电针配合小脑电刺激治疗对小脑梗塞患者平衡障碍的疗效观察

目的:观察电针配合小脑电刺激治疗对小脑梗塞患者平衡障碍干预的作用.方法:选择48例小脑梗塞患者,随机分为治疗组,对照组.2组均予小脑电刺激治疗,治疗组在此基础上还进行电针治疗.治疗前及治疗1个月后均采用Berg平衡量表,改良Barthel指数评分评定.结果:与对照组比较,治疗组Berg平衡量表,改良Barthel指数评分均有较大改善,有显著性差异(P<0.01).结论:电针配合小脑电刺激治疗能有效改善小脑梗塞患者平衡功能的恢复.     

脑瘫家庭康复指导可行性探索

目的:探索脑瘫家庭康复指导作为诊疗模式的可行性.方法: 选取30例脑瘫患儿,由治疗师康复指导,家长进行家庭康复治疗三个月后观察疗效.家长问卷调查对此模式的认可度.结果: 脑瘫患儿康复显效率45.0%,有效率91.7%;家长对于此模式认可度86.7%.结论: 指导家长进行家庭康复有利于脑瘫患儿运动能力进步,是值得推广的康复模式.     

中西医结合治疗小儿脑瘫临床观察

目的:观察运用中西医结合治疗小儿脑瘫的临床疗效.方法:对112例患者采用理学疗法,头针电针、西药和家长配合引导式训练等治疗方法.结果:基本恢复21例,显效59例,有效25例,总有效率91.96%.且病程越短,疗效越好,效果也越好.结论:理学疗法、头针、电针、西药等中西医结合治疗小儿脑瘫,能使患儿临床症状、体征、智能等得到明显改善.     

脑性瘫痪儿童个性化康复护理

目的:脑性瘫痪是儿童时期常见的运动性残疾,除运动障碍外,还存在精神发育迟滞、癫痫、视听障碍、语言障碍、生活能力低下等并发症,给脑瘫儿童的康复训练、成长发育带来巨大困难.为这些儿童制定个性化的康复护理计划,可以有效地提高康复治疗的疗效,极大地改善脑性瘫痪儿童的运动、智力水平.方法:收集2003年12月至2008年12月住院的痉挛型脑瘫儿童205例,男123例,女82例;年龄8月至11岁.除一般常规性检查外,再作GESELL测试GMFM-66等检查,并对并发症进行诊断、分析,制定个性化康复护理方案.结果:205例经过科学合理的治疗、护理,在运动、智能方面均有提高.结论:充分认识脑瘫及脑瘫的并发症,针对性地制定个性化康复护理方案,并落实护理措施,可以有效地提高患儿运动功能,减轻残疾,使脑瘫儿童得到最大程度的康复,提高患儿生活质量.     

脑性瘫痪儿童终止康复治疗的原因分析

目的:探讨脑性瘫痪儿童终止康复治疗的原因.方法:收集71例脑瘫患儿的病史,进行回顾性分析,并对中途放弃康复治疗的患儿父母或同其共同生活的其他监护人(祖父母、外祖父母)进行放弃治疗原因的主观问卷调查.结果:脑瘫患儿的轻重度和年龄大小对他们中途放弃康复治疗并无影响,但是外地脑瘫患儿中途放弃康复治疗较明显.而主观问卷调查中中途放弃康复治疗的原因主要为离家远、患儿上学等.结论:针对脑瘫患儿中途放弃康复治疗的原因,提出相应的措施.     

Vojta、Bobath、上田法综合治疗小儿脑性瘫痪临床观察

目的:评价Vojta、Bobath及上田法综合治疗脑性瘫痪的疗效.方法:对36例年龄在2月-3岁9月小儿脑瘫患儿同时应用Vojta、Bobath及上田法进行治疗比较治疗前后姿势异常、反射、肌张力、肌力的改善情况,比较治疗前后运动发育率评价治疗效果.结果:本文对36例脑瘫患儿应用Vojta、Bobath及上田法各种手技,根据评价异常的结果,制定个体化综合方案,在家长的参与下进行康复训练,36例经一年连续治疗,取得较好的疗效,正常化27.7%(10例/36例),有效72.2%(26/36例),总有效率100%(36例/36例).结论:应用Bobath疗法、Vojta疗法及上田法综合治疗脑性瘫痪,可有效减轻患儿的残疾程度,达到正常化或轻症化的目的.     

