目的:观察电针加微波治疗痔疮的临床疗效.方法:将50例痔疮患者随机分为治疗组25例和对照组25例.治疗组:电针加微波治疗:对照组:马应龙麝香痔疮膏治疗,并进行对照观察.结果:两组治疗前后差异有统计学意义(P<0.05),治疗组优于对照组.结论:电针加微波治疗痔疮疗效显著.

目的观察电针配合超激光照射治疗感音神经性耳聋耳鸣的疗效。方法感音神经性耳聋耳鸣患者136例,随机分为治疗组及对照组各68例。治疗组用电针配合超激光照射法进行治疗,对照组单纯用电针法。每日1次,10次为1个疗程,共治疗3个疗程。结果治疗组疗效明显优于对照组(P<0.01),总有效率为73.53%。疗效与病程、病情相关。病程越短,听力损失程度越轻,疗效越佳。结论电针配合超激光照射治疗感音神经性耳聋耳鸣的疗效确切。

我科于2001年至2004年治疗慢性盆腔炎患者90例,年龄23～55岁,病程3个月～10年.经超短波加温针灸治疗,疗效满意.现报道如下.

Objective To design and validate a convenient, effective treatment method for patients with memory impairment. MethodsWe chose five kinds of methods currently used in rehabilitation practice for treatment of memory impairments and integrated them into computer training software. Then we used the software in clinical practice. Meanwhile, we used the Rivermead Behavioral Memory Test to evaluated the effects of the software. ResultsThe memory training software developed was effective for improving the memory impairment caused by brain injury. It was proved that the design of the software was successful and suitable to the patients with memory impairment. ConclusionAccording to short-term use in clinic, the design of the software is reasonable; the software is effective, easy for use and acceptable to the patients with memory impairment caused by brain injury.Further studies are needed to observe if it is effective for treatment of memory impairments induced by other causes.

Objective To define whether there exists correlation between the cognitive dysfunction and the locus of brain lesion and to map the localization of brain lesions for different cognitive dysfunction. Methods Cognitive function was tested with NCSE in 30 patients with cognitive dysfunction caused by brain lesion. Correlation between the locus of brain lesion and cognitive dysfunction was tested and analyzed with CT scan and 10 items (ORI, ATT, COMP, REP, NAM, CONST, MEM, CALC, SIM and JUD) of the NCSE. Results The lesions of either side of brain were related to COMP, while the frontal lobe was related to CALC, JUD and MEM; lesions of the parietal lobe were related to NAM, JUD and especially to the item of REP and CALC (P0.01). No significant relation was revealed between temporal or basilar lesions with the above-mentioned items(P0.05). Conclusion Cognitive dysfunction is related to the locus of brain lesion, and this is especially true for lesions in the frontal and parietal lobes.

目的 探讨脑损害后肢体运动功能和综合功能障碍的恢复是否与认知障碍的程度有关 ,以寻求最佳的认知和运动功能康复方法。方法 采用中文版NCSE评定量表 ,分别评测正常人 2 5例、脑损害患者 2 5例。比较两组分测验得分情况 ,并将NCSE分测验结果与患肢运动功能Brunnstrom分级、综合功能ADL（Barthel指数 ）的入、出院得分进行相关分析。结果 2 5例脑损害患者均有不同程度的认知障碍 ,分测验结果与正常人均有显著差异 （P ＜0 .0 1）。ADL恢复与MEM、NAM、CALC、JUD相关 （P ＜0 .0 5或 0 .0 1） ,功能恢复与COMP、NAM、CONST、MEM、CALC、SIM和总分相关 （P ＜0 .0 5或 0 .0 1）。结论 NCSE是筛查脑损害认知功能障碍的实用方法 ,其结果与脑损害功能恢复相关 ,可以作为估计预后的指标。

Objective To test the reliability and validity of the Neurobehavioral Cognitive Status Exam (NCSE) in Chinese patients. Methods The testretest reliability of NCSE was examined at an interval of 1 week in 25 inpatients in our rehabilitation ward, the criteria validity (mainly consisted of 8 items) was evaluated with a sample of 55 inpatients with brain injuries. Results The test retest reliability was high in most items( r 0.7, P 0.01). Patients with cognitive disorders had lower score in NCSE as compared with normal subjects( P 0.01). There was positive correlation between scores of language(COMP,REP,NAM) and the scores of CRRCAE(Chinese Rehabilitation Research Center Aphasia Examination)( r =0.72-0.78, P 0.01). A positive correlation was also existed between scores of MEM and the scores assessed by Rivermead memory test( r =0.72, P 0.01 ). By using the cut points of the original test, the sensitivity and specificity of NCSE were 93.5% and 65%, respectively. Conclusion The reliability and validity of NCSE are satisfying when used with Chinese patients.

患者在康复医疗机构里进行治疗和训练的时间是短暂的,绝大部分时间将要在家庭、社会里渡过,有的甚至带着不同程度的残疾回归社会.如何使他们尽早地康复,充分发挥残存功能,像正常人那样生活和工作,这既是我们康复工作者的目的又是面临的现实问题.作为综合医院的康复工作者应寻求一些合适的途径为社区残疾人和其它病患者提供最为完整的康复服务,由此提出如下建议: