution, since they might also function as a ‘double-edged sword’ by injuring both the bacteria and host.     

表象训练对中风恢复期康复疗效的临床观察

目的观察不同条件作业的功能锻炼对中风恢复期的作用和效果,有效评价表象训练对中风恢复期肢体功能障碍影响和作用。方法采用简单随机同期对照试验方法,将80例患者随机分为试验组40例和对照组40例。试验组采用表象训练条件作业视听觉功能锻炼互动的方法,对照组采用无表象条件作业康复训练法。结果两组间基线资料差异无统计学意义(P﹥0.05),具有可比性。试验组的总有效率为92.68%,对照组的总有效率为71.14%(P﹤0.01),躯体功能评定显示试验组优于对照组(P﹤0.01)。结论表象训练条件作业的方法较无表象条件作业康复训练法作用和疗效显著,说明表象训练条件作业的方法对中风恢复期肢体功能障碍患者有效的功能训练方法。