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巨刺法结合常规针刺法治疗中风偏瘫40例
Stroke with hemiplegia is the frequent symptom in cerebral vascular disease. We had applied bilateral needling technique in combination with common needling technique to 40 cases of stroke patients from February to June 2006. The result is reported as follows.
关键词: 巨刺法 针刺法治疗 vascular disease -
电针配合牵引手法治疗颈椎病性类冠心综合征
Coronary heart syndrome induced by cervical spondylosis is also named as cervicogenic pseduoangina, it is the syndrome with the similar clinical manifestations of cardiac vascular disease induced by cervical spondylosis.Since 1988, the authors of the paper have treated 32 cases (from the department of internal medicine or the department of cardiac vascular disease) with acupuncture in combination with cervical traction and massage manipulation on neck region and achieved satisfied results. Following is the summary.
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Peripheral vascular disease embraces a variety of conditions such as thromboangiitis obliterans, Raynaud's disease, thrombophlebitis, aorto-arteritis, obliterate atherosclerosis, varix or phlebothrombosis of the lower limb. Although the affected blood vessel may be arterial or venous one and caused either by inflammation or degenerate changes, they share common symptoms and signs, such as blood stasis, ischemia, thrombosis, ecchymosis, swelling, constriction or obliteration of blood vessels due to circulatory impairment. Since they share common characteristics, the treating principles and methods will be discussed as follows.
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BAEP和SSEP在重型脑血管病患者脑干功能监测中的应用
脑干听觉诱发电位(brainstem auditory evoked potential,BAEP)和短潜伏期体感诱发电位(short latency somatosensoryevoked potential,SSEP)用于神经外科手术中监护[1]、正中神经体感诱发电位在脑缺血中的作用评估[1]、脑出血患者脑干听觉诱发电位与脑血流量相关性研究[3]等,国内外已有报道,但用于脑血管疾病(cerebral vascular disease,CVD)急性期脑干功能监测的研究,迄今未见报道.
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超声技术在外周血管疾病的应用和发展
超声技术在外周血管疾病诊断方面的应用已有漫长的历史,1975年Nippa等利用改进后的双向连续波多普勒超声(continuous wave Doppler,CW)技术成功显示血流方向,从而较准确判断下肢静脉反流的存在,但由于连续波多普勒超声技术无法显示血管结构,只能根据血管解剖关系判断深、浅静脉,其精确度较差.此外,利用该技术还可借助动脉波形的描记结合肢体动脉压力的测量判断有无动脉狭窄或闭塞,但对于判定动脉轻度狭窄有一定的困难.
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如何提高缺血性脑血管病超声检测技术的准确性
脑血管疾病(cerebral vascular disease,CVD)是造成人类死亡和致残的重要原因.根据CVD病变原因可分为出血性和缺血性两大类,文献报道70%~80%是缺血性脑血管病(ischemic cerebral vascular disease,ICVD);根据病变部位分为颅内和颅外段动脉病变.确定血管病变部位及血流动力学变化,是采用不同治疗方法的关键.
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急性缺血性脑血管疾病的升血压治疗
缺血性脑血管疾病(ischemic cerebral vascular disease,ICVD)是临床上的常见病、多发病,是致死及致残的主要病因.对ICVD的治疗一直是国内外研究的热点.高血压是其重要的病因之一,长期服用降压药物控制血压以减少卒中的发生率已成为临床惯例,但ICVD发生后出现的急性期高血压是否需要治疗则有较大争议[1],根本原因是由于缺血脑组织的血流量与血压水平密切相关.
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Objective. To investigate the association of carotid arterial intima media thickness (IMT) with principal cardiovascular risk factors in the elderly. Methods. Carotid arterial IMT was measured by high resolution B mode ultrasound in 94 elderly subjects (old aged group), and compared with subjects aged < 60 (middle-aged group). Results. In comparison with the middle-aged group, the prevalence of coronary heart disease, cerebral vascular disease, hypertension and diabetes mellitus was significantly higher, and serum cholesterol and systolic blood pressure were also significantly higher in old aged group. Although there was no obvious difference in IMT between the two groups, carotid plaque and carotid wall thickening were more frequently found in old aged group. Age, systolic blood pressure and serum cholesterol were shown as the independent determinants for carotid IMT in the total participants, whereas no such independent relation was found in old-aged group. Conclusion. Age is the major risk factor for carotid atherosclerosis in the elderly. In other words, the occurrence of carotid atherosclerosis is the result of advancing age combined with the effect of multiple cardiovascular risk factors.
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绝经期激素治疗与心血管疾病的关系
心血管疾病(cardio vascular disease,CVD)随年龄增长而增加,妇女绝经后发生率更高.这是由于卵巢功能衰竭引起的代谢性危险因素和血管功能的变化所引起[1].CVD和绝经后激素疗法(HT)的关系已经通过大量的不同设计的流行病学研究证实,这些研究的结论是HT降低CVD的风险.然而,一项以CVD为终点指标的大型的随机安慰剂对照试验表明HT在总体上并没有带来与CVD相关的益处[2].HT是否能作为CVD的预防措施有待进一步探讨.
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藻酸双脂钠治疗缺血性心脑血管疾病56例血流动力学分析
近几年来我们用藻酸双脂钠治疗缺血性心、脑血管疾病,收到了良好疗效,现将56例资料完整的临床观测资料分析报道如下.