脑性瘫痪患儿的日常生活护理

脑性瘫痪是出生前到出生后一个月内由各种原因引起的非进行性脑损伤,主要表现为中枢性运动障碍及姿势异常,多伴有智力低下、癫痫、行为异常、听觉或语言功能障碍,症状在两岁前出现.脑瘫患儿的康复是一个漫长的过程,除了入院做系统的康复治疗,日常生活护理也是至关重要的.     

推拿与康复训练结合治疗脑性瘫痪患儿尖足的临床观察

小儿脑性瘫痪是指自受孕开始至婴儿期非进行性脑损伤和发育缺陷所导致的综合征,主要表现为运动障碍和姿势异常.脑瘫患儿尖足是痉挛型脑瘫患儿中最常见的功能障碍,严重影响到患儿的站立和行走.笔者对推拿与康复训练相结合治疗脑性瘫痪患儿尖足情况进行了临床观察,现报道结果如下.     

对核电工程建设前期阶段业主程序体系建设的探讨

本文结合核电工程建设前期阶段工作特点，对该阶段业主程序体系建设中存在的问题进行了探讨和分析，并提出程序体系建设应对策略。     

综合疗法治疗小儿脑性瘫痪

目的:观察推拿等综合疗法治疗小儿脑性瘫痪的临床治疗效果.方法:以点穴、推拿、运动疗法等综合疗法对32例患儿进行治疗.结果:治疗1个月时患儿的智力、姿势、运动、肌张力等各指标均有明显改善,1月显效率为80%,2月显效率达85%,总有效率达85%以上.结论:本治疗方法能有效改善脑瘫患儿的临床症状,近期疗效确切,不失为一种有效的治疗方法.     

Growth of brain stimulation reward as a function of duration and stimulation strength.

The strength of a train of rewarding brain stimulation required to support a criterion level of operant performance declines hyperbolically as the duration is increased. This finding has been attributed to a process of leaky integration. However, the rate at which integration approaches asymptote has been shown to depend on stimulation strength, a finding that differs from the behavior of a simple leaky integrator. The authors replicate both findings and show that they are both well described by a new model that incorporates a hyperbolic strength-duration function, a logistic function mapping stimulation frequency onto reward intensity, and another logistic function mapping reward intensity onto performance. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

推拿与康复运动疗法结合治疗脑瘫112例疗效观察

目的:推拿与康复运动疗法结合治疗脑瘫.方法:康复运动疗法治疗过程的不同阶段运用推拿密结合治疗各种脑瘫的疗效观察,显示3-6月龄患儿疗效100%,48月龄以上疗效83.4%,说明年龄越小,有效率越高,疗效越显著.     

The treatment of idiopathic facial paralysis

Louisiana's new Medical Assistance Programs Provider Agreement Law creates a complex contractual relationship between the state and every person providing care, items or services to the Louisiana Medicaid Program. In privately funded healthcare, it is called a "network contract." This new law gives the Department of Health and Hospitals at least 12 express reasons to cancel a person's contract to provide care to Medicaid beneficiaries. The law also, however, gives a right to either party--either the provider or the state--to cancel the contract at will, and even without cause, by the mere giving of a 30-day advance written notice, and thus this new law might be said by some to stretch the notion that "any willing provider" may participate in Medicaid to near the breaking point. There are many new rules and conditions, some of which have not yet even found their way into privately funded healthcare.     

Longitudinal evaluation of vocal function following thyroplasty type I for the treatment of unilateral vocal paralysis

Longitudinal changes of vocal efficiency and stability following thyroplasty type I were analysed. Fifty-three patients with unilateral vocal fold paralysis underwent vocal function evaluation preoperatively and 1, 3 and 6 months postoperatively. Vocal function assessment included videostrobolaryngoscopic examination, acoustical and aerodynamic analyses, and perceptual ratings of voice. Parameters including glottic gag size, maximum phonation time, glottic flow rate, jitter, harmonic to noise ratio, breathness, hoarseness, loudness and phrasing showed significant improvement after thyroplasty and remained stable within 1 month with only slight fluctuations over a 6 month period. Postoperative voice outcome was not affected by age, sex, duration of vocal symptoms, etiology of paralysis, or preoperative pulmonary function.     

