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Biopsychosocial Review of Eating Disorders
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作者 Elizabeth Esbenshade Alexandra Venegas 《Open Journal of Psychiatry》 2024年第2期107-119,共13页
Eating disorders are among the deadliest mental illnesses known to occur. Eating disorders directly cause 10,200 deaths each year, which is one death every 52 minutes. About 9% of the global population is affected by ... Eating disorders are among the deadliest mental illnesses known to occur. Eating disorders directly cause 10,200 deaths each year, which is one death every 52 minutes. About 9% of the global population is affected by eating disorders at some point during their lifetime. This paper aims to provide a better understanding of the factors that contribute to the onset of eating disorders. Specifically, we examine biological factors, such as genetics, family history and the neuroscience behind eating disorders;furthermore, we explore psychological factors including other mental health conditions and their correlation, personality traits and behavioral risk factors;lastly, we consider social factors related to the onset of eating disorders, such as childhood and social environment, the media, and demographic factors. 展开更多
关键词 Eating disorders Risk Factors etiology
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Food intolerance and the few-foods(or oligoantigenic)diet in children with attention-deficit hyperactivity disorder
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作者 Klaus W.Lange Andreas Reissmann +1 位作者 Yukiko Nakamura Katharina M.Lange 《Food Science and Human Wellness》 SCIE CAS CSCD 2024年第4期1729-1738,共10页
The hypothesis that some children with attention-deficit hyperactivity disorder(ADHD)may show sensitivity or allergic reactions to various food items has led to the development of the the few-foods(or oligoantigenic)d... The hypothesis that some children with attention-deficit hyperactivity disorder(ADHD)may show sensitivity or allergic reactions to various food items has led to the development of the the few-foods(or oligoantigenic)diet.The rationale of the diet is to eliminate certain foods from the diet in order to exclude potential allergens contained either naturally in food or in artificial ingredients with allergenic properties.The oligoantigenic diet attempts to identify individual foods to which a person might be sensitive.First,ADHD symptoms are monitored while multiple foods are excluded from the diet.Subsequently,if symptoms remit,foods are re-introduced,while observing the individual for the return of symptoms.An advantage of the oligoantigenic diet is that it can be tailored to the individual.A growing body of evidence suggests that behavioral symptoms of subgroups of children with ADHD may benefit from the elimination of certain foods.The effect sizes of an oligoantigenic diet regarding improvement of ADHD symptoms have been found to be medium to large.Available evidence suggests that the investigation of the role of food hypersensitivities in ADHD is a promising avenue worthy of further exploration.Further large-scale,randomized controlled studies including assessment of long-term outcome are therefore warranted. 展开更多