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颅内动脉粥样硬化性狭窄的治疗
颅内动脉粥样硬化性狭窄(intracranial atherosclerotic stenosis, ICAS)是脑血管病( cerebral vascular disease, CVD)的危险因素,开展对ICAS的治疗,是预防和减少ICAS相关性卒中佳选择。 ICAS的治疗分为外科、内科及血管介入治疗。
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肿瘤坏死因子α与急性脑血管病及多器官功能障碍综合征的研究进展
多器官功能衰竭(multiple organ function failure,MOF)是指疾病或损伤过程中,序贯发生二个或二个以上系统、器官功能衰竭的综合征,近年来较多的学者提出以MODS(multip le organ dysfunction syndrome,MODS)代替MOF,更为科学.肿瘤坏死因子(Tumor Necros is Factor,TNF)是目前研究较深入的一种细胞因子.本文就TNF-α的生物学特性、在中枢神经系统中的产生、表达、TNF-α与血脑屏障、脑水肿的关系、与急性脑血管病(acute cerebral vascular disease,ACVD)及并发的多器官功能障碍综合征的研究进展做一综述.
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1例右颈部血管及腮腺破裂Ⅰ型神经纤维瘤并血管病变病人的术后护理
神经纤维瘤(neurofibromatosis,NF)是一种渐进性、可侵害全身各系统的常染色体显性遗传性疾病[1].NF分为4种类型,Ⅰ型神经纤维瘤(NF1)多见,也被称作Yon Reek 1inghausen病,约占NF的90%,临床上主要表现为皮肤牛奶咖啡色斑和多发神经纤维瘤[2].
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颈动脉狭窄与脑缺血血流动力学变化的实验研究
缺血性脑血管病(ischemic cerebral vascular disease,ICVD)占脑卒中的75%~90%.是一种严重影响人民健康和生活质量的常见疾病.本课题是在严格控制实验条件下进行的相关动物实验,利用多普勒超声检测其血流动力学改变,探讨颈内动脉狭窄程度与脑部动脉末端血流动力学变化的相关性,并通过流式细胞术对脑细胞凋亡、坏死情况的检测予以印证,确定能够显著影响脑血供的临界颈动脉狭窄值.为临床工作进行筛查,选择干预措施,提供参考.
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变异性肉芽肿性血管炎患者非对称性周围神经损害的电生理特征
INTRODUCTIONAllergic granulomatous vaseulitis is a rare kind of systemic vascular disease which belongs to rheumatic vasculitis and invade small artery and vein. This disease was first reported by Racherann and Greene in 1939 and Churg and Strauss clarified the relation between pathology of this disease and clinic in 1951.8 cases were reported by Ma Jiliang in 1994 among which, 6 cases conformed to diagnosis of this disease and 2 cases were diagnosed by biopsy.
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腹腔血管源性急腹症的诊断与剖腹探查
血管源性急腹症在临床急腹症中虽不常见,但一旦发生即为高危重症,其早期诊断困难,治疗困难,病死率高达70%以上[1~4].
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前列腺素E1注射液治疗缺血性脑血管病疗效分析
1 临床资料①一般资料:选择缺血性脑血管病(ischemi cerebral vascular disease,ICVD)患者100例,均为神经内科住院患者,其中男性70例,女性30例,年龄39~84岁.其诊断均符合中华神经内科学会和外科学会制定的<各类脑血管疾病诊断要点>,其中短暂性脑缺血发作30例,脑梗死40例,腔隙性脑梗死30例.病情均按全国第四届脑血管病学术会议通过的<脑卒中患者临床神经功能缺损程度评分标准>评分.随机分成前列腺素E1(PGE1)治疗组50例,对照组50例,两组患者性别、年龄、类型、病程和病情比较,差异均无显著性(P>0.05).②治疗方法:PGE1注射液为白求恩医科大学制药厂生产.两组患者均静脉滴注复方丹参注射液及去除氧自由基、钙离子拮抗剂等脑保护剂.治疗组将PGE1注射液200μg+生理盐水500l静脉滴注,每日1次,10为1个疗程,1个疗程结束时进行疗效评定.③疗效评定标准:按照全国第四届脑血管病学术会议通过的<脑卒中患者临床神经功能缺损程度评分标准>及<临床疗效评定标准>进行评定.
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颈动脉超声对心脑血管病的应用价值
动脉粥样硬化是一种慢性、进行性、多因素的系统性疾病,也是心脑血管疾病的常见病因.本文旨在探讨颈动脉超声检查对心脑血管病的应用价值.
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老年结缔组织疾病的肺部表现
胶原血管病(collagen vascular disease,CVD)是一种自身免疫性疾病.胶原血管病并发肺和胸膜病变常常发生.类风湿性关节炎(RA)、多发性肌炎/皮肌炎(PM/DM)并发肺间质性病变(interstitial lung disease,ILD)可先发于关节和肌肉病变数月甚至数年.
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又一强化降糖治疗临床试验的里程碑:ADVANCE研究
2008年6月6日,在美国旧金山召开的第68届美国糖尿病学会(ADA)年会上,大规模的2型糖尿病前瞻性研究一ADVANCE研究(Action in Diabetes and Vascular Disease:Preterax and Diamicron Modified Release Contmlled Evaluation)的降糖组试验结果正式公布.