Simultaneous glutamate and perfusion fMRI responses to regional brain stimulation

Functional magnetic resonance imaging (fMRI) rests on the assumption that regional brain activity is closely coupled to regional cerebral blood flow (rCBF) in vivo. To test the degree of coupling, cortical brain activity was locally stimulated in rats by reversed microdialysis infusion of picrotoxinin, alphagamma-aminobutyric acid-A antagonist. Before and during the first 30 minutes of infusion, simultaneous fMRI (rCBF) and neurochemical (interstitial glutamate concentration) measures of brain activity were highly correlated (r = 0.83). After 30 minutes of picrotoxinin-induced stimulation, glutamate levels decreased but rCBF remained elevated, suggesting that additional factors modulate the relationship between neuronal neurotransmitters and hemodynamics at these later stages.     

Chemical stimulation of the intracranial dura induces enhanced responses to facial stimulation in brain stem trigeminal neurons

Chemical activation and sensitization of trigeminal primary afferent neurons innervating the intracranial meninges have been postulated as possible causes of certain headaches. This sensitization, however, cannot explain the extracranial hypersensitivity that often accompanies headache. The goal of this study was to test the hypothesis that chemical activation and sensitization of meningeal sensory neurons can lead to activation and sensitization of central trigeminal neurons that receive convergent input from the dura and skin. This hypothesis was investigated by recording changes in the responsiveness of 23 [16 wide-dynamic range (WDR), 5 high threshold (HT), and 2 low threshold (LT)] dura-sensitive neurons in nucleus caudalis to mechanical stimulation of their dural receptive fields and to mechanical and thermal stimulation of their cutaneous receptive fields after local application of inflammatory mediators or acidic agents to the dura. Responses to brief chemical stimulation were recorded in 70% of the neurons; most were short, lasting the duration of the stimulus only. Twenty minutes after chemical stimulation of the dura, the following changes occurred: 1) 95% of the neurons showed significant increases in sensitivity to mechanical indentation of the dura: their thresholds to dural indentation changed from 1.57 to 0.49 g (means, P < 0.0001), and the response magnitude to identical stimuli increased by two- to fourfold; 2) 80% of the neurons showed significant increases in cutaneous mechanosensitivity: their responses to brush and pressure increased 2.5- (P < 0.05) and 1. 6-fold (P < 0.05), respectively; 3) 75% of the neurons showed a significant increase in cutaneous thermosensitivity: their thresholds to slow heating of the skin changed from 43.7 +/- 0.7 to 40.3 +/- 0.7 degrees C (P < 0.005) and to slow cooling from 23.7 +/- 3.3 to 29.2 +/- 1.8 degrees C (P < 0.05); 4) dural receptive fields expanded within 30 min and cutaneous receptive fields within 2-4 h; and 5) ongoing activity developed in WDR and HT but not in LT neurons. Application of lidocaine to the dura abolished the response to dural stimulation but had minimal effect on the increased responses to cutaneous stimulation (suggesting involvement of a central mechanism in maintaining the sensitized state). Antidromic activation (current of <30 muA) of dura-sensitive neurons revealed projections to the hypothalamus, thalamus, and midbrain. These findings suggest that chemical activation and sensitization of dura-sensitive peripheral nociceptors could lead to enhanced responses in central neurons and that this central sensitization therefore could result in extracranial tenderness (mechanical and thermal allodynia) in the absence of extracranial pathology. The projection targets of these neurons suggest a possible role in mediating the autonomic, endocrine, and affective symptoms that accompany headaches.     

浅刺加推拿治疗面瘫132例疗效观察

目的:探索针刺治疗面瘫的更有效方法.方法:按就诊顺序随机分成治疗组76例,给予浅刺患侧面部加头颈部推拿治疗.对照组56例以常规捻转针刺法加头颈部推拿治疗.结果:两个疗程后,治疗组总有效率96.1%,对照组总有效率87.4%,P＜0.05,两组疗效有显著性差异.结论:浅刺患侧的治疗效果明显优于对照组.     

Effect of electrical stimulation of red nucleus on acupuncture analgesia

The function of red nucleus (RN) was important in motor control. This work was to study whether the RN influenced the effect of EA and the somatosensory afferent system. C-responses of spinal dorsal horn neurons (SDHN) were recorded as nociceptive responses. Electrical stimulation of RN could intensify the inhibitory effect of EA and inhibit nociptive response of SDHN. Naloxone (NX) could completely block that inhibition of RN. The result inferred that the RN can modulate both of somatomotion and somatosense. The endogenous opiate system is involved in the somatosensory modulation of RN.