关键词 Attention-deficit hyperactivity disorder Food intolerance Few-foods diet etiology TREATMENT
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Fire-needle therapy for deglutition disorders in post-stroke pseudobulbar palsy:a randomized controlled trial 被引量:6
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作者 GUO Yu-huai Sun Zhong-ren +5 位作者 Cai Shuo Jin Ze Wei Qing-shuang Jiang Fan Wang Ming-zhen Yin Hong-na 《Journal of Acupuncture and Tuina Science》 CSCD 2018年第6期375-381,共7页
Objective:To observe the clinical efficacy of fire-needle therapy in treating deglutition disorders due to pseudobulbar palsy in the remission stage of stroke.Methods:Sixty-two eligible subjects were divided into a fi... Objective:To observe the clinical efficacy of fire-needle therapy in treating deglutition disorders due to pseudobulbar palsy in the remission stage of stroke.Methods:Sixty-two eligible subjects were divided into a fire-needle group and a rehabilitation group by a simple randomization method at a ratio of 1:1.The two groups received same basic intervention;in addition,the fire-needle group received fire-needle treatment,while the rehabilitation group received rehabilitation training.The two groups of subjects all received a 3-week treatment and were evaluated by the dysphagia severity rating scale (DSRS),modified Mann assessment of swallow ability (MMASA) and Kubota Toshio swallow test (KTST) before and after the intervention.The complications and adverse events occurred during the trial were recorded.The data were statistically analyzed.Results:At the third week,the DSRS,MMASA and KTST scores changed significantly compared with the baseline in both groups (P<0.05),and the changes in the fire-needle group were more significant than those in the rehabilitation group (P<0.05).The between-group comparison at the third week showed that the therapeutic efficacy in the fire-needle group was superior to that in the rehabilitation group (P<0.05).Conclusion:Fire-needle therapy can obviously change the DSRS,MMASA and KTST scores in pseudobulbar palsy in the remission stage of stroke,and significantly enhance the therapeutic efficacy of the treatment of deglutition disorders in this stage. 展开更多
关键词 Acupuncture Therapy Fire-needle Therapy Scalp Stimulation Areas STROKE COMPLICATIONS Pseudobulbar Palsy deglutition disorders Randomized Controlled Trials
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Efficacy evaluation of acupuncture plus rehabilitation training for post-stroke deglutition disorders of qi-deficiency blood stasis pattern 被引量:3
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作者 Huang Yi-qing Ma Wen Shen Wei-dong 《Journal of Acupuncture and Tuina Science》 CSCD 2020年第5期367-373,共7页
Objective:To observe the clinical efficacy of acupuncture plus rehabilitation training in treating post-stroke deglutition disorders of qi-deficiency blood stasis pattern.Methods:Sixty-six patients with post-stroke de... Objective:To observe the clinical efficacy of acupuncture plus rehabilitation training in treating post-stroke deglutition disorders of qi-deficiency blood stasis pattern.Methods:Sixty-six patients with post-stroke deglutition disorders of qi-deficiency blood stasis patter were divided into an