目的 探讨低频脉冲电刺激对急性脑卒中患者足下垂的防治作用.方法 104例急性脑卒中患者被随机分为低频脉冲电刺激组65例和对照组39例.对照组给予神经内科常规药物、针灸及现代康复治疗,低频组在此基础上联合低频脉冲电刺激治疗,两组观察时间均为21天.采用下肢简易Fugl-Meyer运动功能评分(FMA)、踝关节背屈肌群徒手肌力功能评分(MMT)、偏瘫患者步行能力分级、Barthel指数评分(BI)及踝关节背屈主动关节活动度(ROM)评定两组患者临床疗效.结果 治疗后两组患者的足下垂症状均有改善,组内对比差异有统计学意义(P＜0.05);组间对比,低频组改善尤为显著(P＜0.05).结论 神经内科常规药物、针灸及现代康复治疗联合低频脉冲电刺激治疗对急性脑卒中患者足下垂的防治有显著的临床疗效.
目的：分析针刺足三阴经为主配合远端取穴联合低频脉冲电疗在脑卒中早期足下垂内翻治疗中的应用价值。方法：将120例脑卒中早期足下垂内翻患者随机分为两组，每组60例。对照组接受针刺足三阴经为主配合远端取穴治疗，治疗组接受针刺足三阴经为主配合远端取穴联合低频脉冲电疗。对比两组临床治疗效果。结果：在治疗4周后，治疗组坐位踝关节背曲度、仰卧位踝关节背曲度及 Barthel 指数高于对照组，WGC 评分低于对照组（ P ＜0．05）。治疗组治疗总有效率高于对照组（P＜0．05）。结论：脑卒中早期足下垂内翻治疗中针刺足三阴经为主配合远端取穴联合低频脉冲电疗可显著的提高临床治疗效果。
Objective To evaluate the safety and efficacy of multi-mode CT guided arterial thrombolysis and intravenous thrombolysis with rt-PA in treatment of acute cerebral infarction.Methods The carotid artery system in patients with acute cerebral infarction 65 cases were randomly divided into arterial thrombolysis group of 35 patients and intravenous thrombolytic group of 30 patients,record the NIHSS score and living ability status before thrombolysis and after thrombolysis 2h,24h,7d and 30d.Determine the efficacy of thrombolysis after 30 days.Results Arterial thrombolysis group average NIHSS score results were significantly lower than the intravenous thrombolysis group.Two groups total effective rate were 74.29% and 46.67% respectively.Conclusion Intra-arterial thrombolysis and venous thrombolysis guided by multi-mode CT are safe,effective in treatment of acute cerebral infarction,clinical efficacy of the former is superior to the latter.
自身免疫性溶血性贫血(AIHA)合并Guillain-Barré综合征(GBS)临床少见,现报告1例如下. 1 病例 女,12岁.因“双下肢无力8d”于2012年10月15日入院.患者2周前出现腹痛、头痛,按“感冒”治疗3d后缓解.8d前起出现双下肢无力,枕、腰部及大腿后部痛.到当地医院就诊,查血常规:WBC 12.6×109/L,RBC 3.1×1012/L,血红蛋白(HGB) 100 g/L;腹部B超:脾肋下6 cm;颈、腰椎及头颅MRI和肌电图检查均未见异常.予以“头孢噻肟钠”治疗3d无效,双下肢无力进行性加重.有AIHA 8年.查体:巩膜轻度黄染,脾肋下平脐.双侧鼻唇沟变浅,闭眼露白3mm,双上肢肌力Ⅳ级,双下肢肌力Ⅱ级,四肢腱反射(-),颈抵抗征(+),Brudzinski征(+),Kemig征(+);其他无异常.
