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Effects of cortical intermittent theta burst stimulation combined with precise root stimulation on motor function after spinal cord injury: a case series study 被引量:3
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作者 Ye-Ran Mao Zhong-Xia Jin +10 位作者 Ya Zheng Jian Fan Li-Juan Zhao Wei Xu Xiao Hu Chun-Ya Gu Wei-Wei Lu Guang-Yue Zhu Yu-Hui Chen Li-Ming Cheng Dong-Sheng Xu 《Neural Regeneration Research》 SCIE CAS CSCD 2022年第8期1821-1826,共6页
Activation and reconstruction of the spinal cord circuitry is important for improving motor function following spinal cord injury.We conducted a case series study to investigate motor function improvement in 14 patien... Activation and reconstruction of the spinal cord circuitry is important for improving motor function following spinal cord injury.We conducted a case series study to investigate motor function improvement in 14 patients with chronic spinal cord injury treated with 4 weeks of unilateral(right only)cortical intermittent theta burst stimulation combined with bilateral magnetic stimulation of L3-L4 nerve roots,five times a week.Bilateral resting motor evoked potential amplitude was increased,central motor conduction time on the side receiving cortical stimulation was significantly decreased,and lower extremity motor score,Berg balance score,spinal cord independence measure-III score,and 10 m-walking speed were all increased after treatment.Right resting motor evoked potential amplitude was positively correlated with lower extremity motor score after 4 weeks of treatment.These findings suggest that cortical intermittent theta burst stimulation combined with precise root stimulation can improve nerve conduction of the corticospinal tract and lower limb motor function recovery in patients with chronic spinal cord injury. 展开更多
关键词 central motor conduction time intermittent theta burst lower extremity motor score motor evoked potential stimulation NEUROMODULATION neuronal plasticity spinal cord injury transcranial magnetic stimulation
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Intermittent fasting boosts antitumor immunity by restricting CD11b^(+)Ly6C^(low)Ly6G^(low) cell viability through glucose metabolism in murine breast tumor model
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作者 Chenghao Fu Zhehao Liang +13 位作者 Zemiao Niu Ning Chen Yuemin Li Zhenhua Liang Yanwei Huo Hao Xi Rong Wang Yonghuan Yan Xiaoruo Gan Mengtian Wang Yun Huang Yan Zhang Mingming Gao Pin Lü 《Food Science and Human Wellness》 SCIE CAS CSCD 2024年第4期2327-2345,共19页
Intermittent fasting can benefit breast cancer patients undergoing chemotherapy or immunotherapy.However,it is still uncertain how to select immunotherapy drugs to combine with intermittent fasting.Herein we observed ... Intermittent fasting can benefit breast cancer patients undergoing chemotherapy or immunotherapy.However,it is still uncertain how to select immunotherapy drugs to combine with intermittent fasting.Herein we observed that two cycles of fasting treatment significantly inhibited breast tumor growth and lung tissue metastasis,as well as prolonged overall survival in mice bearing 4T1 and 4T07 breast cancer.During this process,both the immunosuppressive monocytic-(M-)and granulocytic-(G-)myeloid-derived suppressor cell(MDSC)decreased,accompanied by an increase in interleukin(IL)7R^(+)and