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卒中单元综合治疗对脑梗死躯体症状及精神心理障碍疗效分析 被引量:2
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作者 谢玉艳 《中国医药科学》 2017年第17期12-15,共4页
目的探究分析比较卒中单元综合治疗与传统普通病房单一药物治疗对脑梗死躯体症状及精神心理障碍的疗效。方法选取我院2009年1月~2016年9月收治的86例新发脑梗死患者,按治疗方式分为卒中单元组(43例行卒中单元综合治疗)和对照组(43例行... 目的探究分析比较卒中单元综合治疗与传统普通病房单一药物治疗对脑梗死躯体症状及精神心理障碍的疗效。方法选取我院2009年1月~2016年9月收治的86例新发脑梗死患者,按治疗方式分为卒中单元组(43例行卒中单元综合治疗)和对照组(43例行常规药物治疗),比较两组在发病2、4、6、8、10、12周时神经功能缺失评分(NIHSS)、日常生活能力指数(BI指数)及汉密尔顿焦虑量表(HAMA)、汉密尔顿抑郁量表(HAMD)评分并进行评估;比较两组患者住院时间及治疗效率。结果在两组患者基线资料无明显差异的情况下,发病6周后卒中单元组较对照组同期NIHSS评分及BI指数比较差异有统计学意义(P<0.05)。两组患者在发病2~6周时HAMA评分HAMD评分均改善不显,有加重趋势,但卒中单元组自6周以后HAMA评分HAMD评分有明显改善(P<0.05),而对照组自6周后HAMA及HAMD评分没有明显改善(P>0.05),两组同期数据自6周后比较差异有统计学意义(P<0.05);卒中单元组的住院时间(15.89±2.56)d与对照组住院时间(19.78±1.25)d相比,差异有统计学意义(P<0.05);卒中单元组患者的总有效率为90.70%,对照组患者的总有效率为74.42%,卒中单元组的总有效率显著高于对照组,差异有统计学意义(P<0.05)。结论卒中单元综合治疗对脑梗死躯体症状及精神心理康复愈后明显优于传统单一治疗模式。 展开更多
关键词 卒中单元 脑梗死 神经功缺损 继发精神障碍 疗效
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EFFECTS OF TRANSCRANIAL MAGNETIC STIMULATION ON MOTOR CORTICAL EXCITABILITY AND NEUROFUNCTION AFTER CEREBRAL ISCHEMIA-REPERFUSION INJURY IN RATS 被引量:22
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作者 Hong-lin Feng Li Yan Yu-zhou Guan Li-ying Cui 《Chinese Medical Sciences Journal》 CAS CSCD 2005年第4期226-230, ,共5页
Objective To clarify the effects of repetitive transcranial magnetic stimulation (rTMS) on rat motor cortical excitabi- lity and neurofunction after cerebral ischemia-reperfusion injury. Methods After determined awake... Objective To clarify the effects of repetitive transcranial magnetic stimulation (rTMS) on rat motor cortical excitabi- lity and neurofunction after cerebral ischemia-reperfusion injury. Methods After determined awake resting motor threshold (MT) and motor evoked potentials (MEPs) of right hindlimbs, 20 Sprague-Dawley rats were subjected to middle cerebral artery occlusion (MCAO) reperfusion injury, then rTMS were applied to rTMS group (n = 10) at different time, while control group (n = 10) received no stimulation. A week later, MT and MEPs were evaluated again, as well as neurological deficits and infarct volume. The effects of rTMS and MCAO reperfusion injury on these parameters were analyzed. Results After MCAO reperfusion, both MT level and neurological deficit scores increased, distinct focal infarction formed, and latency of MEP elongated. Compared with the control group, the increased extent of MT and neurological scores of rats receiving rTMS were significantly lower (P < 0.05), as well as the infarct volumes reduced significantly(P < 0.05). But MEP was not affected by rTMS obviously. There was a positive linear correlation between postinjury MT and infarct volume (r = 0.64, P < 0.05). Conclusion rTMS may facilitate neurofunction recovery after cerebral ischemia-reperfusion. Postinjury MT could provide prognostic information after MCAO reperfusion injury. 展开更多
关键词 repetitive transcranial magnetic stimulation cerebral ischemia-reperfusion.injury motor threshold motor evoked potential
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