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  • Defensive mechanism of increasing expression of coonexin43 for neurons in cerebral astrocyte of rats with andiogenic seizure 收费下载
  • To observe the alteration of the expression of Cx43 in cerebral astrocyte caused by audiogenic seizure.Method:Genetic epliepsy prone rat P77PMC was used as a model and immunohistochemical method was applied to detect the time-course alteration of Cx43 expression in P77PMC rat‘s cerebral astrocyte.Result :After audiogenic seizure,Cx43 expression was detected in cerebral cortex and hippocampus and appeared time-dependent increasing.Conclusion:Astrocytes in cerbral cortex and hippocampus might be activated by audiogenic seizure which might be beneficial to keep the stability of neuyron‘s peripheral environment and thus protect the neurons.
  • Effect of two kinds of laser combined with ultrashort wave on peripheral facial nerve paralysis 收费下载
  • Background:Peripheral facial nerve paralysis referred to injury of peripheral nerve trunk and its branches due to direct of rindirect force.Physiotherapy could decrease ischemia.Swelling of nerve tissue and degeneration of myelin sheath and axon.Helium neon laser.Semiconductor laser and ultrashort wave were adopted in this group of peripheral nerve paralysis,effect was obvious.Objective:To investigate the effect of acupoint irridiation of three laser in peripheral facial nerve paralysis.Main prognosis index:recovery:all symptoms disappeared,facial expression was free;Obvious effect:five items of main symptoms(frontal grain disappear,Palpebral fissure widened.dysraphism of eyes,disappear of nasolabial groove,angle of mouth crooked) recovered more than three;No effect:no obvious change of mainclinical symptoms and signs.Result:Recovery,25 cases(67%);Obvious effect,11cases (30%);No effect,2 cases(5%) .6cases once treated by simple acupuncture and moxibustion therapy were cured by multiple therapy.Conclusion:Compared with simple therapy,muliple therapy had an obvious effect,with short therapeutic course,and inhibiting relapse at the same time.
  • Curative effect analysis of therapeutic ultrasonic in vitro on hyperlipemia 收费下载
  • Objective:to observe the effects of therapeutic ultrasoud in vitro on hyperlipemia.Methods :Comparing clinical effects of only ultrasound treatment,only administration of Geminifbrozip and combination of these two therapies.Theses patientswere divided into three groups and the follow-up observation was 3 months.Result Curative effect of the ultrasound group was better than that of drug group(P<0.05).Curative effect of the combined therapy group was the best(P<0.01),Result of follow-up suggested that servum glyceryl trioleate and cholesterol replapse rate of ultrasonic group was lower than that of drug goup.Serum glyceryl trioleate and cholesterol relapse rate of combined therapy group was the lowest.Conclusion:Combination of ultrasound treatment in vitro and administration of Geminifbrozip is the best way to treat hyperlipemia,and it is not easy to relapse.
  • Effects of electroacupuncture at zusanli on plasma endothelin,nitric oxide and calicitonin gene-related peptide 收费下载
  • Objective:To observe the effects of electroacupuncture(EA) on plasma levels of endothelin(ET),nitric oxide(NO),and calcitonin gene-related peptide(CGRP) in stress rate,Methods 32 SD rate were randomly divided into 4 groups:control group,stess group,EA after stress and stress after EA group.The plasma levels of NO and CGRP were measured by radioimmunoassay methods the level of NO were measured by biochemical methods.Result:compared with control group,No level of stress group decreased from (22.7±3.8) umol/L to (18.8±5/.2)umol/L(P<0.05),but ET increased from (140±17)ng/L to(177±23)ng/L(P<0.05),compared with stress group,NO level of EA after stress and stress after EA group increased from (18.8±5.2)umol/L to(23.3±4.1)umol/L and (22.9±4.1)umol/L(P<0.05);CGRP level increased from(145±6)ng/L to(184±22)ng/L(P<0.05),but ET level decreased from (177±23)ng/L to (134±8)ng/L,(140±20)ng/L(P<0.05),in which CGRP of stress after EA group has no statistic significance.COnclusion :EA at zusanli point can increase gastric mucosa blood flow and protect gastric mucosa.Its mechanism may be related to the regulation of plasma level of ET,NO and CGRP.
  • Research of Rongzhifang Promotion learning ability of amentia mice 收费下载
