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不同频率高频重复经颅磁刺激对缺血性脑卒中患者上肢功能的效果 被引量:36
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作者 肖长林 潘翠环 +6 位作者 陈艳 胡楠 黄绍宽 李倩 付桢 欧秀君 罗丽娟 《中国康复理论与实践》 CSCD 北大核心 2019年第5期557-563,共7页
目的探讨3 Hz和10 Hz重复经颅磁刺激(rTMS)对缺血性脑卒中后患者上肢运动功能和日常生活活动能力的影响。方法 2016年6月至2017年9月,缺血性脑卒中住院患者60例随机分为伪rTMS组(n=19)、3 Hz-rTMS组(n=21)和10 Hz-rTMS组(n=20),分别给予... 目的探讨3 Hz和10 Hz重复经颅磁刺激(rTMS)对缺血性脑卒中后患者上肢运动功能和日常生活活动能力的影响。方法 2016年6月至2017年9月,缺血性脑卒中住院患者60例随机分为伪rTMS组(n=19)、3 Hz-rTMS组(n=21)和10 Hz-rTMS组(n=20),分别给予伪rTMS刺激、3 Hz和10 HzrTMS刺激,同时行常规上肢康复训练,共2周。治疗前后检测损伤对侧半球静息运动阈值(RMT),治疗前后和随访6周时,采用改良Ashworth量表(MAS)、Fugl-Meyer评定量表上肢部分(FMA-UE)和改良Barthel指数(MBI)进行评定。结果共48例患者完成试验,其中3 Hz-rTMS组脱落5例,10 Hz-rTMS组脱落5例,伪rTMS组脱落2例。治疗后,3 Hz和10 Hz-rTMS组RMT提高(t> 2.390, P <0.05),三组间无显著性差异(F=0.164, P> 0.05)。3 Hz和10 Hz-rTMS组腕、肘MAS评分随时间延长逐渐下降(Z> 2.460, P <0.05);随访时,3 Hz和10 Hz-rTMS组肘MAS评分优于伪rTMS组(P <0.05)。时间与组别对FMA-UE评分存在显著交互作用(F=14.243, P <0.001),不同时间段,3 Hz和10 Hz-rTMS组的改善程度均明显高于伪rTMS组(P <0.01)。MBI评分时间与组别无交互作用(F=1.481, P> 0.05);不同时间段之间改善程度比较,三组间无显著性差异(F <2.925,P> 0.05)。结论 3 Hz和10 Hz rTMS均可以有效促进缺血性脑卒中患者上肢运动功能恢复,疗效相似,10 Hz rTMS治疗时间更短,推荐临床应用。 展开更多
关键词 缺血性脑卒中 上肢 重复经颅磁刺激 频率
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Relationship between apolipoprotein E, D10S1225 poly- morphisms and late-onset Alzheimer’s disease 被引量:5
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作者 ZHANG Tai-song WANG Hua-qiao +2 位作者 WANG Wei-yi HE Yun-shao huang shao-kuan 《Chinese Medical Journal》 SCIE CAS CSCD 2006年第4期294-299,共6页
Background There were some papers published in the Jonmal of Science, December 2000 suggesting that one or more important susceptibility genes for late onset Alzheimer's disease (LOAD) were located on the long arm ... Background There were some papers published in the Jonmal of Science, December 2000 suggesting that one or more important susceptibility genes for late onset Alzheimer's disease (LOAD) were located on the long arm of chromosome 10. Linkage analysis showed maximum lod score close to D10S1225 loci, which indicated the loci might contribute to the etiology of Alzheimer's disease (AD). Methods Fifty-nine LOAD patients and 107 controls were recruited. Apolipoprotein E (ApoE) genotypes were determined by reverse dot blotting hybridization assay. The D10S1225 was genotyped by 12% nondenaturing polyacrylamide gels electrophoresis and analyzed by silver staining. Statistical analysis was used to compare genotype and allele distributions between LOAD group and control group for APOE and D10S1225 polymorphisms. Results APOE ε4 was significantly higher in LOAD group in comparison with the control group(X^2=6.530, P=0.011). Seven different alleles of D10S1225 have been identified. The length of these gene fragments were 178 bp, 181 bp, 184 bp, 187 bp, 190 bp, 193 bp, and 196 bp, respectively. A total of 21 different genotypes were observed. There was no relationship between D10S1225 polymorphism and LOAD (X^2=4.488, P〉0.05). Conclusion This study suggests that ApoEεA is a risk factor for LOAD, however, the results indicated that there is not any possible linkage for disequilibria with a nearby AD risk gene near D10S1225. 展开更多
关键词 apolipoprotein E chromosome 10 POLYMORPHISM Alzheimer's disease
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