granzyme B^(+)T cells in the tumor microenvironment.Interestingly,we observed that Ly6G^(low)G-MDSC sharply decreased after fasting treatment,and the cell surface markers and protein mass spectrometry data showed potential therapeutic targets.Mechanistic investigation revealed that glucose metabolism restriction suppressed the splenic granulocytemonocyte progenitor and the generation of colony-stimulating factors and IL-6,which both contributed to the accumulation of G-MDSC.On the other hand,glucose metabolism restriction can directly induce the apoptosis of Ly6G^(low)G-MDSC,but not Ly6G^(high)subsets.In summary,these results suggest that glucose metabolism restriction induced by fasting treatment attenuates the immune-suppressive milieu and enhances the activation of CD3^(+)T cells,providing potential solutions for enhancing immune-based cancer interventions. 展开更多
关键词 intermittent fasting Ly6G^(low)myeloid-derived suppressor cell apoptosis Extramedullary hematopoiesis Colony stimulating factor Glucose metabolism restriction
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Intermittent Theta Burst Stimulation Attenuates Cognitive Deficits and Alzheimer’s Disease-Type Pathologies via ISCA1-Mediated Mitochondrial Modulation in APP/PS1 Mice
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作者 Yang Zhu Hao Huang +5 位作者 Zhi Chen Yong Tao Ling-Yi Liao Shi-Hao Gao Yan-Jiang Wang Chang-Yue Gao 《Neuroscience Bulletin》 SCIE CAS CSCD 2024年第2期182-200,共19页
Intermittent theta burst stimulation(iTBS),a time-saving and cost-effective repetitive transcranial magnetic stimulation regime,has been shown to improve cognition in patients with Alzheimer’s disease(AD).However,the... Intermittent theta burst stimulation(iTBS),a time-saving and cost-effective repetitive transcranial magnetic stimulation regime,has been shown to improve cognition in patients with Alzheimer’s disease(AD).However,the specific mechanism underlying iTBS-induced cognitive enhancement remains unknown.Previous studies suggested that mitochondrial functions are modulated by magnetic stimulation.Here,we showed that iTBS upregulates the expression of iron-sulfur cluster assembly 1(ISCA1,an essential regulatory factor for mitochondrial respiration)in the brain of APP/PS1 mice.In vivo and in vitro studies revealed that iTBS modulates mitochondrial iron-sulfur cluster assembly to facilitate mitochondrial respiration and function,which is required for ISCA1.Moreover,iTBS rescues cognitive decline and attenuates AD-type pathologies in APP/PS1 mice.The present study uncovers a novel mechanism by which iTBS modulates mitochondrial respiration and function via ISCA1-mediated iron-sulfur cluster assembly to alleviate cognitive impairments and pathologies in AD.We provide the mechanistic target of iTBS that warrants its therapeutic potential for AD patients. 展开更多
关键词 intermittent theta burst stimulation Alzheimer’s disease Iron-sulfur cluster assembly 1 Mitochondrial dysfunction NEURODEGENERATION
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Prolonged intermittent theta burst stimulation restores the balance between A_(2A)R-and A_(1)R-mediated adenosine signaling in the 6-hydroxidopamine model of Parkinson's disease
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作者 Milica Zeljkovic Jovanovic Jelena Stanojevic +4 位作者 Ivana Stevanovic Milica Ninkovic Tihomir V.Ilic Nadezda Nedeljkovic Milorad Dragic 《Neural Regeneration Research》 SCIE CAS 2025年第7期2053-2067,共15页