  • Objective:To investigate etiological and preventive mechanism of AD,and to deliver scientific basis to clinical treatment.Intervention:Methods of grouping,modeling and drug deliver:all the mice were divided into 5 groups randomly:I:control group:Ⅱ:model group:Ⅲ:cerebral convalescence group,Ⅳ:low-dose Rongzhifang group,Ⅴ:large-dose rongzhifang group.There were 12 mice in each group.All the mice received stomach pouring I group with saline,other groups with 0.5g/kg aluminumn chloride to each mouse per day,Ⅲ group with 0.5 g/kg Naofukang additionally,IV and V group with 10,20g/kg Rongzhifang additionally,which lasted 90 days.Main evaluation index:To observe effect of Rongzhifang on learning ability of mice (recording number of correct reaction in 20 times of electric stimulation),hypoxia-endurance ability in ordinary pressure(recording duration from being sealed to death),cerebral and splenic wet weight index,CAT activity and LF content of liver.Conclusion:Rongzhifang can take some effect on prevention and treatment of AD; Amentia caused by aluminum is not irreversible.
  • 心理测验的临床应用 收费下载
  • 心理测验在精神科,神经科,心理咨询以及临床各科有广泛用途,可用于评估儿童智能,行为发展水平,脑损害患者神经心理功能障碍情况,低智和适应不良的筛查和辅助诊断,临床治疗的疗效评估以及帮助制订康复程序等。
  • 心理行为疾病的临床特征与康复 收费下载
  • 心理行为疾病是一组和人的心理与行为有关的疾病,常常是由于个体的异常心理行为和不良应激所造成,有其特殊的临床特征,把握好心理行为疾病的临床特征,对疾病的诊断,治疗和康复有着十分重要的意义。
  • 循证医学与心理治疗 收费下载
  • 文章对心理治疗中循证医学方法的应用现状进行了综述,提出在心理治疗中应用循证医学中提倡的大规模随机对照试验的方法,积极创造更多的最新证据,特别应注意试验方法的规范;系统综述或荟萃分析也应更加详尽而深入。
  • 心理行为疾病的心理护理 收费下载
  • 心理行为疾病有其发病因素和临床的特殊性,患者多有心理和人格上的缺陷,临床护理中容易出现护患关系的不协调和患者不能配合护理的问题,有时患者可能会在住院期间出现意外,利用心理学原理对患者实施心理护理,可以融洽护患关系,使患者积极配合医疗和护理,达到促使患者尽快康复的目的。
  • 心理行为疾病的药物疗法 收费下载
  • 心理行为疾病的治疗经历了漫长的发展过程,直至20世纪50年代氯丙嗪的问世,心理行为疾病的治疗才迈入了现代科学发展道路,奠定了此类疾病治疗的基础;20世纪80年代新一代非典型精神药物的开发和推出,使心理行为疾病的治疗又迈上了新台阶,文内对心理行为疾病的治疗药物包括抗抑郁药(三环类抗抑郁药,单胺氧化酶抑制剂,选择性5-羟色胺再摄取抑制剂等),抗焦虑药(苯二氮卓类药物,丁螺环酮),情感稳定剂(锂盐,丙戊酸钠,卡马西平,妥泰),抗精神病药(传统抗精神病药,不典型抗精神病药)等作一概述。
  • 认知行为治疗 收费下载
  • 简要的回顾了认知行为治疗的起源和发展,认知行为治疗作为当今心理治疗的新主流是有科学依据的,它是认知和行为治疗的有机结合,在注重行为治疗的同时,认为大脑这个“黑盒子”里的非理性思维是导致行为和情绪障碍的关键,认知行为治疗的目的在于纠正行为和转变非理性思维。
  • 生物反馈训练在排便失禁治疗中的应用 收费下载
  • 文章就表面肌电图生物反馈训练法用于治疗排便失禁的操作过程,疗效及其影响因素进行简单的讨论,试图能为排便失禁的治疗和康复提供一种无创伤的治疗手段。
  • 右大脑半球卒中与汉语语法障碍 收费下载
  • 目的:研究右半球是否参与汉语语法的加工以及病变时语法障碍的特点,方法:用《汉语语法量表》对30例右半球卒中患者及30例正常人进行汉语语法测验。结果:右半球卒中组与正常对照组在“比”字结构句和句子-图画匹配测试中存在的差异具有显著性意义(P<0.05),右半球卒中患者对复杂语法句的理解较简单语法句理解困难(P<0.05),其余测试成绩的差异未见显著性意义,结论:右大脑半球参与语语法加工,右半球卒中对词法理解影响不大,主要导致句法理解障碍。
  • 脑卒中功能恢复程度与家庭因素的相关性研究 收费下载
  • 目的:探讨脑卒中功能恢复的程度与家庭因素之间的联系,方法:采用日常生活独立活动能力量表(ADL)和改良长谷川简易智能量表(HDS-R),对日本黎明乡康复医院31例年龄(64±10)岁的脑卒中患者,在住院康复期间的ADL和HDS-R,分3个阶段评定,并对结果进行统计处理,结果:(1)家庭理解可促进患者康复期间ADL和HDS-R的恢复(P<0.05),(2)康复回归后的社会角色,对在院康复期间智能的恢复有明显的影响(P<0.05),对ADL有显著性改善(P<0.01),(3)探视次数对脑卒中后功能有促进恢复的倾向(P<0.05),结论:家庭因素可以干预脑卒中功能恢复的程度。
  • 痴呆测查的新方法:电话问卷 收费下载
  • 目的:评价老年人认知功能下降知情者问卷(informant questionnaire on cognitive decline in the elderly,IQCODE),面该和电话访问调查痴呆的信度和效度,方法:按照DSM-IV痴呆标准诊断的65例痴呆组患者和67例健康社区老年对照组进行了测查,采用盲法对相关的知情者应用IQCODE的26项版本及16项版本进行了访查,结果:IQCODE面访和电话访问评分的相关系数为0.91,以3.40/3.43为分界值,IQCODE面访的敏感性和特异性分别为89.8%和82.5%,电话访问的敏感性和特异性分别为88.9%和83.6%,16项简短版本的敏感性和特异性分别为86.1%和81.9%,结论:IQCODE是简洁,可靠,有效的痴呆测查工具,面访和电话访问都具有良好的信度,效度和一致性,它与MMSE结合使用,提高了检测的敏感性和特异性。
  • 住院精神分裂症患者生存质量及相关因素 收费下载
  • 目的:探讨慢性精神分裂症患者的生存质量以及相关因素。方法:采用简明曼彻斯特生存质量评定量表(MANSA)和阳性和阴性症状量表(PANSS)对150例住院精神分裂症患者进行评定,结果:住院精神分裂症患者质量偏低,不满意的因子项目为经济状况和社会交往;基本满意的因子项目为法律与安全及健康状况,影响患者生存质量的主要因素为:经济状况,费用来源,饮食满意度,业余生活满意度,躯体状况满意度,心理健康满意度,阴性症状和自知力,而与年龄,性别,教育程度,病程,家族史等无关。结论:该生存质量评定量表给患者,家属,医生,政府等提供了有价值的工具。
  • 综合性康复治疗对慢性阻塞性肺病缓解期患者生存质量的影响 收费下载
  • 目的:探讨综合性肺康复治疗对慢性阻塞性肺病(COPD)缓解期患者生存质量的影响。方法:35例COPD缓解期患者分为肺康复组(n=20)与对照组(n=15),肺康复组给予体能锻炼,呼吸肌锻炼,氧疗,宣教,心理与行为干预等综合性肺康复治疗措施,对照组仅在门诊取药治疗,利用生存质量(QOL)评分标准分别在治疗前,治疗后第4周,12周,24周,1年时对两组患者生存质量评估。结果:肺康复组治疗后其QOL总均分(TMS),社会活动分(F1S),日常生活因子分(F2S),抑郁因子分(F3S),焦虑因子分(F4S)评分较治疗前均有所降低(P<0.05,P<0.001),而对照组则差异无显著性意义(P>0.05),结论:综合性的肺康复治疗能改善患者的生存质量。
  • 血管性痴呆的动物模型、神经病理及其胆碱能机制 收费下载
  • 目的:建立血管性痴呆(VD)的动物模型,并探讨VD-认知障碍的发病机制,方法:建立老龄大鼠VD模型,进行数字减影血管造影(DSA)检查,穿梭箱试验,神经病理检查和胆碱乙酰转移酶(ChAT)免疫组化测定,结果:慢性脑血流灌注不足2月后出现明显的认知功能障碍,缺血4月后更明显,海马CA1区ChAT免疫反应阳性神经元分布及其数量较对照组显著减少,且与学习记忆障碍呈正相关,结论:多发性脑梗死,进行性的皮层和海马神经元退变以及白质损害是VD的病理基础;额叶皮层和海马胆碱能神经元的损伤可能是认知功能受损害的形态学基础。
  • 老年期痴呆患者脑脊液tau蛋白与各临床指标的相关性研究 收费下载
  • 目的:探讨老年期痴呆患者脑脊液中微管相关蛋白tau(以下简称Tau蛋白)与临床各项指标之间的相关性,方法:采用双抗体夹心ELISA法检测老年性痴呆患者(AD)38例,血管性痴呆患者(VD)31例和对照组(NC)31例的tau蛋白浓度,分析各组间tau蛋白浓度与各临床指标,年龄闰,病程,文化程度,简易智能量表(MMSE),日常生活活动能力(ADL)等的相关性。结果:3组tau蛋白浓度分别为(304.59±166.82),(194.69±56.11),(148.26±39.83)ng/L,组间F=18.665,P<0.001,tau蛋白浓度与病程呈正相关,与MMSE呈负相关。结论:(1)AD、VD及NC3组间tau蛋白浓度存在显著差异;(2)老年期痴呆患者tau蛋白浓度受病程影响,并与智能损害相平行;(3)tau蛋白浓度与性别,年龄,文化程度,ADL均无关。
  • 下颌骨撞击伤对颞下颌关节紊乱病及关节强直发生的影响 收费下载
  • 目的:研究以不同的力量撞击兔下颌角部,观察其对兔颞下颌关节(TMJ)的影响。方法:以不同的力量撞击家兔一侧下颌角部,方向平行于双侧下颌角的连线,造成TMJ的间接损伤,结果:两种不同的撞击力均可引起双侧TMJ的间接性损伤;其中对侧较实验侧关节结构的改变更为明显;关节盘下腔面与上腔面都受到破坏,且下腔面较上腔面破坏严重,较大撞击力量可引起较明显的关节破坏,结论:下颌骨外伤后,应重视TMJ的检查与治疗,防止颞下颌关节紊乱病或关节强直的发生。
  • MMP—2及MMP—9在缺血性脑损伤中的表达及意义 收费下载
  • 目的:研究短暂大脑中动脉闭塞(MCAO)诱导的局灶脑缺血后MMP-2及MMP-9不同时相的表达以及两者与缺血性脑损伤的关系。方法:采用检线法制备MCAO大鼠再灌注不同时点模型,用免疫组化染色观察两者表达情况,结果:MMP-9在小胶质细胞,缺血神经元,内皮细胞,嗜中性粒细胞中表达,其中2d为高峰期,MMP-2在星形细胞,巨噬细胞中表达,其中5d为高峰期,结论:在MCAO再灌注后MMP-2及MMP-9表达上调,提示两者与血脑屏障(BBB)破坏导致出血及水肿有关。
