目的:觀察中頻電刺激治療急性缺血性腦卒中后吞咽困難的臨床療效。方法:選取急性缺血性腦卒中并發生吞咽困難的患者80例,隨機分為治療組和對照組,兩組臨床用藥完全一致,對照組和治療組分別輔以冰刺激和中頻電刺激進行康復治療,療程為1月。觀察患者吞咽困難的恢復情況.結果:治療組治愈率為35％,總有效率為90％,與對照組比較差異具顯著性。結論:中頻電刺激是治療腦卒中后吞咽困難的一種有效、簡便、安全的方法,可推薦臨床使用。
摘要:目的:探討腦出血血腫微創清除術后繼發癲癇的病因,發病機制及臨床特點。方法:對46例患者進行臨床分析。結果:腦出血血腫微創術后繼發癲癇占10.2%,以單純部分性發作占50%。強直一陣攣發作占40%,失神發作占10%。結論:腦出血微創清除術后繼發癲癇發病率高,及時控制癲癇發作能有效降低患者死亡率及癲癇導致的致殘率。
【摘要】 目的 探討頸動脈粥樣硬化(CAS)斑塊及血脂、血糖(BG)、纖維蛋白原(Fbg)水平與腦梗死的關系。方法 對2007年11月—2008年12月入院的91例腦梗死患者,應用彩色多普勒檢測其頸動脈內中膜厚度(IMT)、斑塊數和性狀,同時檢測血脂、血糖、纖維蛋白原水平,并與正常對照組比較。結果 ①與正常對照組比較,腦梗死組IMT明顯增厚、CAS斑塊檢出率、軟斑百分比明顯增高(Plt;005)。②血清總膽固醇(TC)、低密度脂蛋白(LDL)、BG及Fbg水平腦梗死組明顯高于正常對照組(Plt;005);腦梗死有斑塊亞組明顯高于無斑塊亞組(Plt;005)。③腦梗死組IMT與TC、LDL、BG、Fbg水平(r分別為0.32、0.34、0.30、0.36,Plt;005)。結論 腦梗死患者IMT增厚,CAS斑塊及軟斑發生率高。BG、TC、LDL及Fbg水平增高是腦梗死及CAS斑塊發生的危險因素。
Objective To evaluate the relationship between pattern of left ventricular dilation and functional mitral regurgitation (FMR) by echocardiography. Methods A single-center retrospective observational study was conducted on 117 patients with age of 31-77 years and left ventricular end diastolic dimension≥60 mm treated in our hospital from January 2013 through May 2016. These patients were divided into four groups by FMR degree: FMR-None/Trace (FMR-N/T group,n=33), FMR-Minor (FMR-Mi group,n=37), FMR-Moderate (FMR-Mo group,n=34) and FMR-Severe (FMR-Se group,n=13). We analyzed their basic information and echocardiographic parameters including left ventricular dimension, volume, systolic function, spherical index, regional wall motion score index, tenting height and area of mitral vavle as well as anterior/posterior angle. Results The incidences of inferior/posterior/lateral myocardial infarction and basal myocardial dyskinesia/aneurysm increased with the increase of FMR degree (FMR-N/T vs. FMR-Mi vs. FMR-Mo vs. FMR-Se: 12.1% vs. 18.9% vs. 44.1% vs. 46.2%,P=0.001 and 12.1% vs. 27.0% vs.47.1% vs. 53.8%,P=0.005, respectively). The tenting height and area of mitral valve, anterior/posterior angle, regional wall score index of the left ventricle where the papillary muscle was attached to had a positive correlation with FMR degree (P＜0.05). Conclusion There is a relationship between regional left ventricular dilation and FMR. Evaluating and improving those parameters is very important when we choose the treatment strategy of functional mitral regurgitaion.