An imbalance in adenosine-mediated signaling,particularly the increased A_(2A)R-mediated signaling,plays a role in the pathogenesis of Parkinson's disease.Existing therapeutic approaches fail to alter disease prog... An imbalance in adenosine-mediated signaling,particularly the increased A_(2A)R-mediated signaling,plays a role in the pathogenesis of Parkinson's disease.Existing therapeutic approaches fail to alter disease progression,demonstrating the need for novel approaches in PD.Repetitive transcranial magnetic stimulation is a non-invasive approach that has been shown to improve motor and non-motor symptoms of Parkinson's disease.However,the underlying mechanisms of the beneficial effects of repetitive transcranial magnetic stimulation remain unknown.The purpose of this study is to investigate the extent to which the beneficial effects of prolonged intermittent theta burst stimulation in the 6-hydroxydopamine model of experimental parkinsonism are based on modulation of adenosine-mediated signaling.Animals with unilateral 6-hydroxydopamine lesions underwent intermittent theta burst stimulation for 3 weeks and were tested for motor skills using the Rotarod test.Immunoblot,quantitative reverse transcription polymerase chain reaction,immunohistochemistry,and biochemical analysis of components of adenosine-mediated signaling were performed on the synaptosomal fraction of the lesioned caudate putamen.Prolonged intermittent theta burst stimulation improved motor symptoms in 6-hydroxydopamine-lesioned animals.A 6-hydroxydopamine lesion resulted in progressive loss of dopaminergic neurons in the caudate putamen.Treatment with intermittent theta burst stimulation began 7 days after the lesion,coinciding with the onset of motor symptoms.After treatment with prolonged intermittent theta burst stimulation,complete motor recovery was observed.This improvement was accompanied by downregulation of the e N/CD73-A_(2A)R pathway and a return to physiological levels of A_(1)R-adenosine deaminase 1 after 3 weeks of intermittent theta burst stimulation.Our results demonstrated that 6-hydroxydopamine-induced degeneration reduced the expression of A_(1)R and elevated the expression of A_(2A)R.Intermittent theta burst stimulation reversed these effects by restoring the abundances of A_(1)R and A_(2A)R to control levels.The shift in ARs expression likely restored the balance between dopamine-adenosine signaling,ultimately leading to the recovery of motor control. 展开更多
关键词 A_(1)R A_(2A)R adenosine receptors adenosine ecto-5′-nucleotidase intermittent theta burst stimulation non-invasive brain stimulation Parkinson's disease purinergic signalling
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Clinical study of different modes of repetitive transcranial magnetic stimulation in the treatment of post‑stroke executive dysfunction
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作者 TIAN Geng‑run WANG Shi‑yan +5 位作者 BI Ying‑li GONG Zun‑ke WANG Xiang WANG Mi LU Si‑han ZHOU Hui 《Journal of Hainan Medical University》 CAS 2023年第12期35-40,共6页