  • 脑通提高血管性痴呆患者记忆力32例 收费下载
  • 计算机导航—聋儿听觉评估学习系统应用 收费下载
  • 计算机导航-聋儿听觉评估学习系统是依据听力语言残疾实用评定标准及聋儿康复评估标准,运用声学测量分析,小儿言语测听,的器验配及评估技术,结合幼儿及儿童心理特点,以计算机,多媒体为实现手段,开发的一种儿童专用的听力测试,助听器验配,听觉康复评估及听觉言语学习系统,应用该“系统”在与聋幼儿游戏过程中,轻松,准确地获得评估资料并帮助聋儿完成听觉言语学习,由于该系统实现了数据处理智能化,是教师及专业人员的好助手。
  • 经颅磁刺激—运动诱发电位对早期脑梗死运动功能预后的评估价值 收费下载
  • Frenkel训练法治疗小脑性协调障碍40例 收费下载
  • 观察Frenkel训练法对小脑性运动协调障碍患者的康复治疗效果,方法:用Frenkel训练法对小脑性协调障碍患者40例进行训练,训练前后采用协调性检查方法对小脑性运动障碍患者进行协调性的评价,日常生活能力运用Barthel指数评价。结果:协调性 ,训练后四肢和躯干协调运动能力有显著性提高,Barthel指数提高388.0%,两者经统计学处理有显著性差异(P<0.05),结论:Frenkel训练法对改善患者的小脑性协调障碍有效,并能提高ADL水平。
  • 灵脑100脑囊增强记忆72例疗效分析 收费下载
  • 糖尿病视网膜病变的视觉诱发电位及相关因素分析 收费下载
  • 目的:探讨糖尿病视网膜病变(DR)的视觉诱发电位(VEP)表现,评价VEPP100在糖尿病视网膜病变早期诊断中的作用及VEP P100异常与神经传导速度(NCV),体感诱发电位(SEP)改变的相关性,方法:根据是否合并DR将64例糖尿病人分为两组均行VEP,NCV,SEP检测,VEP与正常组对照,结果:26例合并DR的糖尿病人及38例正常眼底的糖尿病人的VEP P100分别与正常人比较,VEPP100潜伏期:与正常组比较均无明显差异(P>0.05),VEP P100波幅;较正常组均明显降低(P<0.05),糖尿病VEP P100异常与NCV,SEP无相关性(r=0.076,P>0.05,r=0.0.75,P>0.05),结论:DR的VEP表现以VEP P100波幅降低为主;VEP检测可为临床早期诊断DR提供依据。
  • 眼震电力诊断椎—基底动脉血不足性眩晕的意义 收费下载
  • 目的:探讨椎-基底动脉供血不足性眩晕患者眼震电图的改变及其临床意义,方法:对40例椎-基底动脉供血不足性眩晕患者行眼震电图(ENG)位置试验检测,观察眼震电图位置性眼震的各头位出现率,出现眼震的位置数及位置性眼震的慢性角速度,并以正常健康人为对照.结果:椎-基底动脉供血不足性訾晕组位置性眼震出现率达87.5%,多头位出现眼震,位置性眼震强度7.76±6.05/s,明显高于对照组(P<0.01),治疗后位置性眼震强度较治疗前明显减弱(P<0.01)出现眼震位置数明显减少,结论:眼震电图位置试验对椎-基底动脉供血不足性眩晕的诊断及康复是一种必不可少的检查手段。
  • 老年面瘫临床预后与电生理特点 收费下载
  • 眩晕症患者脑干诱发电位特征 收费下载
  • 目的:了解眩晕症患者脑干诱发电位的变化,分析听觉功能及脑干功能受损程度,方法:采用单耳刺激,单侧记录的方法,以北京三院检测结果及(x±3s)金标准为准,对采集的数据进行分析,结果:32例眩晕症患者中,右耳脑干诱发电位BEAM异常率明显高于左耳;右耳潜伏期及峰间期延长,在男女性别之间存在差异,女性明显高于男性,有统计学意义,结论:脑干诱发电位检测,对眩晕症的听功能和脑干功能判断及受损定位有一定意义。
  • 视觉诱发电位评价视觉通路传导功能损害程度的价值 收费下载
  • 脑干听觉诱发电位在先天性耳聋患者应用分析 收费下载
  • 短暂性脑缺血发作的脑电图、脑地形图、经颅多普勒特点 收费下载
  • 脑白质疏松的事件相关电位P3研究 收费下载
  • 电刺激痛觉相关诱发电位在脑血管病中的应用 收费下载
  • 外伤性鼓膜穿孔的脑干听觉诱发电位分析 收费下载
  • 脑干听觉诱发电位对新生儿缺氧缺血性脑病的诊断及预后评估 收费下载
  • 脑干听觉诱发电位与经颅多普勒对椎基动脉供血不足检查的诊断价值 收费下载
  • 椎—基底动脉缺血发作耳鸣患者的脑干听觉诱发电位表现 收费下载
  • P300电位的原理和临床应用 收费下载
  • 文章介绍了P300电位作为神经电生理手段在脑高级生理和心理活动研究中的作用,并分析介绍了在脑外伤,痴呆等病变时的特点。
  • 氦—氖激光在脑卒中后压疮治疗中的作用 收费下载
  • Eph/ephrin与中枢神经可塑性 收费下载
  • Eph/ephrin是目前已知的具有最多成员的蛋白受体酪氨酸激酶家族,在胚胎期表达可促进中枢神经系统分层解剖构造和功能塑造,在成年期表达可通过改变突触可塑性,影响神经干细胞增殖和分化以及调节神经再生等机制影响中枢神经可塑性,激活或抑制Eph/ephrin,可能对脑卒中等中枢神经系统损伤的治疗和康复产生重要影响。
  • [^99mTc]TRODAT—1 SPECT在帕金森病早期诊断中的应用 收费下载
  • [^99mTc]成像能量理想,购买方便,是临床常规应用的同位素,[^99mTc]TRODAT-1是多巴胺转运体(DAT)的特异性配体,可以与DAT特异地结合,灵敏地显示脑内基底节区DAT的活性变化,因而可用于帕金森病(PD)的早期诊断。
  • 脑卒中后抑郁对早期神经功能康复的影响 收费下载
  • 目的:研究脑卒中后抑郁(PSD)对早期神经功能康复的影响,方法:根据汉密尔顿抑郁量表(HAMD)标准将64例初发脑卒中患者分为抑郁组和非抑郁组进行研究,4周后比较简式Fugl_Meyer(FMA),Barthel指数(BI),临床神经功能缺损程度(CNS),认知功能(MMSE)量表的评分,结果:抑郁组和非抑郁组比较CNS评分无显著性差异(P>0.05),而MA和BI,MMSE评分有显著性差异(P<0.05和P<0.01),结论:PSD对患者早期日常生活活动能力(ADL),认知功能及运动功能的恢复有明显的负面影响,临床上应重视PSD的早期防治。
  • 从中西医结合的角度谈对帕金森病研究的思索 收费下载
  • 脑卒中患者的心理评估与疗效的关系 收费下载
  • 目的:了解脑卒中对心理状态影响及心理状态对疾病治疗效果的关系,方法:选22例脑卒中患者,治疗前后进行心理评估(SCL-90)症状量表及脑卒中功能缺损疗效评价对照,结果:22例中17例有心理障碍,占76%,经治疗后心理障碍明显改善(P<0.01),结论:脑卒中患者除给予必须常规治疗外,还需要重视心理康复治疗。
  • 探讨康复治疗中须注意的几个问题 收费下载
  • 脑卒中偏瘫恢复期简易滑轮康复疗法 收费下载
  • 早期运用神经网络重建仪改善偏瘫腕关节功能 收费下载
  • 目的:探讨早期运用神经网络重建仪在改善偏瘫上肢及腕关节功能方面的效果。方法:选择发病在4周内的脑卒中患者60例,随机分两组各30例,两且均接受促进技术训练,观察组还应用丹麦产AM-800型神经网络重建仪,对患者患侧腕背伸肌群进行肌电触发的神经肌肉电刺激,在疗程前,后分别对腕背伸肌最大收缩时的肌电幅值,伸腕主动关节活动范围,Fugl-Meyer上肢运动功能积分等各项进行评定,结果:治疗后,两组上肢功能均有改善;观察组与对照组相比有显著差异,结论:同时运用综合促通技术和神经网络重建仪治疗脑卒中早期患者,上肢尤其是腕关节功能可得到显著的改善。
  • 颐脑解郁法治疗轻、中度抑郁症的开放性临床研究 收费下载
  • 目的:探讨颐脑解郁法对不同程度抑郁症的疗效。方法:选择48例抑郁症患者应用中药颐脑解郁汤治疗,治疗前后应用汉密顿抑郁量表(HAMD)评定。结果:44例患者经全程观察,HAMD评分由治疗前20.06分降至9.32分(P<0.05),结论:颐脑解郁法组成的药汤药具有益肾化浊,理气化郁,颐脑醒神之功效,对治疗轻,中度抑郁症有很好的疗效。
  • 康复评价流程完善和外延扩展的探讨 收费下载
  • 对脑梗死患者实施临床康复指导 收费下载
  • 磁极针在脑卒中治疗中的应用 收费下载
  • 反阿是穴取穴法结合康复训练治疗偏瘫性肩痛 收费下载
  • 脑卒中患者偏瘫早期康复的疗效 收费下载
  • 平衡板操对偏瘫患者平衡能力的影响 收费下载
  • 应用生物反馈压力平台对脑卒后中患者平衡再训练方法介绍 收费下载
  • 丘脑出血的皮层下失语语言训练 收费下载
  • 对多发性硬化患者的认知性评估和认知性干预的评价 收费下载
  • 脑卒中患者康复开始时间对上下肢控制能力和步行能力的影响 收费下载
  • 针刺与穴贴治疗脑卒中后失语92例 收费下载
  • 慢性阻塞性肺疾病的康复治疗 收费下载
  • 自血光量子紫外线充氧回输疗法对慢性肺心病患者血液流变学的影响 收费下载
  • 生活事件对原发性高血压患者康复的影响 收费下载
  • 目的:探讨生活事件对原发性高血压患者康复的影响。方法:采用生活事件量表(LES)对56例原发性高血压患者生活事件进行调查。结果:负性生活事件的发生导致的心理应激和焦虑紧张情绪,与原发性高血压的发病密切相关。结论:在原发性高血压的预防治疗中,单纯药物治疗,不能完全缓解心理应激引起的心理障碍,减少负性生活事件的发生和进行心理干预才是综合治疗的方向。
  • 系统性红斑狼疮65例抑郁情况调查 收费下载
  • 目的:了解病情稳定的系统性红斑狼疮(SLE)患者的抑服情况,方法:用Zung氏抑郁自评量表(SDS)评估65例病情稳定,强的松用量≤15mg/d的SLE患者。结果:29例(45%)患者SDS评分>53分,具有抑郁表现,抑郁发生率文化程度初中以下者明显高于高中以上者(P<0.05),病程≤2年者明显高于病程>5年者(P<0.05),SDS高分组与低分组的年龄,病程,抗核抗体谱,强的松用量等的差别均无显著意义(P>0.05),随访3个月内两组均未发生神经精神性狼疮(NPLE),结论:心理应激反应导致的抑郁在SLE中是较常见的,有必要重视它的诊断并进行心理疏导治疗。
  • 人类重组红细胞生成素改善血液透析患者贫血及生存质量的效果分析 收费下载
  • 中西医结合治疗强直性脊柱炎24例 收费下载
  • 稳定型心绞痛患者进行步行训练的安全性探讨 收费下载
  • 动态血压对老年单纯收缩期高血压患者预后的评估作用 收费下载
  • 系统教育管理对高血压患者行为方式的自身前后对照分析 收费下载
  • 珠江三角州地区疗养因子对老年慢性失眠症的疗效 收费下载
  • 运动、心理治疗干预2型糖尿病患者的疗效及生存质量 收费下载
  • 急性心肌梗死无并发症患者早期康复治疗的1年随访 收费下载
  • 对合并肝病的糖尿病患者实施康复干预体会 收费下载
  • 身高、体重对青少年骨密度的影响 收费下载
  • 目的:观察青少年时期(6-18岁)男女骨密度(BMD)和身高、体重的变化规律,方法:利用双能X线骨密度仪对1008例健康男女学生行全身扫描,按性别不同,每1岁分一个组。结果:6-14岁女孩和6-16岁男孩其身高,BMD和BMC年增长较快(P<0.05-0.001),其后男女孩的身高,BMD和BMC年增长就都不明显(P>0.05),12岁以前女孩和14岁以前男孩其身高与BMD呈明显正相关(P<0.01-0.001),r=0.402-0.814) 之后身高与BMD无相关性,6-18岁男女孩体重与BMD始终呈显著性正相关(P<0.001,r=0.654-0.864),结论:青少年男女身高,BMD和BMC生长发育的重要时期是:女孩在14岁以前,男孩在16岁以前,身高和体重对BMD都有影响,但以体重对BMD的影响更大。
  • 不同直径螺钉对复合磷酸钙骨水泥强化骨质疏松股骨颈生物力学的影响 收费下载
  • 目的:评价不同直径螺钉固定时添加复合磷酸钙骨水泥(CCPC)对骨质疏松股骨颈生物力学的影响。方法:采用16个股骨上段标本,随机分为两组,深螺纹强化组和浅螺纹强化组,结果:两组均灌注CCPC,深螺纹组和浅螺纹组的螺钉初始松动加载力分别为(329±35)N,(285±26)N,最大轴向拔出力分别为(370±22)N,(306±24)N,两组有显著性差异(P<0.01),结论:螺钉直径与骨质疏松股骨颈强化后的稳定性有关。
  • 聚合酶链反应限制性片段长度多态性检测雌激素受体基因型 收费下载
  • 目的:建立一种简便,实用,准确的人雌激素受体(ER)基因型的检测方法以利于了解基因对骨量变异的调节,方法:采用聚合酶链反应限制性片段长度多态性(PCR-RFLP)来扩增ER基因序列,用限制性内切酶PvuII对223例健康妇女和49例男性的ER基因扩增产物酶切,测定ER基因限制性片段长度多态性(RFLP),结果:汉族妇女ER基因pp,Pp,PP基因型频率分别为0.33,0.47和0.202,男性分别为0.429,0.469和0.102,结论:该方法简便,准确,重复性好,适用于常规实验,ER基因(PvuII)多态性分布有一定的种族差异性。
  • 老年人家庭功能障碍及对社区服务的需求调查 收费下载
  • 绝经期妇女骨代谢指标的相关性 收费下载
  • 目的:研究绝经后妇女骨密度与雌二醇,白介素-6等各项指标间的相互关系,方法:收集30-40岁妇女血清30例,绝经2年以上50-59岁妇女血清30例,用放射免疫法测定促卵泡生成素,雌二醇,白介素-6,钙,磷等指标并与全国13省市骨矿含量调查合作组测定的健康女性腰椎骨密度进行比较。结果:绝经后妇女雌二醇水平显著下降,白介素-6水平显著上升,骨钙素,碱性磷酸酶升高,骨密度显著下降,血钙,血磷与绝经前妇女无显著差异,结论:雌二醇与白介素-6是影响骨密度的两个重要因素,绝经后妇女血清白介素-6水平升高促使其骨质疏松的关系。
  • 脑卒中患者语言功能的改善对心理健康状况的影响 收费下载
  • 目的:了解脑卒中患者语言功能的改善对心理健康状况的影响,为提高康复治疗效果提供帮助。方法:采用中国康复研究中心编制的失语症检查(CRRCAE)和精神卫生自评量表(SCL-0)对31例脑卒中伴运动性失语患者进行评定,并进行语言治疗,比较治疗前后语言及心理状况,结果:脑卒中患者通过语言治疗听理解,复述,命名,音读,阅读,理解,书写,计算得分与治疗前相比明显增高,差异具有显著性(P<0.01),SCL-90各因子分与治疗前相比明显降低,差异具有显著性(P<0.01),结论:脑卒中患者语言功能的改善,有助于减轻心身症状。
  • 认知治疗对改善精神分裂症患者自知力的疗效分析 收费下载
  • 目的:探讨认知治疗对精神分裂症患者自知力的作用。方法:将100例精神分裂症患者随机分成对照组和研究组50例,两组均接受抗精神病药物治疗,研究组另加认知治疗,两组分别于疗效及疗后3个月进行简明精神病评定量表(BPRS)和自知力与治疗态度问卷表(ITAO)评查,结果BPRS和ITAQ疗效评查两组比较差异无显著性意义(P>0.05),疗后评查两组比较差异有显著性意义(P<0.05),结论:认知治疗有助于精神分裂症患者自知力恢复和病情改善。
  • 脑卒中患者情绪障碍的调查分析 收费下载
  • 杨浦区街道无业有家精神病患者生活状况抽样调查 收费下载
  • 住院精神病患者125例康复教育效果评价及需求调查 收费下载
  • 青岛市脑力和体力劳动者酒依赖患者社会功能损害调查分析 收费下载
  • 儿少组与未成年组神经症患者的临床特征 收费下载
  • 军队退休老人心理健康状况及生存质量相关因素分析 收费下载
  • 不同性别强迫障碍的临床特征比较 收费下载
  • 新入院患者焦虑程度的调查分析 收费下载
  • 电针治疗无精神病性症状的抑郁症 收费下载
  • 对慢性精神分裂症患者实施康复教育86例 收费下载
  • A型性格对不稳定心绞痛的影响 收费下载
  • 智力低下儿童468例致病因素分析 收费下载
  • 高压氧治疗胎儿宫内发育迟缓24例新生儿随访1年结果分析 收费下载
  • 目的:探讨高压氧治疗胎儿宫内发育迟缓(IUGR)胎儿的远期疗效。方法:经高压氧治疗和正常出生的新生儿48例2组在出生后3,6,9。12个月为期1年的随访,对照新生儿的身长,体重,智能发育情况,结果:经高压氧治疗后的新生儿发育正常,各观察指标与正常出生的新生儿比较无明显差异,结论:高压氧治疗IUGR孕妇宫内治疗效果可靠,且远期效果好,值得推广应用。
  • 超声中频治疗对格林巴利综合征患儿肌力恢复的疗效观察 收费下载
  • 非脊髓灰质炎病毒所致小儿麻痹的康复治疗 收费下载
  • 徐动型脑性瘫痪儿童言语治疗 收费下载
  • 脑性瘫痪与中枢性协调障碍患儿的早期筛查与干预治疗 收费下载
  • 老年人平衡能力的特征 收费下载
  • 目的:研究老年人平衡能力特征,方法。通过对189名老年受试者进行电脑化动肪平衡仪感觉整合能力平衡总分测试;同时还分别进行了平衡能力简单测试方法,闭目原地踏步,平衡木上行走,起立-走的测试,闭眼单足站立,强化Romberg检查的测试,垂直X书写,改良Wolfson测试,前庭步测试的测试,对以上测试结果的不同性别的不同年龄段作t检验,结果:发现老年人随增龄产生的平衡能力变化特征,行动的迅速,协调能力,动态和静态抗干扰维持平衡能力,前庭功能,肌肉人力量,随增龄而呈显著下降趋,结论:随着增龄,视觉,前庭,本体等平衡感觉功能的退行性变化,必然导致平衡功能明显降低。
  • 对城市少年球类运动员体内血铅含量的调查分析 收费下载
  • 运动员自我评价问卷的编制与初步分析 收费下载
  • 根据心理问卷的编制原则,在调查研究的基础上编制了运动员自我评价问卷,并进行了相关的分析。“运动员自我评价问卷”由57个有效条目组成,这些条目分属于7个因子维度;自我满意度,价值定向,角色认知,自信心,生理自我,社交能力,自我控制力,问卷具有较好的效度及信度,符合设计构想,可以对运动员的“自我”进行客观的评价。
  • 微波治疗慢性损伤 收费下载
  • 中药“健力方”抗运动性疲劳 收费下载
  • 不同强度运动训练对大鼠脑组织微量元素含量影响 收费下载
  • 目的:研究运动训练对大鼠脑组织中微量元素含量的影响。方法:采用3种强度训练大鼠8周后,测定其大脑和小脑组织中Zn,Cu,Mn,Se和Mg的含量。结果:经8周训练后,3种强度训练都引起大鼠大脑和小脑中Mn及小脑中Zn显著下降,90min和150min强度组大鼠大脑中Cu呈显著性下降;150min训练组大脑组织Mg在3种训练组中小脑Mg显著高于对照组,而大脑组织中Zn,Se和小脑组织中Cu,Se无显著性变化。结论:长期运动可导致脑组织微量元素降低。
  • 对过度疲劳的探讨 收费下载
  • 运动与细胞因子网络研究 收费下载
  • 体育院校大学生心理健康教育的探索 收费下载
  • 腹部经络健身与灸法对机体血液载脂蛋白的作用 收费下载
  • 对运动员疲劳恢复的药膳探讨 收费下载
  • 布洛卡失语1例患者语言训练体会 收费下载
  • 高频电场吸脂术276例报告 收费下载
  • 高压氧综合治疗老年一氧化碳中毒68例 收费下载
  • 帕金森病运动疗法的探讨 收费下载
  • 目的:探讨运动疗法对帕金森病的疗效。方法:选择门诊帕金森病患者10例,其中男7例,女3例,年龄54-80岁,平均(65±8)岁,病程1-5年,平均(2.4±0.4)年,均有明显的运动过缓,震颤和僵直等症状,均接受为期2周的一对一康复训练,治疗前后由专人采用韦氏综合评定量表,Akhtar方案和Barthel指数评定运动能力和日常生活活动能力,结果采用SPSS软件包分析,结果:康复治疗前后除BI评分外,其余各项评定内容均有统计学意义上的改善。结论:运动疗法可以改善帕金森病患者的运动和日常生活活动能力。
  • 功能神经病学诊断新进展 收费下载
  • 多发性硬化动物模型系列MRI与病理对照研究 收费下载
  • 目的:研究多发性硬化(MS)动物模型-恒河猴实验性变态反应性脑脊髓炎(EAE)在MRI上显示病变的组织病理学基础。方法:建立EAE的动物模型,系列MRI并与病理及临床进行对照研究,结果:实验组9只动物全部发病,常规MRI在显示其病理结构上无特异性,强化扫描有助于区别活动性斑块和非活动性斑块,并可脱髓鞘病变的定位参考,磁化转移成像(MTI)提高了小病变的检出率,对应病变区病理可见袖状结构,轴突损伤,脱髓鞘改变,结论:MR系列成像对于准确评价恒河猴EAE在CNS病变,推测其组织病理学改变有潜在的应用价值。
  • 脑功能磁共振的研究及应用 收费下载
  • 脑成像已经成为脑科学研究的重要手段,功能磁共振作为一种新的成像手段具有高分辨率,高精确度,非侵袭性,无须注射对比剂,可同时获得脑的解剖与功能影像等特点而被广泛用于脑的实验研究和临床应用,现就fMRI的成像原理技术,正常皮层中枢功能和在相关疾病中的研究,应用作以综述。
  • 对我国当前听力语言康复工作的意见和建议 收费下载
  • 磁场辅助治疗小儿构音障碍的疗效观察 收费下载
  • β—淀粉样蛋白和肿瘤坏死因子对老年性痴呆患者的药效评价 收费下载
  • 目的:测定老年性痴呆(Alzheimer dsease,AD)患者治疗前后β-淀粉样蛋白(β-AP)和肿瘤坏死因子-α(TN-α)含量,进而比较 同药物疗效。方法:用放免法测定45例按用药不同分组的患者和30例正常对照组的β-AP和NTF-α含量。结果:AD组血清β-AP和TNF-α均明显高于正常对照组疗后两者含量均低于治疗前;脑活素对AD疗效高于脑复康,结论:测定β-AP和TNF-α含量变化,对AD患者病情预测和疗效评定有一定帮助。
  • 老年痴呆症的药物治疗与进展 收费下载
  • 儿童孤独性障碍药物临床应用 收费下载
  • 玻璃酸钠、曲安缩松联用与单用玻璃酸钠治疗骨性关节炎疗效比较 收费下载
  • 针灸戒毒的研究进展 收费下载
  • 临床研究显示体针,耳针,电针,艾灸及针刺与中药配合应用,各种针灸法之间配合应用可明显改善戒断症状,对于针灸戒断的作用机制也进行了大量的研究,虽尚未取得突破性进展,但研究结果显示,针灸对内源性阿片类物质作用的研究最有前景,今后的研究将综合国内外好的研究方法,以提高疗效。
  • 电针对糖尿病周围神经病变患者生化代谢的影响 收费下载
