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  • 易化技术配合针炙治疗脑卒中后上肢痉挛

    作者:屈云;盛敏;蒋毅;熊淑芳;何成奇;罗祖明

    AIM: To observe the therapeutic effect of rehabilitation therapy centralized on facilitation and acupuncture on upper extremities spasm after stroke.METHODS:56 cases of stroke patients with upper extremities spasm were divided into two groups by random.28 patients in treatment group were received rehabilitation therapy centralized on facilitation and acupuncture treatment.Others in control group were received traditional method. RESULT:All patients were evaluated by muscle tone evaluation of Ashworth Scale.The outcomes of two groups had significant different (P< 0.01). CONCLUSION:We could archive the satisfactory effects with acupuncture and rehabilitation therapy centralized on facilitation on upper extremities spasm of stroke patients.

  • 血管内皮生长因子和第VIII因子相关抗原在脑出血大鼠脑内的表达

    作者:揣兰香;张微微;戴卫平

    AIM:To observe the expression of vascular endothelial growth factor(VEGF) and Factor VIII related antigen(FVIII- R Ag) in rats brain tissue in the border zone of the hematoma,and explore the relationship between the expression of VEGF and the brain angionesis after intracerebral hmorrhage(ICH). METHODS:Rat of model of ICH was induced by injection of collagenase physiological saline into the right caudate nucleus.The immunohistochemical methods were performed by using different antisera of VEGF and FVIII- R Ag in serial sections of rats brain at 12 h,1 d,3 d and 7 d after ICH respectively.RESULTS:The amount of VEGF positive cells was markedly increased,and reached the highest at 7th day in the border zone after ICG(P< 0.01),but there were no significant difference among the mean value of A of cells at different time points (P >0.05).Compared with the controls,both the FVIII- R Ag positive endothelial cells and the A of cells were significantly different in experimental ICH goups after 1 day.CONCLUSION:The upregulated expression of VEGF might induce proliferation of endothelial cell and angiogenesis in the border zone after ICH in rats.

  • 早期心理干预对脑卒中偏瘫患者心理健康的影响

    作者:谢淑丽;朱明光;崔焕波;刘海燕

    AIM:To observe the influence of psychological intervention on mental health of hemiplegias after stroke.METHODS:82 hemiplegias after stroke were divided into control and intervention groups in certain conditions.Patients in control group received only routine treatment,while patients in intervention group received psychological intervention as well.Symptom Checklist was adopted to measure the mental health of patients.RESULTS:The scores of panic,anxiety,depression and stubborn in intervention group were significantly lower than that in control(P< 0.05 or P< 0.01). CONCLUSION:Early psychological intervention can improve the mental health of hemiplegias after stroke.

  • 脑卒中后头晕与心理因素的相关性

    作者:何晓军;张沙丽;马敏敏;张传文

    AIM:To study the relationship between post- stroke dizziness and psychological factors.METHODS:To choose 82 cases with dizziness after stroke. The patients whose medical treatment were invalid were divided into two groups randomly.The experimental group of 43 cases was treated with antipsychotic and the controls group of 39 cases was treated with consolation.RESULTS:The total effective rate in experimental group was significantly higher than that in the control group(P< 0.001).CONCLUSION:It is suggested that though the mental scales scores might be normal, post- stroke dizziness should be treated for a long- term helplessly be just a sign of psychological matter.It ought to be discerned and given pertinent treatments.

  • 肿瘤坏死因子-α致胰岛素抵抗

    作者:鲁瑾;邹大进;张家庆

    胰岛素抵抗(insulin resistance,IR)是指胰岛素作用的靶器官、组织(主要为肝脏、肌肉、脂肪组织)对胰岛素生物学效应的反应性降低或丧失,因而产生一系列病理和临床表现.IR的病因复杂,一般认为有关基因突变所造成的极端IR很少见,而遗传易感性基础上的环境因素可能起着重要影响,但对其产生的具体机制并不明了.近年来,肿瘤坏死因子(TNF-α)在IR发生机制中的作用受到了很大关注.本文对TNF-α与IR的关系作一简要综述.

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