Objective:To investigate the clinical efficacy of intermittent theta burst stimulation(iTBS)and high frequency repetitive transcranial magnetic stimulation(rTMS)on post‑stroke executive impairment(PSEI).Methods:Ninety... Objective:To investigate the clinical efficacy of intermittent theta burst stimulation(iTBS)and high frequency repetitive transcranial magnetic stimulation(rTMS)on post‑stroke executive impairment(PSEI).Methods:Ninety patients with PSEI who were hospitalized in the rehabilitation department of Xuzhou Central Hospital and Xuzhou Rehabilitation Hospital from April 2021 to June 2022 were selected and divided into iTBS group,high‑frequency group and control group.All three groups of patients received routine rehabilitation training,given rTMS treatment with iTBS,10 Hz and shame stimulation for 4 weeks.Before and after treatment,all the patients were evaluated with the Montreal cognitive assessment(MoCA),the frontal assessment battery(FAB),troop color‑word test(SCWT),shape trails test(STT),digit span test(DST)and event related potential P300.Results:After treatment,MoCA,FAB,SCWT,STT,DST scores,P300 latency and amplitude were significantly better in the three groups than before treatment(P<0.05).MoCA,FAB,SCWT,STT‑B,DST scores,P300 latency and amplitude in the iTBS group and high‑frequency group were better than in the control group,with significant differences(P<0.05).The difference between iTBS group and high‑frequency group was not statistically significant(P>0.05).Conclusion:iTBS can improve PSEI,and the efficacy is comparable to 10Hz rTMS.iTBS takes less time with better efficiency,and it is worth popularizing and applying in clinic. 展开更多
关键词 Transcranial magnetic stimulation Theta burst stimulation STROKE Executive impairment Cognitive impairment
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Impact of θ-burst stimulation on memory mechanism:modeling study 被引量:2
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作者 Yating ZHU Rubin WANG Yihong WANG 《Applied Mathematics and Mechanics(English Edition)》 SCIE EI CSCD 2016年第3期395-402,共8页
The information stored in working memory can be transformed into the system of long-term memory due to the long-term potential (LTP) mechanism. The 8- burst stimulation (TBS) can be used as an LTP induction protoc... The information stored in working memory can be transformed into the system of long-term memory due to the long-term potential (LTP) mechanism. The 8- burst stimulation (TBS) can be used as an LTP induction protocol in some experiments, but it has not been used in the models related to memory. In this work, an improved Camperi-Wang (C-W) model with the Ca2+ subsystem-induced bistability is adopted, and the TBS is simulated to be the initial stimuli of this model. With the evolution of the effects of the stimuli properties such as the cycle, the amplitude, and the duty ration on the memory mechanism of this model, the TBS can be adopted to activate working memory models and produce long-term memory. The study helps to propose the relationship between working memory and long-term memory, which lays a theoretical basis for the study of the neural mechanism of long-term memory. 展开更多
关键词 θ-burst stimulation (TBS) long-term potential (LTP) working memory long-term memory
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Intermittent Bursts in the Boundary Plasma of HT-7
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作者 颜宁 徐国盛 +5 位作者 张炜 常加峰 明廷凤 丁斯晔 章文扬 韩效锋 《Plasma Science and Technology》 SCIE EI CAS CSCD 2010年第4期401-407,共7页
