目的 探讨综合认知训练(治疗室任务联合日常生活任务训练)对脑损伤后康复效果的影响.方法 选取本院2021年1月—2022年1月收治的90例脑卒中、脑外伤患者为研究对象,根据数字表法随机分为A、B、C三组,每组30例,各组均接受常规康复治疗,在此基础上,A组进行治疗室任务训练联合日常生活任务训练,B组进行治疗室任务训练,C组仅接受认知康复指导.比较三组治疗前后的蒙特利尔认知评估量表(MoCA)评分、Fugl-Meyer运动功能评定量表(FMA)评分及Barthel指数(BI)评分.结果 治疗前,三组的MoCA、FMA、BI评分比较,组间差异无统计学意义(P<0.05);治疗后,A组的MoCA、FMA、BI评分均高于B组、C组,组间差异有统计学意义(P<0.05).结论 综合认知训练(治疗室任务联合日常生活任务)可有效改善脑损伤患者的认知功能,进而提高其整体康复疗效,值得临床推广使用.

目的 对2型糖尿病患者合并脑卒中后认知功能改变的特点予以探究分析,为临床治疗提供参考依据.方法 2017.2～2018.11期间,从我院门诊及住院患者中选取50例2型糖尿病合并脑卒中患者作为观察组,在同一时间选取50例非糖尿病脑卒中的患者作为对照组,比较两组患者在发生脑卒中后不同时间阶段的认知能力.结果 脑卒中发生3个月后与6个月后,观察组患者的认知能力评分均低于对照组,统计学意义显著(P＜0.05).结论 当脑卒中患者伴有2型糖尿病时会对患者的认知功能产生一定的影响.

This study was designed to investigate the effects of glutamine on cytokines 1L-1, TNF-α and prognosis of patients with lobectomy in the process of postoperative rehabilitation. A total of 78 patients with lung cancer who underwent lobectomy from January 2015 to January 2017 were selected in Daqing Oilfield General Hospital (Daqing, China). Patients were randomly divided into two groups, 39 patients in each group. Patients in the control group were treated with conventional treatment, while patients in the observation group were treated with both conventional and glutamine treatment. The levels of TNF-α, endotoxin, serum IL-1, IL-10, IL-15, IL-18 and intercellular adhesion molecule-1 (ICAM-1), myeloperoxidase (MPO) activity, incidence of nausea and vomiting, pulmonary histopathological changes, prognosis, and rehabilitation (time in bed, hospital stay and lung function) were compared between the two groups. Within 1 year after treatment, most patients survived, except 2 patients in the observation group and 3 patients in the control group who died. The rate of postoperation infection in the observation group was slightly lower than that in the control group. After treatment, the levels of endotoxin and TNF-α in the observation group were significantly lower than those in the control group (p<0.05). After treatment, the serum levels of IL-1 and IL-10 were significantly higher and the serum levels of IL-15 and IL-18 were significantly lower in the observation group than those in the control group (p<0.05). The expression levels of ICAM-1 and MPO activity were significantly higher in the observation group than those in the control group (p<0.05). No significant difference in the incidence of nausea and vomiting was found between the two groups (p>0.05). The average postoperative bed rest and hospital stay in the observation group were significantly shorter than those in the control group (p<0.05). The levels of forced expiratory volume in 1 sec (FEV1), forced vital capacity (FVC) and peak expiratory flow rate (PEFR) in the observation group were significantly higher than those in the control group (p<0.05). The results indicated that glutamine treatment is effective in the postoperative rehabilitation of patients undergoing lobectomy. Glutamine can regulate the levels of IL-1 and TNF-α, improve lung function, shorten bed rest and hospitalization days, promote patients postoperative rehabilitation process, and improve patients quality of life.

Objective:Discuss Memantine Hydrochloride Tablets cooperate with Xingnao Kaiqiao Acupuncture the curative effect of treatment for cognitive impairment after stroke.Methods:Select the rehabilitation department in hospital and clear diagnosis of 48 cases of cerebral stroke patients were randomly divided into treatment group and control group 24 cases, each routine rehabilitation treatment differences between the two groups, the treatment group using Memantine Hydrochloride Tablets together with Xingnao Kaiqiao Acupuncture method treatment, after 3 months of MMSE, MoCA score, BI index for statistical analysis.Results:The treatment group score was better than control group, the rising trend in 4, 12 weeks with the control group to compare differences were statistically significant (P ＜ 0.05).Conclusion:Memantine Hydrochloride Tablets with Xingnao Kaiqiao Acupuncture cognitive impairment after stroke is safe and effective method of treatment, patients are easy to accept, worthy of clinical popularization and application.