  • 六味地黄汤加减治疗抽动—秽语综合征 收费下载
  • 桂枝苓胶囊治疗类风湿性关节炎50例 收费下载
  • 运动疗法对高血压病患者2年随访观察影响 收费下载
  • 目的:探讨运动疗法在高血压病康复治疗中的作用。方法:将136例患者,随机分面:研究组(70例),对照组(66例),进行临床对照分析,两组均接受药物治疗,研究组同时加入运动疗法,运动前及运动后2个月,4个月,6个月分别观察患者的血压,用药情况,随访两年内并发症,结果:研究组于运动后平均收缩压与舒张压均有明显下降,与对照组相比差异有显著性意义(P<0.05),停药率与减量服药率明显优于对照组(P<0.01),并发症发生率明显低于对照组(P<0.01),结论:运动疗法加药物疗法较单纯药物疗法在减低血压,改善症状,减少用药,降低并发症等方面均有明显效果。
  • 早期护理介入对预防偏瘫患者肩关节半脱位的作用 收费下载
  • 老年患者长期照料者心理状况及相关因素 收费下载
  • 目的:对老年病长期照料者的心理状况及相关因素进行心理评估。方法:采用焦虑自评量表(SAS)和抑郁自评量表(SDS)对40名年轻男性老年病的长期陪护人员进行了心理测评,并对有关因素进行调查。结果:长期照料者的SAS,SDS积分明显高于一般人群,分别为17.5%,27.5%,被调查者有焦虑和抑郁症状,45%曾发生过对患者发脾气的攻击性行为,结论:老年病长期照料者的焦虑,抑郁症状不容忽视,并可能影响到其护理工作质量。
  • 急性心肌梗死患者早期康复干预的效果评价 收费下载
  • 目的:探讨早期康复干预对急性心肌梗死(AMI)患者心脏康复的效果,方法:选择无并发症急性心肌梗死患者136例,平均分为实验组与对照组,实验组在入院当天即开始康复锻炼,按研究小组制订的2周康复程序进行;对照组在入院1-5d内绝对卧床休息,按研究小组制订的3周康复程序进行,比较两组康复锻炼后的心理状态,病情变化,6min步行试验结果,住院天数和并发症。结果:实验组各项指标明显优于对照组。结论:AMI早期康复干预能促进心脏康复,提高患者生活质量。
  • 脑卒中偏瘫患者的康复护理 收费下载
  • 康复护理课教学探讨 收费下载
  • 老年脑卒中患者家庭康复护理模式雏探 收费下载
  • 呼吸困难是预测慢性塞性肺疾病患者5年生存更好的指征 收费下载
  • 慢性阻塞性肺疾病患者阻抗耐力训练和周围肌力的减弱 收费下载
  • 分散注意力刺激对肺康复后持续运动的效果 收费下载
  • 肺康复程序与简单的医嘱对严重慢性阻塞性肺疾病患者运动能力和生存质量的影响 收费下载
  • 严重慢性阻塞性肺疾病患者一氧化氮的吸入和运动耐力 收费下载
  • 采用患者的观点评估住院期间肺康复的效果 收费下载
  • 运动训练改善呼吸困难自我管理程序的效果 收费下载
  • 慢性阻塞性肺疾病患者力量和耐力训练效果比较 收费下载
  • 慢性阻塞性肺疾病患者吸气肌训练的效果:meta分析 收费下载
  • Somatic disorder:diagnosis and management 收费下载
  • Objective:to enhance diagnosis and cure rate of somatic disorder,Method :SCL-90,CCMD-3,HAMD,and HAMA were used to evaluate 68 patients suffered from incurable somatic unfitness.Psychotherapy and antidepression therapy were used to treat 53 patients with somatic disorder,After 12 weeks,SCL-90 and clinical evaluation were performed on these patients.Result 53 patients were in line with somatic disorder among 98 with somatic indisposition.Somatic disorder was manifested as disorder of vegetable nerve disorder and persist somatic pain.Clinical symptoms and SCL-90 performance were improved dramatically after psychotherapy and antidepression treatment.Conclusion :Awareness to psychiatric knowledge,training of medical staffs about psychiatric health and appropriate psychotherapy and medicine can improve diagnosis asnd therapy of patients with somatic disorder.
  • Rehabilitation therapy of cerebral hemorrhage in acute phase 收费下载
  • To investigate the effect of rehabilitation therapy on living quality of patients with cerebral hemorrhage in acute phase.Sjbjects:147 cases of cerebral hemorrhage from May 1999 to August 2001 were investigated including 84 males,63 females, aged 38-87(mean:57.4)years old.Main prognosis index and results:According to Brunnstrom a Recovery Statges of Stroke(BRSS),function of limbs was divided into five grades.To patients with grade I to grade Ⅳ,after 1 month of treatment in acute phase,90% improved overI-Ⅱgrades,After a half year of follow-up survey,contracture of joint was observed only in 3% of patients,no disuse atrophy was found.While incases only in 3% of patients,no disuse atrophy was found.While incases not treated in acute phase,only 48% improved over I-Ⅱgrades,and articular contracture appeared in 27% of patient.Seeing from the improvement percentage of living quality,treatment started withid 2 weeks,100% improved,2 weeks-1 month,87%,1 month-3 months,76%,after 3 months ,37%.
  • Interaction of endothelin—1 and prostacyclin during pathological process in patients with ischemic cerebral infarction 收费下载
  • Objective :To investigate the interaction and clinical significance of changes in plasma endothelin-1(ET-1) and prostacyclin (PGI2) concentrations in patients with ischemic cerebral infarction.Methods:Plasma ET-1 and 6-keto-PGF1α(resistant metabolite of PGI2) concentrations were measured in 37 pativents(Study group)with ischemic cerebral infarction and 34 healthy volunteers(control group) by radioimmunoassay,Results :Plasma ET-1 concentrations in patients of study group were markedly higher than that of control group(P<0.01) dioimmunoassay,Results:plasma ET-1 concentrations in patients of study group were markedly higher than that of control group(P<0.01) and 6-keto-PGF1α concentrations in patients of study group were significantly lower than that of control subjects(P<0.01),Plasma ET-1 concentrations in control subjects were positively correlated with 6-keto-PGF1α concentrations and no correlation in the study group.COnclusion Both ET-1 and PGI2 are participated in patho-physiologic process of ischemic cerebral infarction.ET-1 is a virulence factor and may play a deleterious role in ischemic cerebral infarction,PGI2 is a conservancy factor and endogenetic antagonist of ET-1,It may provide useful therapy parameter to find out ectogenesis PGI2 or analog for treating the patients with ischemic cerebral infarction with reason.