Intermittent characteristics of turbulence induced by coherent structures (blobs) was clearly observed in the ion saturation current signal, density fluctuation, particle flux and heat flux in HT-7. It is obvious th... Intermittent characteristics of turbulence induced by coherent structures (blobs) was clearly observed in the ion saturation current signal, density fluctuation, particle flux and heat flux in HT-7. It is obvious that ion saturation current signal has deviated from Gaussian distribution and the skewness (S) and flatness (K) of signal increase radially outwards in the scrape-off layer (SOL). Using conditional analysis (CA), asymmetric character of the intermittent bursts are demonstrated. Owing to the radial propagation of the coherent structures, the particle density profile in SOL is non-exponential and flat outwards from the last close flux surface (LCFS). It is found around LCFS that the large burst fluctuations (above 2.5 rms) are responsible for about 50% of the total particle transport. Burst events move radially outwards with Ee ~ B velocity, and the blob size can be calculated as 5r ~ V^rc. Our experiment shows that the blob size, life time and drift velocity experienced a pronounced decorrelation in the shear layer. The electrostatic Reynolds stress components become very strong and show a radially steep gradient in the proximity of the shear layer. These experimental findings may imply that the coherent structures are titled by the developed shear flow in the E × B shear layer. 展开更多
关键词 intermittent bursts coherent structures skewness and flatness blob size drift velocity decorrelation shear layer Reynolds stress
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Fast rate (≥ 250 beats/min) right ventricular burst stimulation is useful for ventricular tachycardia induction in arrhythmogenic right ventricular cardiomyopathy
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作者 Ling-Min WU Jing-Ru BAO +3 位作者 Yan YAO Bing-Bo HOU Li-Hui ZHENG Shu ZHANG 《Journal of Geriatric Cardiology》 SCIE CAS CSCD 2016年第1期70-74,共5页
在 arrhythmogenic 的主要挑战的 BackgroundOne 恰好室的心肌症(ARVC ) 脱离是室的心悸亢进(vt ) non-inducibility。学习试图估计是否快评价(&#x02265;250 beats/min ) 恰好室的爆炸刺激为在与有经历了 electrophysiological 学... 在 arrhythmogenic 的主要挑战的 BackgroundOne 恰好室的心肌症(ARVC ) 脱离是室的心悸亢进(vt ) non-inducibility。学习试图估计是否快评价(&#x02265;250 beats/min ) 恰好室的爆炸刺激为在与有经历了 electrophysiological 学习的临床的持续 vt 的 ARVC.MethodsNinety 一个连续 ARVC 病人一起的病人感应的 vt 是有用的被注册。刺激协议如下在正确的室的顶和流出道被实现:走 A,直到两倍额外刺激;步 B,有低率的增长刺激(&#x0003c;250 beats/min ) ;步 C,爆炸刺激与快评价(&#x02265;250 beats/min ) ;步 D,与 76 个病人全部的 isoproterenol.ResultsA 的静脉内的注入上面重复了所有步有的可诱导的 vt (83.5%) ,在哪个之中 49 被步 C 导致, 15 被步 B 导致, 8 和 4 由步 A 和 D 分别地。临床的 vt 在 60 个病人(65.9%) 被导致。仅仅二自发地停止的室的纤维性颤动被步 C 导致。Multivariate 分析证明在湾穴节奏下面的更狭窄的基线 QRS 持续时间独立地与 vt non-inducibility 被联系(或:1.1;95% CI:1.0-1.1;P = 0.019 ).ConclusionFast 率(&#x02265;250 beats/min ) 恰好室的爆炸刺激为在 ARVC 病人感应的 vt 提供一个有用补加的方法。 展开更多
关键词 爆炸刺激 心肌症 恰好室 室的心悸亢进
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Bursting behaviours in cascaded stimulated Brillouin scattering
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作者 刘占军 贺贤土 +1 位作者 郑春阳 王宇钢 《Chinese Physics B》 SCIE EI CAS CSCD 2012年第1期310-313,共4页