observation group and a rehabilitation group using the random number table method.The two groups both received conventional medications and supportive treatment for stroke.In addition,the observation group received acupuncture plus rehabilitation training while the rehabilitation group only received the same rehabilitation training.The interventions were conducted 3 times a week for a total of 4 weeks in both groups.They were evaluated using Kubota water swallowing test(KWST),Fujishima Ichiro food intake level scale(FILS)and symptoms score of traditional Chinese medicine(TCM)before and after treatment,and at the 1-month follow-up.The therapeutic efficacy was assessed at the 1-month follow-up.Results:The KWST grading and FILS result after treatment and at the follow-up were significantly different from those before treatment in both groups(all P<0.001);the results of these two items at the follow-up were not significantly different from those after treatment in the two groups(all P>0.05).There were significant differences in the KWST grading and FILS result between the two groups after treatment and at the follow-up(all P<0.05).The TCM symptoms score changed significantly after treatment and at the follow-up compared with that before treatment in both groups(all P<0.001).The TCM symptoms grading efficacy at the follow-up was significantly different from that after treatment in the observation group(P<0.05),while the difference was statistically insignificant in the rehabilitation group(P>0.05).The TCM symptoms grading efficacy in the observation group was significantly different from that in the rehabilitation group after treatment and at the follow-up(both P<0.05).Conclusion:Based on the conventional treatment for stroke,acupuncture plus rehabilitation training or use of rehabilitation training alone both can improve the clinical symptoms in post-stroke deglutition disorders of qi-deficiency blood stasis pattern,but acupuncture plus rehabilitation training can produce more significant efficacy and better long-term efficacy in improving TCM symptoms. 展开更多
关键词 Acupuncture Therapy Stroke Rehabilitation Qi-deficiency Blood Stasis Poststroke Syndrome Pseudobulbar Palsy deglutition disorders
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The Etiologic Classification of Nocturia among 133 Thai Patients in a Tertiary Teaching Hospital
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作者 Supanat Sirikulchayanonta Sompol Permpongkosol 《Open Journal of Urology》 2013年第1期32-36,共5页
Introduction: Nocturia is categorized into many categories. Each category requires different approaches and treatment. We aimed to obtain data regarding nocturia, classified into categories according to its pathogenes... Introduction: Nocturia is categorized into many categories. Each category requires different approaches and treatment. We aimed to obtain data regarding nocturia, classified into categories according to its pathogenesis, in Thai patients. Methods: We reviewed 133 medical records and voiding diaries of the patients who attended a urologic clinic in a tertiary teaching hospital during year 2009-2010 with nocturia problems. Those data were analyzed to sort these nocturia patients into the appropriate categories. Results: There were a total of 133 patients, consisting of 94 males (70.1%) and 39 females (29.9%). Overall mean age was 64.74 ± 25.85 years. There was no statistically difference between the two genders (Male 65.94 ± 24.56 years vs. Female 61.87 ± 28.24 years, p = 0.10). Among these, 71 patients (53.4%) had nocturnal polyuria. Almost all patients (132 patients, 99.2%) met the criteria for diminished global/nocturnal bladder capacity. The younger patients (less than 40 years) were found to have more severe clinical symptoms than the older patients (6 from 8 or 75% vs. 46 from 125 or 36%, p = 0.032). Seventy patients (52.6%) met the criteria of Mixed NP and Diminished. There were 32 patients (24.1%) found in the group of Global polyuria. Only one patient was classified as isolated nocturnal polyuria and none as isolated global polyuria. Conclusion: Nocturnal polyuria and global polyuria are not uncommon conditions and most of these patients might have concomitant diminished bladder capacity for which investigation or simultaneous treatment may be needed to gain the best treatment result. 展开更多
关键词 NOCTURIA Prevalence etiology CLASSIFICATION Sleep disorders
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多学科分级协作管理在慢性阻塞性肺疾病患者吞咽筛查及干预中的效果评价 被引量:3
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作者 吴少珠 於雪英 +2 位作者 罗媛容 刘燕飞 柯彩霞 《结核与肺部疾病杂志》 2024年第3期230-235,共6页
目的:探讨多学科分级协作管理对慢性阻塞性肺疾病患者吞咽筛查及干预的效果。方法:成立慢性阻塞性肺疾病患者吞咽项目多学科管理小组,制订慢性阻塞性肺疾病患者吞咽功能筛查、干预流程,以及制定多学科分级协作管理流程、进食管理常规、... 目的:探讨多学科分级协作管理对慢性阻塞性肺疾病患者吞咽筛查及干预的效果。方法:成立慢性阻塞性肺疾病患者吞咽项目多学科管理小组,制订慢性阻塞性肺疾病患者吞咽功能筛查、干预流程,以及制定多学科分级协作管理流程、进食管理常规、培训方案和质量控制方案,开展培训并完成考核。于2022年5—10月在中山大学附属第三医院呼吸与危重症医学科实施吞咽筛查及干预并持续质量控制。结果:共筛查慢性阻塞性肺疾病患者186例,其中,并发吞咽障碍43例,发生率为23.12%(43/186)。实施多学科分级协作管理后,患者吞咽筛查率为100.00%(186/186),吞咽障碍患者根据容积-黏度吞咽测试结果进行干预率为100.00%(43/43),营养吞咽专科护士会诊率为24.19%(45/186),营养医生会诊率为19.89%(37/186),吞咽康复治疗师会诊率为5.91%(11/186)。43例吞咽障碍患者干预后体质量[(61.21±10.99)kg]、血红蛋白[(132.44±11.27)g/L]、血清白蛋白[(37.63±3.51)g/L]、血清前白蛋白水平[(199.77±40.15)mg/L]均高于干预前[分别为(59.99±10.96)kg、(124.67±10.86)g/L、(35.01±2.82)g/L、(177.12±40.09)mg/L](t=-9.871、-8.634、-7.708、-11.703,P值均<0.001);干预后营养风险NRS 2002评分[(2.47±0.74)分]、显性误吸发生率[16.28%(7/43)]、吸入性肺炎发生率[2.33%(1/43)]均低于干预前[分别为(3.53±0.91)分、89.74%(35/39)、35.90%(14/39)](t=10.488,χ^(2)=44.177、0.245,P值均<0.001);干预后专科护理团队临床营养及吞咽理论得分[(86.43±3.80)分]、技能得分[(87.29±2.51)分]均高于干预前[分别为(76.00±6.04)分、(76.76±4.95)分](t=-10.890、-8.584,P值均<0.001)。结论:对慢性阻塞性肺疾病患者常规进行吞咽功能筛查,及早识别并发吞咽障碍患者,进行多学科分级协作管理,可降低患者的营养风险,提升患者进食的安全性,促进专科护理的精细化发展。 展开更多
关键词 肺疾病 慢性阻塞性 吞咽障碍 干预性研究
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常克从风、火、痰、虚、瘀论治抽动障碍之经验 被引量:1
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作者 张旭 孙媛 常克 《中国中西医结合儿科学》 2024年第3期261-264,共4页
抽动障碍发病率逐年升高,病情反复且常以多发性、共患病为其临床特点。儿童抽动障碍之病因病机,虽系于外感之所为,然本乎于风火痰虚瘀耳,其病因之杂,症状之变,非一脏之所为,常多涉及五脏。常克教授从风、火、痰、虚、瘀认识儿童抽动障碍... 抽动障碍发病率逐年升高,病情反复且常以多发性、共患病为其临床特点。儿童抽动障碍之病因病机,虽系于外感之所为,然本乎于风火痰虚瘀耳,其病因之杂,症状之变,非一脏之所为,常多涉及五脏。常克教授从风、火、痰、虚、瘀认识儿童抽动障碍,针对其病机之要,采用常用方及自拟方进行论治,临床疗效甚好,现将其治验总结如下,并附验案一则。 展开更多
关键词 抽动障碍 病因病机 治疗 儿童
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Mechanism of sex hormone level in biological clock disorder induced acne and analysis of TCM Pathogenesis
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作者 Zhang Miaoliang Yang Bilian +6 位作者 Wu Di Zhang Liyuan Chen Xueyan Wang Yu'nong Wu Meichao Jia Yuanning Cai Lingling 《World Journal of Integrated Traditional and Western Medicine》 2016年第2期11-13,共3页
Acne vulgaris is a common chronic inflammatory disease of pilosebaceous units. And sex hormone level disorder has became a hot research topic in the pathogenesis of acne. Studies show that the biological clock disorde... Acne vulgaris is a common chronic inflammatory disease of pilosebaceous units. And sex hormone level disorder has became a hot research topic in the pathogenesis of acne. Studies show that the biological clock disorder can result in the disorder of sex hormone levels which causes or aggravates acne. Biological clock disorder coincides naturally with "sleep rhythm disorder" in Traditional Chinese Medicine(TCM). In this paper, we will discuss the modern medical mechanism of the biological clock disorder resulting in acne from the angle of sex hormones, and analyze the TCM pathogenesis of the disease caused by the disorder of the biological clock. 展开更多
关键词 Acne Biological clock disorder Sex hormone level etiology and pathogenesis of TCM
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探究电针廉泉穴对脑卒中后吞咽困难大鼠神经功能缺损的影响
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作者 金海涛 张雯 王非 《中华老年心脑血管病杂志》 CAS 北大核心 2024年第1期87-91,共5页
目的探讨电针廉泉穴对脑卒中后吞咽困难(PSD)大鼠神经功能缺损的影响及潜在对瞬时受体电位香草酸亚型1(TRPV1)信号通路的调节机制作用。方法选用SPF级SD雄性大鼠60只,随机分为正常组12只(仅浅插栓线,未导致脑内动脉闭塞),余48只制作PSD... 目的探讨电针廉泉穴对脑卒中后吞咽困难(PSD)大鼠神经功能缺损的影响及潜在对瞬时受体电位香草酸亚型1(TRPV1)信号通路的调节机制作用。方法选用SPF级SD雄性大鼠60只,随机分为正常组12只(仅浅插栓线,未导致脑内动脉闭塞),余48只制作PSD模型,将造模成功的36只大鼠随机分为模型组、治疗组和治疗+咖啡酸组,每组12只。记录大鼠吞咽潜伏期和吞咽次数,生物信号采集器检测舌下神经放电、舌肌阈强度和收缩幅度,酶联免疫吸附测定血清P物质含量,甲苯胺蓝染色检测舌下神经核尼氏体数目,免疫组织化学检测舌下神经核TRPV1、五羟色胺(5-HT)、磷酸化p38、神经元型一氧化氮合酶(nNOS)蛋白表达水平。结果与正常组比较,模型组大鼠吞咽潜伏期、吞咽次数、舌下神经放电积分面积、舌肌收缩幅度、血清P物质含量、舌下神经核尼氏体数目、TRPV1及5-HT蛋白表达水平下降,舌肌阈强度和舌下神经核磷酸化p38、nNOS蛋白表达水平增加(P<0.05);与模型组比较,治疗组大鼠舌肌单收缩幅度、舌肌强直收缩幅度、血清P物质含量、舌下神经核尼氏体数目、TRPV1及5-HT蛋白表达水平增加[2.36±0.26 vs 1.77±0.22、3.46±0.36 vs 2.15±0.18、(3.92±0.38)ng/ml vs(1.69±0.17)ng/ml、(33.60±3.65)个vs(24.60±2.34)个、(19.85±2.11)%vs(9.79±1.07)%、(22.43±2.34)%vs(10.85±1.13)%,P<0.05]。结论电针廉泉穴可能通过激活TRPV1信号通路改善PSD大鼠神经功能缺损。 展开更多
关键词 卒中 大鼠 Sprague-Dawley 模型 动物 吞咽障碍 廉泉 电针 香草酸亚型1信号通路
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广泛性焦虑症的中医研究进展 被引量:1
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作者 李文慧 朱陵群 +2 位作者 罗玮伯 陈燚 郭蓉娟 《环球中医药》 CAS 2024年第8期1685-1690,共6页
广泛性焦虑症中是临床中最常见的焦虑障碍之一,严重威胁患者的身心健康和生活质量。“郁证”是广泛性焦虑症研究较多且较为公认的病名,根据其病因病机、临床表现等,古代文献记载的“心悸”“百合病”“脏躁”等均与之密切相关。本病常... 广泛性焦虑症中是临床中最常见的焦虑障碍之一,严重威胁患者的身心健康和生活质量。“郁证”是广泛性焦虑症研究较多且较为公认的病名,根据其病因病机、临床表现等,古代文献记载的“心悸”“百合病”“脏躁”等均与之密切相关。本病常因素体正虚,复为七情所伤所致,病位在脑,涉及肝、心、脾,基本病机为肝气不疏,气机郁滞,郁而化火,耗伤阴血,血不养心,心神不宁。肝郁化火、痰火上扰、心脾两虚、心胆气虚、心肾不交等是其常见证型,中医治疗注重辨证论治,多采用经典方、经验方等中药治疗,结合针刺、推拿、八段锦等非药物疗法形神并调,能明显改善焦虑情绪,特别是增效减毒,提升患者生活质量。 展开更多
关键词 广泛性焦虑症 中医药 研究进展 病因病机 郁证 情志病 非药物疗法
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舌三针联合中药治疗桥脑梗死患者吞咽障碍的疗效观察 被引量:1
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作者 程晓娜 吕学海 +2 位作者 郝棚娜 郎晓光 梁志娟 《上海针灸杂志》 CSCD 2024年第2期129-134,共6页
目的 观察舌三针联合补阳还五汤合地黄饮子治疗桥脑梗死患者吞咽障碍的临床疗效。方法 将80例桥脑梗死合并吞咽障碍患者按随机数字表法分为两组(观察组和对照组),每组40例。对照组予口服补阳还五汤合地黄饮子治疗,观察组在对照组口服中... 目的 观察舌三针联合补阳还五汤合地黄饮子治疗桥脑梗死患者吞咽障碍的临床疗效。方法 将80例桥脑梗死合并吞咽障碍患者按随机数字表法分为两组(观察组和对照组),每组40例。对照组予口服补阳还五汤合地黄饮子治疗,观察组在对照组口服中药治疗基础上联合舌三针针刺治疗。比较两组临床疗效,观察两组治疗前后洼田饮水试验、功能性经口摄食量表(functional oral intake scale,FOIS)和吞咽生活质量量表(swallowing-quality of life,SWAL-QOL)评分的变化,观察两组治疗前后吞咽造影检查指标的变化。结果 观察组总有效率高于对照组(P<0.05)。两组治疗后洼田饮水试验、FOIS和SWAL-QOL评分均优于同组治疗前(P<0.05),且观察组治疗后上述评分均优于对照组(P<0.05)。两组治疗后吞咽造影检查误吸和吞咽困难程度评分以及上食道括约肌开放时间、开放程度和咽收缩持续时间均优于同组治疗前(P<0.05),且观察组治疗后上述吞咽造影检查指标均优于对照组(P<0.05)。结论 舌三针联合补阳还五汤合地黄饮子可明显改善桥脑梗死合并吞咽障碍患者的吞咽功能,提高患者生活质量,疗效优于单纯口服中药治疗。 展开更多
关键词 针刺疗法 针药并用 舌三针 中风后遗症 脑梗死 吞咽障碍
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纤维内镜在累及舌根的舌癌患者术后吞咽功能评估中的临床应用
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作者 朱越 钱晓云 +1 位作者 衡伟伟 孙国文 《口腔医学研究》 CAS CSCD 北大核心 2024年第11期1004-1008,共5页
目的:探讨纤维内镜评估吞咽功能(fiberoptic endoscopic evaluation of swallowing, FEES)在累及舌根的舌癌(both the oral tongue and the base of the tongue, OBOT)患者中的临床应用。方法:对2022年4月至2023年5月于我院初诊为累及O... 目的:探讨纤维内镜评估吞咽功能(fiberoptic endoscopic evaluation of swallowing, FEES)在累及舌根的舌癌(both the oral tongue and the base of the tongue, OBOT)患者中的临床应用。方法:对2022年4月至2023年5月于我院初诊为累及OBOT病变的患者术前、术后1周、1月和1年进行吞咽功能评估。吞咽功能的评估包括MD安德森吞咽困难量表(MD Anderson Dysphagia Inventory, MDADI)、华盛顿大学生活质量问卷(University of Washington Quality-of-Life Questionnaire, UW-QOL)、头颈癌表现状态量表(Performance Status Scale for Head and Neck Cancer, PSS-HN)、洼田饮水试验(water swallow test, WST)、舌运动测量和FEES[包括渗透-吸入量表(Penetration-Aspiration Scale, PAS)和口咽吞咽效率(oropharyngeal swallowing efficiency, OPSE)]。并对FEES的评估OBOT的可靠性进行统计分析。结果:共有21例患者纳入研究。FEES具有较高的诊断价值(ROC曲线下面积=0.916)。FEES结果与WST和MDADI评分显著相关(P<0.001)。术后1年,累及OBOT病变患者的吞咽功能恢复到术前水平,但OPSE明显下降,生活质量仍受影响(P<0.001)。结论:FEES是评估累及OBOT病变患者术后吞咽功能的可靠方法,值得临床推广。在术后随访中,虽然这些患者的吞咽功能可以恢复,但应注意吞咽效率和生活质量。 展开更多
关键词 舌肿瘤 舌根肿瘤 纤维内镜检查 吞咽障碍
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中医药治疗儿童抽动障碍的研究进展 被引量:2
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作者 郭莹 郭亦男 《中医临床研究》 2024年第12期138-144,共7页
近年来,儿童抽动障碍的发病率呈现出明显增加的趋势。这种疾病一旦发生,反复发作且治愈困难,给患儿和家庭带来了巨大的负担。文章总结了该病的病因病机与体质虚弱、肝肾不足、心脾失调等因素密切相关,并从内与外两个方面总结了中医药治... 近年来,儿童抽动障碍的发病率呈现出明显增加的趋势。这种疾病一旦发生,反复发作且治愈困难,给患儿和家庭带来了巨大的负担。文章总结了该病的病因病机与体质虚弱、肝肾不足、心脾失调等因素密切相关,并从内与外两个方面总结了中医药治疗儿童抽动障碍的具体方法。内治法主要包括中药内服和针灸等内部调理措施,外治法则注重外部刺激和调理,如推拿按摩、艾灸等手段,通过调整体内阴阳平衡和气血流通达到治疗儿童抽动障碍的目的。现代医学在治疗这种疾病方面方法单一,往往存在明显的不良反应。与此相比,中医药治疗儿童抽动障碍具有方法丰富、不良反应小和临床疗效明显等诸多优势。文章还分析了影响儿童抽动障碍治疗效果的因素。除了个体差异和病情严重程度外,家庭环境、教育方式等因素也对治疗产生一定的影响。因此,在治疗过程中,除了医生的专业治疗外,家长和学校的积极配合也是非常重要的。综上所述,中医药治疗儿童抽动障碍具有明显的优势。文章对相关文献进行总结和分析,为临床诊疗提供参考和借鉴。未来的研究和实践需要进一步深入,以探索更有效的治疗方法,改善儿童抽动障碍的预后效果,为患儿健康成长提供更好的支持和帮助。 展开更多
关键词 中医 儿童抽动障碍 病因病机 辨证论治 综述
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Genetic pathways in cerebral palsy:a review of the implications for precision diagnosis and understanding disease mechanisms 被引量:1
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作者 Yiran Xu Yifei Li +2 位作者 Seidu A.Richard Yanyan Sun Changlian Zhu 《Neural Regeneration Research》 SCIE CAS CSCD 2024年第7期1499-1508,共10页