  • The role of community nursing in family rehabilitation of stroke patients with impaired spoken language 收费下载
  • Objective:to observe the role of community nursing in family rehabilitation of stroke patients with impaired spoken language.Methods:34 patients were divided into 17 pairs according to similar principle.In each pair,patient went into control or rehabilitation group randomly.Patients in control group received nerve drug treatment,while patients in rehabilitation group received spoken language training course as well as nerve drug treatment.The assessment was made after 6 and 12 months of treatment.Results :The capability of language expression and comprehension in training group were significantly improved than in control(P<0,.01) Conclusions Community nursing plays an impotant role in the rehabilitation of stroke patients with impared spoken language.
  • Relationship between complications of cardio—cerebral vessels and control of blood pressure in senile hypertension 收费下载
  • Hypertension is a serious disease threatening the health of the aged and often leads to disability and even death due to serious diseases of heart,brain and kidney,From 1999,213 cases of senile hypertension were treated in our department.
  • The correlation between clinical neurologic impairment in acute cerebral thrombosis patients and the status of platelet and fibrinogen 收费下载
  • Large numbers of researches indicate that platelets(PLT) and fibrinogen(FIB) play important roles in the pathogenesis and progress of cerebral thrombosis,In the present study,PLT,platelet mean volume(MPV),platelet aggregation ratio(Pt Agt)and FIB concentration were observed,and the pathogenesis and the progress were discussed.
  • Comparison of neural function recovery to TIA—caused cerebral infarction and cerebral thrombosis 收费下载
  • To compare the curative effect of TIA-caused cerebral infarction and cerebral thrombosis.Intervention:After hospitalization,all cases had anti-platelet aggregation drugs,brain protective agents,and dehydrant according to whether they had intracranial hypertension or not,From the 3 to 7 days after hospitalization,patients had their affected extremity massaged 1 month,There were 2 cases in TIA group died of cerebral hernia and lung infection each on the 3rd and 10th day after hospitalization.There was 1 case in brain thrombus group died of asphyxia on the 8th day after hospitalization.The patients in the two groups had their scores according to score standards of clinical neural function defects on the 1st and 30th day after hospitalization,and the results were treated by statistics.Results:The neural function defcets scores before treatment of TIA group and brain thrombus group were (39.6±3.4) and (36.3±3.0) each.There were no significant difference between the two groups(P>0.05),and the data of the two groups could be compared on statistics,The neural function defects scores after treatment of TIA group and brain thrombus group were(26.4±2.7) and (17.6±1.8) each.The data of TIA group was significantly higher than that of brain thrombus group.There were significant difference between the two groups(P<0.01),This result indicates the neural function defects caused by TIA-caused cerebral infarction were serious than that of brain thrombus.Conclusion:The neural function defects caused by TIA-caused cerbral infarction are more serous than that of brain thrombus.
  • Effect observation of nerve functional rehabilitation after treatment with cytridini triphophatis on acute ischemia cerebral vascular disease 收费下载
  • Objective:To observe the rehabilitation effect after treatment with CTP on acute ischemia cerebral vascular disease(AICVD).Results:Evaluation crieria:effective:NDS score decreased by 50%-80%,survival ability increased to 1-3 degree,including 78 cases in rehabilitation and 24 cases in control group;utility:NDS score decreased by 20%-49%,including 30 cases in rehabilitation and 40 cases in control group;ineffective:NDS scroe increased or decreased by 0%-19%,including 4 cases and 52 cases in control group.The total effective rate of rehabilitation group was 96%,and the rate of control group was 55%.The effect of rehabilitation group was obvious better than control group()P<0.01).COnclusion:For CSF lesion from various causes (ischemia,damage,and infection),CTP should be provided in time in acute period.which can reduce cerebral cell lesion,promote metabolism of nerve cell,improve motor function.Clinical practice also shows the feect of CTP treatment group is better than cytidine diphosphocholine group obviously.
  • Characteristic analysis of secondary epileptic attack of senile arteriosclerotic cerebral infarction 收费下载
  • Senile cerbral apoplexy is mainly caused by arteriosclerosis,which is also an important reason to epileptic attack.We analyzed clinical data of 1383 in-patient cerebral infarction cass from 211th Hospital of PLA from January 1996 to October 2001 in which there were 79 secondary epileptic attack of senile arterisclerotic cerebral infarcton.Results were shown followed.
  • Comparative analysis on early functional rehabilitation of limbs in poststroke paralysis patients 收费下载
  • Objective:To investigate impact of early comprehensive rehabilitation treatment on recovery of limbs of patients with post stroke paralysis.Main prognosis indexes:Motion was evaluated using simplified Fugl-Meyer scale,ADL was evaluated using Barthel index.Result:Motion of limbs and ADL showed significant improvement in rehabilitation group,Difference was significant compared with control group(P<0.01).Conclusion:Early comprehensive treatment with facilitation emphasized has significant effect on limbs recovery in poststroke paralysis patients.
  • Glycoprotein Ⅲa gene polymorphisms and risk for coronary artery disease in CHinese Urumqi Uygur and Han population 收费下载
  • Objective:To determine whether a variant(Pl^A2)of the membrane glycoprotein Ⅲa(GP Ⅲa)gene is associated with CAD,Furthermore,the association of the polymorphism with the classical risk factors was analyzed.Methods:Blood was drawn from 105 patients(pt) and 56 controls,some of those undergoing angiography,A 266 base pair fragment of the GP Ⅲa gene was amplified by the polymerase chain reaction(PCR) and digestewd with the MspI restriction enzyme.Genotypes were identified after electrophoresis of digestion products in 2.0% a-garose gel.Results:Of the 105 patients(pt). 65 had acute (n=19) or previous MI,20 had unstable angina (UAP),and 20 had stable angina(SAP) .The Pl^A2 allele was carried by 0% of CAD pt versus 7.7% of Non-CAD control subjects in Uygur population.The Pl^A2 allele was found in 0% of CAD pt versus 0% of Non-CAD control subjects in Han population.Conclusions:the Pl^A2 variant of the gene GP Ⅲa is not associated with CAD in Uygur population and Han population in Urunqi city of Xinjiang Uygur Autonomous Region.
  • Effect evaluation of health education in 80 cases of type 2 diabetes 收费下载
  • To investigate the effect of health education on type 2 diabetes treatment.Main Prognosis indes:Self-made questinnaire,consisted of name,sex,age,education degree,course of disease,mental state,common problems and need of diabetes knowledge.Result:Before education,88.9% of diabetes patients didn‘t know the common problems,85% could‘t control diet,81% couldn‘t obey medical order,8 cases needing insulin injection get no suitable instruction,3 cases couldn‘t reach expected blood glucose level.All patients expect corresponding educatio.Trough 1 year of follow-up survey after education,95% of the patients got diabetes-related knowledge,100% could control diet,but 30% couldn‘t keep for long time,90% could stick to taking drugs on time and insulin user could grasp right dosage and method.Conclusion:health education to patients with type 2 diabetes can improve their self-protection.help them establish healthy life style,cooperate with doctors and improve their living quality.
  • Relative analysis on mutilation disease and characteristics of dyslipidemia in the aged 收费下载
  • Objective :To observe the character and the distribution of dyslipidemia and to explore the relationship between dyslipidemia and the incidence of certain diseases.Method :138 aged cases with dyslipidemia(group A) were observed.Compared with 103 aged cases with normal(group B),and with 126 non-aged cases with dyslipidemia(groupC) to explore the level of lipidemia,the distrbution of all kinds of dyslipidemia and the incidence of certain diseases in three groups.Result:The level of lipidemia in group A was showed that TC,TG and LDL-C were increased,HDL-C was decreased.The proportion of hypertriglydemia was the highest.Conclusion:Hypertriglydemia was closely related to atherosclerosis.
  • Effect of combined convalescent factors in seashore Gulangyu on treatment of senile sub—healthy appearance 收费下载
  • Good environment,amenable climate and clean air are very important for human health.In order to investigate effect of combined convalescent factors in seashore Gulangyu on improving elderly subhealth state.We made a clinical investigation on 92 elders admitted from March 2000 to March 2002,Here is the report.
  • Therapeutic effect of Chinese herbs combined with traditional health preserving on senile tinnitus 收费下载
  • Diet plus Chinese traditional medicine in the treatment of gout arthritis in 38 cases 收费下载
  • To investigate effect of diet therapy plus Chinese traditional medicine on gout arthritis in 38 patients.Main prognosis indexes:Cured:All clinical symptoms disapperared.articular activity recoverd,blood uric acid became normal;Effecitve:symptoms were improved,articular activity was flexible,blood uric acid decreased by more than 10%;ineffectives:symptoms and blood uric acid showed no significant improvement.Results:17 cases whowed cure,18 effective prognosis,3 ineffective,total effective rate was 92%.Liver function was normal before and after treament .Articular pain was completely cured in 17 cases,improved in 11 cases,1 cases showed no improvement in joint pain.Conclusion:Diet therapy plus Chinses Traditional Medicine is effective and reliable in the treatment of gout arthritis.