Objective:To explore the relationship between dysphagia and the lesion of brain MRI in patients with the true bulbar paralysis patients and pseudo pseudobulbar palsy patients after stroke.Methods:To select thirty patients with true bulbar paralysis and pseudo pseudobulbar palsy after stroke were enrolled in this study.Brain magnetic resonance imaging (MRI) was performed, and clinical pharyngeal swallowing and pharyngeal fluoroscopy were performed.Binary Logistic regression analysis was performed using the SPSS software package (version 17.0).Results:True bulbar paralysis after stroke in patients with primary injury of the medulla oblongata, especially on one side of the soft palate motion decreases, gag reflex weaken or disappear, pharynx peristalsis abate, repeated swallowing and piriform fossa retention;Pseudo bulbar paralysis after stroke patients can be damage to the frontal lobe, subcortical white matter, extrapyramidal, cerebellum, mouth, pharynx, esophagus, three stages of a variety of swallowing.Conclusion:Post-stroke cranial magnetic resonance, such as involving the medulla oblongata nucleus, solitary tract nucleus and the surrounding reticular structure, can manifest true bulbar paralysis;involving the frontal lobe, subcortical white matter, extrapyramidal, cerebellar, manifest pseudo bulbar paralysis.

目的：通过双通道生物反馈技术针对脑卒中后偏瘫患者上肢运动功能进行训练，达到患者早期进入上肢分离运动期。方法：收集2014年1月～2014年9月大庆油田总医院康复科脑梗塞和脑出血患者选取Brunnstrom分级III期50例，年龄为65岁以下。采用多功能神经康复诊疗系统———生物反馈重建治疗模式对偏瘫患者进行治疗。分肘关节伸展训练和肩关节前屈训练，每块肌肉每日15-20min，训练4周。结果：Barthel指数明显提高（P<0.01）,Fugl-Meyer运动功能评分、EMG波幅均明显提高（P<0.01）。结论：它打破了传统的康复训练模式即患者被动、枯燥的接受功能训练，利用电刺激通过生物反馈使被动运动与主动运动相结合，能尽快促进肩前屈同时肘伸展分离运动的出现。

Objective:To investigate the clinical efficacy of acupuncture with cauda equina injury caused by urinary retention combined with nerve injury therapy for the treatment of lumbar disc herniation after operation .Methods:All patients selecting acupoints Guanyuan , Zhongji, yinlingquan, Sanyinjiao with nerve injury treatment instrument (Kang Da)KT-90A, square wave pulse therapy for 20 minutes, once a day R.esults:The residual urine volume , maximum urine flow rate improved significantly compared with before treatment P <0.01, Autonomous Urination rate was 83 .3%.Concl usion:The traditional Chinese medicine and clinical therapeutic effect of acupuncture might have a better clinical effect .

目的:探讨脑损伤患者认知障碍康复治疗护理的作用。方法:在治疗脑损伤患者认知障碍的过程中应用认知训练配合高压氧及康复护理。结果:认知训练配合高压氧治疗脑损伤患者认知障碍其中贯穿康复护理工作,收到良好效果。结论:对疾病的预后和康复起到了促进作用,使患者能够以良好的心理状态回归社会和家庭。

目的观察关节持续被动活动器（CPM）治疗上肢痉挛的疗效。方法选取存在偏瘫侧上肢痉挛的脑卒中患者50例，分为治疗组和对照组各25例，均给予常规系统康复治疗，治疗组对其痉挛上肢增加CPM机治疗，治疗一个月后进行疗效对照。结果治疗组抗痉挛治疗有效，且显效率高于对照组（P<0.05）。结论关节持续被动活动器能有效治疗脑卒中后上肢痉挛。

目的观察吞咽言语诊治仪用于脑卒中患者吞咽障碍综合康复治疗的疗效。方法选择脑卒中后合并吞咽障碍的住院患者50例,随机分为对照组和治疗组各25例,对照组给予综合康复治疗,包括针灸、吞咽功能基础训练及摄食训练,治疗组在综合康复治疗的基础上加用吞咽言语诊治仪治疗,比较2组的治疗效果。结果治疗后2组吞咽功能均较治疗前有改善(P<0.05),治疗组总有效率达到92%,高于对照组的76%,有显著性差异(P<0.05);2组治疗前、后洼田饮水实验评分显示治疗组吞咽功能改善好于对照组,有显著性差异(P<0.05)。结论吞咽障碍患者在常规康复治疗同时增加吞咽言语诊治仪治疗,可增加吞咽障碍治疗效果,显著改善吞咽功能,且无痛苦,无不良反应,可缩短住院治疗疗程,患者易于接受,值得临床推广应用。