Ce rebral palsy is a diagnostic term utilized to describe a group of permanent disorders affecting movement and posture.Patients with cerebral palsy are often only capable of limited activity,resulting from non-progre... Ce rebral palsy is a diagnostic term utilized to describe a group of permanent disorders affecting movement and posture.Patients with cerebral palsy are often only capable of limited activity,resulting from non-progressive disturbances in the fetal or neonatal brain.These disturbances severely impact the child’s daily life and impose a substantial economic burden on the family.Although cerebral palsy encompasses various brain injuries leading to similar clinical outcomes,the unde rstanding of its etiological pathways remains incomplete owing to its complexity and heterogeneity.This review aims to summarize the current knowledge on the genetic factors influencing cerebral palsy development.It is now widely acknowledged that genetic mutations and alterations play a pivotal role in cerebral palsy development,which can be further influenced by environmental fa ctors.Des pite continuous research endeavors,the underlying fa ctors contributing to cerebral palsy remain are still elusive.However,significant progress has been made in genetic research that has markedly enhanced our comprehension of the genetic factors underlying cerebral palsy development.Moreove r,these genetic factors have been categorized based on the identified gene mutations in patients through clinical genotyping,including thrombosis,angiogenesis,mitochondrial and oxidative phosphorylation function,neuronal migration,and cellular autophagy.Furthermore,exploring targeted genotypes holds potential for precision treatment.In conclusion,advancements in genetic research have substantially improved our understanding of the genetic causes underlying cerebral palsy.These breakthroughs have the potential to pave the way for new treatments and therapies,consequently shaping the future of cerebral palsy research and its clinical management.The investigation of cerebral palsy genetics holds the potential to significantly advance treatments and management strategies.By elucidating the underlying cellular mechanisms,we can develop to rgeted interventions to optimize outcomes.A continued collaboration between researchers and clinicians is imperative to comprehensively unravel the intricate genetic etiology of cerebral palsy. 展开更多
关键词 cerebral palsy environmental factors etiology genetic factors genetic mutation movement disorder spastic diplegia
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儿童重症监护室气管插管患儿拔管后吞咽障碍的研究进展
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作者 胡莉莉 孙海瑞 +3 位作者 关汭昕 张葆荣 赵晓霜 张丹 《全科护理》 2024年第23期4413-4416,共4页
对儿童重症监护病房(pediatric intensive care unit,PICU)气管插管患儿拔管后吞咽障碍的研究概况、影响因素、评估时机和评估方法进行综述,以期为患儿拔管后早期吞咽障碍的评估和护理提供参考依据,改善患儿的临床结局。
关键词 重症监护病房 儿科 气管插管 吞咽障碍 筛查 综述
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辣椒素联合重复经颅磁刺激用于脑卒中后吞咽障碍患者的疗效观察
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作者 郑继青 龙耀斌 徐金 《天津医药》 CAS 2024年第9期950-953,共4页
目的探讨辣椒素联合重复经颅磁刺激(rTMS)用于脑卒中后吞咽障碍患者的治疗效果。方法选取脑卒中后吞咽障碍且无真性球麻痹的患者85例,采用随机数字表法分为辣椒素组(28例)、rTMS组(29例)及辣椒素联合rTMS组(联合组,28例)。在常规康复治... 目的探讨辣椒素联合重复经颅磁刺激(rTMS)用于脑卒中后吞咽障碍患者的治疗效果。方法选取脑卒中后吞咽障碍且无真性球麻痹的患者85例,采用随机数字表法分为辣椒素组(28例)、rTMS组(29例)及辣椒素联合rTMS组(联合组,28例)。在常规康复治疗的基础上,辣椒素组给予辣椒素刺激患者口咽部,每日3次(餐前30 min),6 d/周;rTMS组给予健侧初级躯体感觉皮质S1热点磁刺激,1次/d,6 d/周;辣椒素联合rTMS组采用辣椒素结合S1热点磁刺激,3组疗程均为3周。治疗前后分别使用洼田饮水试验(WST)、标准化床边吞咽功能检查(SSA)、进食评估工具(EAT)-10、电视X线透视吞咽功能检查(VFSS)评估患者吞咽功能改善的程度。结果3组患者WST、SSA、EAT-10、VFSS评分在治疗前差异均无统计学意义,治疗后3组上述指标较治疗前均改善,其中联合组改善较其余2组更明显(P<0.05)。结论辣椒素联合rTMS较单一使用辣椒素或rTMS能更明显改善脑卒中后吞咽障碍患者的吞咽功能。 展开更多
关键词 卒中 辣椒辣素 经颅磁刺激 吞咽障碍 口咽