  • The individual training for children with autism 收费下载
  • Objective:Researching the individually train for children with autism;Method There were 30 cases with autism who have Been trained individually.There were 26 boys and 4 girls.Ages:26-111 months.the mains were(59.90±22.26) months.All of them onsel the abonrmal within 36 months.The diagnosis criterion was deponed on the ICD-10.The score of ABC were 68-133,the means:(90.87±35.12).The Scores of ABRSC were 37-93.The mains:(59.5±16.20),All cases were inpatients.One senior trainer decided the training scheme for every cases.One teacher trained one cases deponeded on the training scheme.The context included:social skill,speech and language,modify behavior .co-operative moscular movement,skill movement and cognitive train.The training time was 6 hours/per day,The training period were 2-6 months,the mains was 3.5 months,Results: THe social skill have had different progress in 27 cases.There were 13/15 cases could say some words and /or simple sentences after training.There were 12/15 cases have had some converse language etc.There were 13/15 cases could say some works and /or simple sentences after training.THere were 12/15 cases have had some converse language etc.The behavior have modified in 27/30 cases.The score of ABC were 23-97,the means:(57.12±20.39) before discharge,The following up time were 2-32 months after discharge.There were 27 cases get progress continuously.There were 5 cases who can go to the primary school.Conclusion:the individual training for autism are useful.
  • Manifestations and Causes of psychological and behavioral problems in infant patients and patients of early age 收费下载
  • Lage amounts clinical facts demonstrate that many diseases can induce emotional disturbances and psychological problems such as fear,anxiety,restlessness,agitation and irritability in infantile patients and patients of early age.The author would like to discuss briefly several common psychological and behavioral problesms and the corresponding causes of them.
  • Effect of comprehensive rehabilitation on 325 children with cerebral palsy 收费下载
  • Objective:To Study the effect of comprehensive rehabilitation for CP.Intervention:325 patients with CP were treated by comprehensive rehabilitation treatmets.The methods included physical therapy,occupational therapy,speech therapy,and Chinese traditional medicaine,Such as massage and scalp acupuncture.Part patients were given orthotherapy and short brace for lower limb.At the same time.psychotherapy and sensory integration therapy were done for the patients with CP.Enlighten education were done for patients with goup.fostered them understanding ability,daily living ability,speech ability through games,music,and handwork.Main prognosis index:The subjects were evaluated by their developmental quotient(DQ) scores including gross motor.fine motor,expressive language,and so on.DQ=[(evepopmental age) /(Chronological age)].100.Remarkable effect:improved DQ are>10 scores:Part Effect:improved DQare≥ 5-9 scores:No effect:improved DQ are ≤4 scores.Result:after 3-6 months treatment,197 cases had remarkable effect,104 cases had part effects,and 24 cases had no effect.The total effective rate was 93.5%.Conclusion:It shows that comprehensive rehabilitation treatments have acquired significant effect for children with cerebral palsy.
  • Clinical analysis of 19 children with refractory epilepsy 收费下载
  • Objective:The refractory epilepsy in children is hopeful to be controlled by etiolopgical treatment with the modern diagnosis technology,We have collected 19 cases with refractory epilepsy treated with modern diagnosis technology and performed summary and analysis of the diagnosis as follow.Result:under the help of modern diagnosis technology,the causes of some refractory epilepsy became clear,including 1 pituitary tumor.1 pachygria,2 tuberous sclerosis,1 Yito hypoigmentation,2 local soft focuses after viral encephalitis,1 phenylketonurea.1 third glutaric acidemia,2 ischemia anoxic encephalopathy sequelas,3 infantile spasm,and 5 no-cause lesion.After operation,one patient with pituitary tumor accepted anti-epilepsy drug,and seizure could be controlled.One patient with brain soft lesion got remission by operation treatment,and one with phenylketonurea was advised by low phenylalaine diet combined with anti-epilepsy drugs,whose conditions got remission.The casuses or brain developmental defect,and there was effctive therapy method at present.But clear causes were helpful to diagnosis and evaluate prognosis.Conclusion:It is useful to treat the refractory epilepsy by finding the cause of the disease and eliminating the cause of the disease with the modern diagnosis technology.
  • The correlations between effects in patients with schizophrenia receiving clozapine:Same root correlation hypothesis 收费下载
  • Objective:To explore the correlations between effects in schizophrenics treated with clozapine.Method:It was estimated for PANSS at baseline and 28th day as well as for serum clozapine level at 29th day in 66 schizophrenics receiving clozapine monotherapy.Results:(1) There was all statistically significant positive correlations between 6 factors of TESS without coincident items;(2) Of 54 correlations between 6 factirs of TESS and 9 subtracting score rates of PANSS subscales.only 6 arrived statistically significant level;(3) of 23 correlations between 9 subtracting score rates of PANSS subscales without coincident items,only 9 were statistically significant.Conclusion:the same root correlation hypothesis in a narrow sense would be utility in future pharmacology.
  • Defensive mechanism of increasing expression of coonexin43 for neurons in cerebral astrocyte of rats with andiogenic seizure
    Effect of two kinds of laser combined with ultrashort wave on peripheral facial nerve paralysis
    Curative effect analysis of therapeutic ultrasonic in vitro on hyperlipemia
    Effects of electroacupuncture at zusanli on plasma endothelin,nitric oxide and calicitonin gene-related peptide
    Research of Rongzhifang Promotion learning ability of amentia mice
    心理测验的临床应用(姚树桥 傅文青 等)
    心理行为疾病的临床特征与康复
    循证医学与心理治疗(马惠霞)
    心理行为疾病的心理护理(关菊香 郭克锋 等)
    心理行为疾病的药物疗法(袁勇贵)
    认知行为治疗(刘哲宁 姚树桥)
    生物反馈训练在排便失禁治疗中的应用(朱熊兆)
    右大脑半球卒中与汉语语法障碍(尤志Jun 毛善平 等)
    脑卒中功能恢复程度与家庭因素的相关性研究
    痴呆测查的新方法:电话问卷(周景升 张新卿 等)
    住院精神分裂症患者生存质量及相关因素