目的:观察早期康复介入对卧床病人常见并发症的影响。方法:选择我院2010年10月~2012年10月收治的脑卒中、骨折、截瘫需早期卧床病人82例,分为对照组、观察组各41例,对照组给予常规护理和治疗措施,观察组在此基础上给予早期进行康复介入。观察并比较2组患者常见并发症发生率的差异。结果:对照组发生肺内感染5例,压疮2例,下肢深静脉血栓3例,关节挛缩5例,并发症发生率为36.59%;观察组发生肺内感染2例,压疮0例,下肢深静脉血栓0例,关节挛缩2例,并发症发生率为9.76%。与对照组比较,观察组并发症发生率明显较低,差异有统计学意义(P<0.05)。结论:早期康复介入可明显降低卧床病人常见并发症的发生,改善患者生存质量,值得临床推广。

目的：探讨脑损伤患者认知障碍康复治疗护理的作用。方法：在治疗脑损伤患者认知障碍的过程中应用认知训练配合高压氧及康复护理。结果：认知训练配合高压氧治疗脑损伤患者认知障碍其中贯穿康复护理工作，收到良好效果。结论：对疾病的预后和康复起到了促进作用，使患者能够以良好的心理状态回归社会和家庭。

目的:比较2种剂量叶酸在治疗高同型半胱氨酸血症(Hyperhomocysteinemia,HHcy)中的效果。方法:回顾性分析70例HHcy患者,34例高剂量组给予叶酸片15mg/d,分3次口服,36例一般剂量组给予叶酸片5mg/d,1次口服,2组均常规联合给予甲钴胺片,分别于治疗前及治疗2周后测血浆同型半胱氨酸(homocysteine,Hcy)、血常规、肝功、肾功,对比指标变化。结果:2组均有治疗效果(组内比较P<0.05),且疗效相当(组间比较P>0.05)。结论:口服叶酸片可有效治疗HHcy,高剂量与一般剂量疗效相当。

目的:研究康复护理技术对患者的康复治疗所起的作用。方法:康复护士在康复医学中应用康复护理技术,结果康复护理工作贯穿了功能训练和康复治疗的始末。结论:康复护理工作在患者的康复治疗中起着关键的作用。

目的观察抗痉挛仪配合抗痉挛手法治疗脑卒中后偏瘫痉挛状态的疗效。方法将脑卒中后偏瘫处于痉挛状态的患者60例随机分成治疗组及对照组各30例。治疗组采用抗痉挛仪配合抗痉挛手法治疗,对照组单纯运用抗痉挛手法进行降低肌张力治疗,治疗8周后重新评定2组患者肌张力及肢体运动功能。结果治疗后治疗组肌痉挛程度MAS分级明显低于对照组(P<0.05);2组Fugl-Meyer得分治疗后均明显提高,且治疗组提高程度优于对照组。结论抗痉挛仪配合抗痉挛手法治疗脑卒中后偏瘫痉挛状态疗效显著。

目的:探讨巴氯芬对脑卒中后尿潴留病人的治疗作用。方法:选择脑卒中后存在尿潴留的住院患者病例30例,随机分为两组,对照组15例给予综合康复治疗,治疗组15例在综合康复治疗的基础上加用巴氯芬药物治疗。结果:治疗组治疗效果优于对照组(P<0.05)。结论:巴氯芬治疗脑卒中后尿潴留疗效显著,给临床治疗提供了一个简单、方便、经济、安全的方法。

选取2007年12月～2008年10月于我科就诊的重症偏瘫患者20例,均符合1995年全国第四届脑血管疾病学术会议修定的大面积脑梗死诊断标准[1],经头颅CT或MRI证实,男10例,女10例;平均年龄(50.3+23.5)岁;发病2周;既往无脑卒中或有脑卒中但无明显神经功能损害;运动功能分级符合下肢Brunnstrom Ⅰ～Ⅱ级;随机分成治疗组和对照组各10例,2组一般资料比较无统计学差异.