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脑卒中患者发生吞咽障碍的列线图风险预测模型的构建与验证 被引量:1
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作者 陈瑞森 陈宇驰 +4 位作者 曾凡锋 付钟 蒋浩然 张毛 都玉珍 《临床和实验医学杂志》 2024年第3期246-249,共4页
目的构建并验证脑卒中患者发生吞咽障碍的列线图风险预测模型。方法研究方法为回顾性分析,观察对象为2022年1月至2023年1月西南医科大学附属简阳医院·简阳市人民医院收治的入院的120例脑卒中患者。收集患者一般资料[性别、年龄、... 目的构建并验证脑卒中患者发生吞咽障碍的列线图风险预测模型。方法研究方法为回顾性分析,观察对象为2022年1月至2023年1月西南医科大学附属简阳医院·简阳市人民医院收治的入院的120例脑卒中患者。收集患者一般资料[性别、年龄、体重指数、发病至入院时间、蒙特利尔认知评估量表(MoCA)评分、焦虑自评量表(SAS)评分、美国国立卫生研究院卒中量表(NIHSS)评分、舒张压、收缩压、气管插管时间、脑卒中类型、基础病症(有无伴发糖尿病、高脂血症、高血压)]。以吞咽障碍发生与否分为两组:42例脑卒中患者出现吞咽障碍,设定为发生组,78例脑卒中患者未出现吞咽障碍,设定为未发生组。脑卒中患者出现吞咽障碍的危险因素予以多因素Logistic回归分析,列线图风险预测模型选取R 4.1.0软件包及rms程序包构建,经Bootstrap法予以抽样;绘制准曲线对脑卒中患者发生吞咽障碍预测中该列线图模型的可靠性予以评估,同时通过受试者工作特征(ROC)曲线分析脑卒中患者发生吞咽障碍预测中该列线图模型的应用价值。结果与未发生组比较,发生组的年龄[(65.08±3.85)岁vs.(62.93±3.79)岁]、SAS评分[(52.15±1.34)分vs.(48.03±1.17)分]更高,气管插管时间[(47.58±5.54)h vs.(44.02±4.36)h]更长,MoCA评分[(20.17±0.52)分vs.(22.41±0.48)分]更低,差异均有统计学意义(P<0.05)。脑卒中患者发生吞咽障碍的危险因素有年龄、MoCA评分、SAS评分及气管插时间(P<0.05)。据此构建的列线图模型预测吞咽障碍发生率与实际发生率基本一致。脑卒中患者发生吞咽障碍预测中该列线图模型的ROC曲线下面积(AUC)为0.817(95%CI:0.782~0.851),约登指数为0.561,灵敏度为0.866,特异度为0.694。结论脑卒中患者发生吞咽障碍的危险因素有年龄、MoCA评分、SAS评分及气管插时间,以上述因素为基础构建的列线图风险预测模型可辅助预测脑卒中吞咽障碍。 展开更多
关键词 脑卒中 吞咽障碍 列线图模型 构建 危险因素
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基于刘完素“火热论”探析“热-风”病因树在治疗抽动障碍中的应用
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作者 牛天野 白晓红 +2 位作者 解文晋 修婵 张圣崎 《中医临床研究》 2024年第19期27-31,共5页
抽动障碍是起病于儿童或青少年时期的一种神经精神障碍性疾病,以不自主、反复、突发、快速、重复、无节律性的一个或多个部位运动抽动和发声抽动为主要特征,亦可共患一种或多种心理行为障碍,但智力一般不受影响。研究以刘完素创立的河... 抽动障碍是起病于儿童或青少年时期的一种神经精神障碍性疾病,以不自主、反复、突发、快速、重复、无节律性的一个或多个部位运动抽动和发声抽动为主要特征,亦可共患一种或多种心理行为障碍,但智力一般不受影响。研究以刘完素创立的河间流派“火热论”观点为纲领,以小儿抽动障碍的临床特征为基础,提出儿童在外感六淫、饮食调护、情志内伤、先天禀赋等因素作用下,阴阳失衡,五脏失调,肝木之气郁结,郁久而化热,热极则生风;脾土失健,难化水湿,聚而成痰,痰热胶结,引动肝风;血液受热煎熬,化为瘀血,瘀、热互结;热久伤阴,使得阳亢而风动。“热”为本病的发病始动因素,“风”为本病的发病续动因素,且与痰、火、瘀、虚等病理要素紧密相干,提出建立“热-风”病因树模型,热为“热-风”病因树之根蒂,痰、瘀、虚为“热-风”病因树之叶、枝、蔓,风则为“热-风”病因树之果。以此模型来探析抽动障碍的病因机制,确定疾病发展阶段,防治小儿抽动障碍。在确定治疗原则上以河间流派“火热论”为指导,治以伐根摘叶之清热化痰,削其结果之息风止痉,平其枝蔓之滋水涵木等,提供治疗此病的新思路,并可从其中探寻完善和高效的论治方法和临床研究方向,为患儿带来福祉。 展开更多
关键词 抽动障碍 病因树 火热论
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从“营卫之行,脏腑之变”探析睡眠障碍机制及治疗 被引量:1
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作者 刘泽 王金果 +4 位作者 周佳静 谭松 朱巧 秘智彤 侯爱画 《辽宁中医药大学学报》 CAS 2024年第8期182-186,共5页
睡眠障碍(sleep disorder,SD)指睡眠-觉醒功能异常。中医上将SD分为“昼不精”“夜不瞑”两种状态,而营卫和脏腑是人体寤寐变化的基础和关键。文章阐述营卫循行的常态,营卫昼夜皆行五十周,而卫气具有明显的昼夜节律性,以阴阳跷脉为枢机... 睡眠障碍(sleep disorder,SD)指睡眠-觉醒功能异常。中医上将SD分为“昼不精”“夜不瞑”两种状态,而营卫和脏腑是人体寤寐变化的基础和关键。文章阐述营卫循行的常态,营卫昼夜皆行五十周,而卫气具有明显的昼夜节律性,以阴阳跷脉为枢机,以三焦膜系统为循行的物质基础,具有大小两个循行回环及“昼周于身”“夜周五脏”两种交替循行方式,在睡眠-觉醒中具有先导作用。脏腑是营卫生成的源泉,又能对营卫运行产生阻碍。提出五脏之变最终影响五神,消化系统是六腑致病的核心。治疗上不拘于针药,倡导多手段协同作用,避免一味镇静安神,关键在于恢复营卫节律性运行,平和脏腑之气,从而迅速、有效、持久地改善SD。 展开更多
关键词 睡眠障碍 营卫 脏腑 病因病机 治法治则
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老年吸入性肺炎住院患者的综合管理
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作者 谢海雁 曾平 施举红 《中华老年多器官疾病杂志》 2024年第2期145-148,共4页
吸入性肺炎是导致老年住院患者住院时间延长、反复住院、进展为重症甚至死亡的重要原因之一。老年吸入性肺炎发生的高危因素以及影响预后的因素均是复杂多变的,给诊断和医疗照护带来了巨大挑战。本文通过文献回顾,对近10年国内外老年吸... 吸入性肺炎是导致老年住院患者住院时间延长、反复住院、进展为重症甚至死亡的重要原因之一。老年吸入性肺炎发生的高危因素以及影响预后的因素均是复杂多变的,给诊断和医疗照护带来了巨大挑战。本文通过文献回顾,对近10年国内外老年吸入性肺炎住院患者的综合管理方面的研究进展进行总结和分析,包括吞咽评估及管理、老年综合评估、多学科团队干预、动态随访等,并结合临床实践探讨适合我国国情的有效管理措施。 展开更多
关键词 老年人 吞咽困难 吸入性肺炎 老年综合评估 患者管理
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