    综合性康复治疗对慢性阻塞性肺病缓解期患者生存质量的影响(刘银芳)
    血管性痴呆的动物模型、神经病理及其胆碱能机制(范文辉 李露斯 等)
    老年期痴呆患者脑脊液tau蛋白与各临床指标的相关性研究
    下颌骨撞击伤对颞下颌关节紊乱病及关节强直发生的影响(刘桂才 周树夏 等)
    MMP—2及MMP—9在缺血性脑损伤中的表达及意义
    脑通提高血管性痴呆患者记忆力32例(苗秀润)
    计算机导航—聋儿听觉评估学习系统应用(孙喜斌 梁巍 等)
    经颅磁刺激—运动诱发电位对早期脑梗死运动功能预后的评估价值(吴小丽 李天炼)
    Frenkel训练法治疗小脑性协调障碍40例(王雪芳 谭红 等)
    灵脑100脑囊增强记忆72例疗效分析
    糖尿病视网膜病变的视觉诱发电位及相关因素分析
    眼震电力诊断椎—基底动脉血不足性眩晕的意义(孙永柱 崔鹏程 等)
    老年面瘫临床预后与电生理特点
    眩晕症患者脑干诱发电位特征
    视觉诱发电位评价视觉通路传导功能损害程度的价值(陈健梅 冼珊)
    脑干听觉诱发电位在先天性耳聋患者应用分析(张传英 张磊 等)
    短暂性脑缺血发作的脑电图、脑地形图、经颅多普勒特点(王惠娟)
    脑白质疏松的事件相关电位P3研究(石寄平 王凯旋 等)
    电刺激痛觉相关诱发电位在脑血管病中的应用(孙世龙 张淑玲)
    外伤性鼓膜穿孔的脑干听觉诱发电位分析
    脑干听觉诱发电位对新生儿缺氧缺血性脑病的诊断及预后评估(臧玉萍 孔峰)
    脑干听觉诱发电位与经颅多普勒对椎基动脉供血不足检查的诊断价值(张强 董珠 等)
    椎—基底动脉缺血发作耳鸣患者的脑干听觉诱发电位表现
    P300电位的原理和临床应用(刘宏亮 余洪俊)
    氦—氖激光在脑卒中后压疮治疗中的作用(孙晓莉 范剑非 等)
    Eph/ephrin与中枢神经可塑性(余剑 曾进胜 等)
    [^99mTc]TRODAT—1 SPECT在帕金森病早期诊断中的应用(赵晓萍 张致峰 等)
    脑卒中后抑郁对早期神经功能康复的影响
    从中西医结合的角度谈对帕金森病研究的思索(周文泉 于向东 等)
    脑卒中患者的心理评估与疗效的关系(潘晓春 李旗 等)
    探讨康复治疗中须注意的几个问题(李旺祥 敖丽娟)
    脑卒中偏瘫恢复期简易滑轮康复疗法(李桂茹)
    早期运用神经网络重建仪改善偏瘫腕关节功能(祁奇 屠霞芬 等)
    颐脑解郁法治疗轻、中度抑郁症的开放性临床研究
    康复评价流程完善和外延扩展的探讨
    对脑梗死患者实施临床康复指导(陈艳萍 高霞 等)
    磁极针在脑卒中治疗中的应用(雷正权)
    反阿是穴取穴法结合康复训练治疗偏瘫性肩痛
    脑卒中患者偏瘫早期康复的疗效(马艳辉)
    平衡板操对偏瘫患者平衡能力的影响(宋志香)
    应用生物反馈压力平台对脑卒后中患者平衡再训练方法介绍(卢乐萍 尹富敏 等)
    丘脑出血的皮层下失语语言训练(张晓奇 刘蕴倩)
    对多发性硬化患者的认知性评估和认知性干预的评价(成丽)
    脑卒中患者康复开始时间对上下肢控制能力和步行能力的影响(刘晓玲)
    针刺与穴贴治疗脑卒中后失语92例(王敏)
    慢性阻塞性肺疾病的康复治疗(康春燕 刘长庭 等)
    自血光量子紫外线充氧回输疗法对慢性肺心病患者血液流变学的影响(刘克娥 孙平)
    生活事件对原发性高血压患者康复的影响
    系统性红斑狼疮65例抑郁情况调查(徐朝焰 庄彦 等)
    人类重组红细胞生成素改善血液透析患者贫血及生存质量的效果分析(辛华玲 韩同喜 等)
    中西医结合治疗强直性脊柱炎24例(战英 李青 等)
    稳定型心绞痛患者进行步行训练的安全性探讨(高洁)
    动态血压对老年单纯收缩期高血压患者预后的评估作用(尚广芹 于春荣 等)
    系统教育管理对高血压患者行为方式的自身前后对照分析
    珠江三角州地区疗养因子对老年慢性失眠症的疗效(何本夫 罗磊 等)
    运动、心理治疗干预2型糖尿病患者的疗效及生存质量(王一军 李春亚 等)
    急性心肌梗死无并发症患者早期康复治疗的1年随访(姚凤臣 柳兢 等)
    对合并肝病的糖尿病患者实施康复干预体会(苗秀欣)
    身高、体重对青少年骨密度的影响(刘加昌 欧阳巧洪 等)
    不同直径螺钉对复合磷酸钙骨水泥强化骨质疏松股骨颈生物力学的影响
    聚合酶链反应限制性片段长度多态性检测雌激素受体基因型(王芊 薛延 等)
    老年人家庭功能障碍及对社区服务的需求调查(王伟伟 陆建华)
    绝经期妇女骨代谢指标的相关性(李茂欣 张俊 等)
    脑卒中患者语言功能的改善对心理健康状况的影响(贺旭 洪军 等)
    认知治疗对改善精神分裂症患者自知力的疗效分析(梁绮霞 何柱国 等)
    脑卒中患者情绪障碍的调查分析(马丽霞 邱亚锋)
    杨浦区街道无业有家精神病患者生活状况抽样调查(肖凉 张寿宝)
    住院精神病患者125例康复教育效果评价及需求调查(杨荷叶 赵敏 等)
    青岛市脑力和体力劳动者酒依赖患者社会功能损害调查分析(于建华 封蕴 等)
    儿少组与未成年组神经症患者的临床特征(石志强 郑娜 等)
    军队退休老人心理健康状况及生存质量相关因素分析
    不同性别强迫障碍的临床特征比较(杨剑虹 沈鑫华)
    新入院患者焦虑程度的调查分析(景璐石 冯军 等)
    电针治疗无精神病性症状的抑郁症(施炳元)
    对慢性精神分裂症患者实施康复教育86例(赵庆莲 马忠义 等)
    A型性格对不稳定心绞痛的影响(徐丹 李岩松 等)
    智力低下儿童468例致病因素分析(贾金鼎 郭华 等)
    高压氧治疗胎儿宫内发育迟缓24例新生儿随访1年结果分析(周永进 凡利俊 等)
    超声中频治疗对格林巴利综合征患儿肌力恢复的疗效观察(李邦惠 冉茂群 等)
    非脊髓灰质炎病毒所致小儿麻痹的康复治疗(孙慧清 宋春兰 等)
    徐动型脑性瘫痪儿童言语治疗(肖曙光 阳伟红 等)
    脑性瘫痪与中枢性协调障碍患儿的早期筛查与干预治疗(曹春兰 王淑波)
    老年人平衡能力的特征(肖春梅 邱君芳 等)
    对城市少年球类运动员体内血铅含量的调查分析(闻博)
    运动员自我评价问卷的编制与初步分析(谭先明 钟前涓 等)
    微波治疗慢性损伤(吴长河)
    中药“健力方”抗运动性疲劳(魏纯镭 秦泰春 等)
    不同强度运动训练对大鼠脑组织微量元素含量影响(李宁川 陈晓莺 等)
    对过度疲劳的探讨(周强)
    运动与细胞因子网络研究(窦丽 张钧)
    体育院校大学生心理健康教育的探索(闫枫)
    腹部经络健身与灸法对机体血液载脂蛋白的作用
    对运动员疲劳恢复的药膳探讨(唐善永)
    布洛卡失语1例患者语言训练体会(余航)
    高频电场吸脂术276例报告(李斌 马晓冰 等)
    高压氧综合治疗老年一氧化碳中毒68例(胡红军)
    帕金森病运动疗法的探讨(张雯 陈文华 等)
    功能神经病学诊断新进展(钟希德 王锦玲 等)
    多发性硬化动物模型系列MRI与病理对照研究(曹茜 王连庆 等)
    脑功能磁共振的研究及应用(张仲伟 陈克敏 等)
    对我国当前听力语言康复工作的意见和建议(卜行宽)
    磁场辅助治疗小儿构音障碍的疗效观察
    β—淀粉样蛋白和肿瘤坏死因子对老年性痴呆患者的药效评价(吕汉文 谭小颖 等)
    老年痴呆症的药物治疗与进展(陈莲珍 王育琴 等)
    儿童孤独性障碍药物临床应用
    玻璃酸钠、曲安缩松联用与单用玻璃酸钠治疗骨性关节炎疗效比较(张镝 王震宇 等)
    针灸戒毒的研究进展(俞光平)
    电针对糖尿病周围神经病变患者生化代谢的影响
    六味地黄汤加减治疗抽动—秽语综合征(陈银燕)
    桂枝苓胶囊治疗类风湿性关节炎50例(李铁民 焦文兰)
    运动疗法对高血压病患者2年随访观察影响(阎艳丽)
    早期护理介入对预防偏瘫患者肩关节半脱位的作用(黄雪芳 张盘德)
    老年患者长期照料者心理状况及相关因素(张晓红 张玉兰 等)
    急性心肌梗死患者早期康复干预的效果评价(黎观妹 袁岩 等)
    脑卒中偏瘫患者的康复护理(杨八爱)
    康复护理课教学探讨(李飞 雷中杰 等)
    老年脑卒中患者家庭康复护理模式雏探(何月红)
    呼吸困难是预测慢性塞性肺疾病患者5年生存更好的指征
    慢性阻塞性肺疾病患者阻抗耐力训练和周围肌力的减弱
    分散注意力刺激对肺康复后持续运动的效果
    肺康复程序与简单的医嘱对严重慢性阻塞性肺疾病患者运动能力和生存质量的影响
    严重慢性阻塞性肺疾病患者一氧化氮的吸入和运动耐力
    采用患者的观点评估住院期间肺康复的效果
    运动训练改善呼吸困难自我管理程序的效果
    慢性阻塞性肺疾病患者力量和耐力训练效果比较
    慢性阻塞性肺疾病患者吸气肌训练的效果:meta分析
    Somatic disorder:diagnosis and management(戴光明 肖燕 等)
    Rehabilitation therapy of cerebral hemorrhage in acute phase(郑春兰)
    Interaction of endothelin—1 and prostacyclin during pathological process in patients with ischemic cerebral infarction(闵连秋 姜文大 等)
    The role of community nursing in family rehabilitation of stroke patients with impaired spoken language
    Relationship between complications of cardio—cerebral vessels and control of blood pressure in senile hypertension(杨国杰)
    The correlation between clinical neurologic impairment in acute cerebral thrombosis patients and the status of platelet and fibrinogen
    Comparison of neural function recovery to TIA—caused cerebral infarction and cerebral thrombosis(王凤章)
    Effect observation of nerve functional rehabilitation after treatment with cytridini triphophatis on acute ischemia cerebral vascular disease
    Characteristic analysis of secondary epileptic attack of senile arteriosclerotic cerebral infarction(曹绪政 兰杰 等)
    Comparative analysis on early functional rehabilitation of limbs in poststroke paralysis patients(李迎光 黄春洲 等)
    Glycoprotein Ⅲa gene polymorphisms and risk for coronary artery disease in CHinese Urumqi Uygur and Han population
    Effect evaluation of health education in 80 cases of type 2 diabetes(范明俊 武桂华 等)
    Relative analysis on mutilation disease and characteristics of dyslipidemia in the aged(杨锐英 刘志军 等)
    Effect of combined convalescent factors in seashore Gulangyu on treatment of senile sub—healthy appearance(王俊 冯瑞华 等)
    Therapeutic effect of Chinese herbs combined with traditional health preserving on senile tinnitus(李泳文)
    Diet plus Chinese traditional medicine in the treatment of gout arthritis in 38 cases
    The individual training for children with autism
    Manifestations and Causes of psychological and behavioral problems in infant patients and patients of early age(饶红)
    Effect of comprehensive rehabilitation on 325 children with cerebral palsy(许洪伟 林萍 等)
    Clinical analysis of 19 children with refractory epilepsy(林学锋 饶立德 等)
    The correlations between effects in patients with schizophrenia receiving clozapine:Same root correlation hypothesis(喻东山 张心保 等)
    《中国临床康复》封面

    主管单位:中华人民共和国卫生部

    主办单位:中国康复医学会

    社  长:王莉莎

    主  编:刘昆

    地  址:沈阳1200邮政信箱

    邮政编码:110004

    电  话:024-23384352 23394178

    电子邮件:[email protected]

    国际标准刊号:issn 1671-5926

    国内统一刊号:cn 21-1470/r

    邮发代号:8-587

    单  价:15.00

    定  价:780.00