Stimulated Brillouin scattering is studied by numerically solving the Vlasov Maxwell system. A cascade of stim- ulated Brillouin scattering can occur when a linearly polarized laser pulse propagates in a plasma. It is... Stimulated Brillouin scattering is studied by numerically solving the Vlasov Maxwell system. A cascade of stim- ulated Brillouin scattering can occur when a linearly polarized laser pulse propagates in a plasma. It is found that a stimulated Brillouin scattering cascade can reduce the scattering and increase the transmission of light, as well as intro- duce a bursting behaviour in the evolution of the laser-plasma interaction. The bursting time in the reflectivity is found to be less than half the ion acoustic period. The ion temperature can affect the stimulated Brillouin scattering cascade, which can repeat several times at low ion temperatures and can be completely eliminated at high ion temperatures. For stimulated Brillouin scattering saturation, higher-harmonic generation and wave wave interaction of the excited ion acoustic waves can restrict the amplitude of the latter. In addition, stimulated Brillouin scattering cascade can restrict. the amplitude of the scattered light. 展开更多
关键词 bursting behaviour stimulated Brillouin scattering CASCADE
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经颅磁刺激对老年大鼠工作记忆相关跨脑区网络协同作用的影响
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作者 郭苗苗 翟昊迪 +2 位作者 吉利辉 王田 徐桂芝 《电子与信息学报》 EI CAS CSCD 北大核心 2024年第4期1468-1478,共11页
经颅磁刺激(TMS)因其可以非侵入性地探测和调制大脑皮层兴奋性和功能,已被广泛地应用于改善大脑认知功能等临床神经调控领域。工作记忆的功能实现需要多个脑区的同步活动,该文将行为学与电生理学相结合,通过建立跨脑区的因果网络连接,... 经颅磁刺激(TMS)因其可以非侵入性地探测和调制大脑皮层兴奋性和功能,已被广泛地应用于改善大脑认知功能等临床神经调控领域。工作记忆的功能实现需要多个脑区的同步活动,该文将行为学与电生理学相结合,通过建立跨脑区的因果网络连接,从记忆相关脑区间协同作用的角度探究不同模式的TMS对大脑认知功能的调控机制。首先对老年威斯塔大鼠分别实施重复经颅磁刺激(rTMS)及间歇性θ节律刺激(iTBS),并设置空白对照组,通过在体多通道微电极阵列采集大鼠工作记忆任务中的局部场电位信号(LFPs);之后基于定向传递函数构建LFPs脑因果网络;最后通过对比行为学结果差异、各脑区因果网络参数等,探索不同模式TMS对老年大鼠工作记忆行为学及脑区之间信息协同作用的影响规律。结果表明,rTMS组和iTBS组大鼠执行正确工作记忆任务的平均天数减少,平均正确率高于空白对照组。经过刺激后,rTMS组和iTBS组前额叶和海马双向网络连接明显增强,信息流强度和因果流向性得到显著提升(P<0.05)。因此,rTMS和iTBS模式均能促进老年大鼠海马和前额叶脑区间的信息交流,从而使老年大鼠的工作记忆能力得到改善。 展开更多
关键词 重复经颅磁刺激 间歇性θ节律刺激 工作记忆 脑因果网络
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多感官刺激联合间歇经口至食管管饲法在老年脑卒中吞咽障碍的应用
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作者 刘丽 何东梅 唐蓉 《广东医学》 CAS 2024年第2期225-230,共6页
目的观察多感官刺激联合间歇经口至食管管饲法在老年脑卒中吞咽障碍的应用效果。方法选择2021年2月至2022年10月收治的脑卒中吞咽障碍患者为研究对象,随机分为对照组、观察A组、观察B组,对照组在常规治疗基础上,采用鼻留置胃管管饲;观察... 目的观察多感官刺激联合间歇经口至食管管饲法在老年脑卒中吞咽障碍的应用效果。方法选择2021年2月至2022年10月收治的脑卒中吞咽障碍患者为研究对象,随机分为对照组、观察A组、观察B组,对照组在常规治疗基础上,采用鼻留置胃管管饲;观察A组在常规治疗基础上,采用间歇经口至食管管饲法;观察B组在观察A组基础上,加用多感官刺激方案。3组均干预8周,在干预前和干预8周后观察洼田饮水试验、标准吞咽功能评价量表(SSA)、吞咽困难生活质量量表(SWAL-QOL)、体质指数(BMI)、营养风险筛查表2002(NRS2002)以及舌骨喉复合体动度检查(舌骨上移距离、甲状软骨上移距离、舌骨前移距离、甲状软骨前移距离)。结果干预8周后,除对照组SWAL-QOL评分以外,其余3组洼田饮水试验、SSA评分和SWAL-QOL评分优于干预前(P<0.05)。而观察B组在洼田饮水试验与其余2组差异有统计学意义(P<0.05),SSA评分低于其余2组,SWAL-QOL评分高于对照组(P<0.05),与观察A组差异无统计学意义(P>0.05)。在营养情况方面,干预8周后3组BMI均高于干预前,NRS2002均低于干预前(P<0.05)。组间比较,3组BMI差异无统计学意义(P>0.05);在NRS2002方面,观察A组和观察B组均低于对照组(P<0.05),而观察A组和观察B组之间差异无统计学意义(P>0.05)。在喉复合体动度检查方面,干预8周后,除对照组舌骨上移距离,其余3组各项距离高于干预前(P<0.05)。观察B组舌骨上移距离、舌骨前移距离高于其余2组(P<0.05),甲状软骨前移距离、甲状软骨上移距离仅高于对照组,与观察A组差异无统计学意义(P>0.05)。结论多感官刺激联合间歇经口至食管管饲法作用于脑卒中吞咽障碍患者,能够改善患者的吞咽功能,提高生活质量,值得进一步研究。 展开更多
关键词 多感官刺激 间歇经口至食管管饲法 脑卒中 吞咽障碍
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间歇性Theta节律刺激联合床旁康复训练治疗在急性重症脑卒中患者上肢运动障碍恢复中的应用
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作者 潘旗开 刘献松 吴泳锫 《实用医院临床杂志》 2024年第4期63-67,共5页
目的 探讨间歇性Theta节律刺激联合康复训练治疗在急性重症脑卒中患者上肢运动障碍恢复中的应用。方法 我院收治的94例急性重症脑卒中偏瘫患者,根据单双号法分为训练组(常规康复训练)与电刺激组(间歇性Theta节律刺激联合康复训练)各47... 目的 探讨间歇性Theta节律刺激联合康复训练治疗在急性重症脑卒中患者上肢运动障碍恢复中的应用。方法 我院收治的94例急性重症脑卒中偏瘫患者,根据单双号法分为训练组(常规康复训练)与电刺激组(间歇性Theta节律刺激联合康复训练)各47例。对比两组临床疗效(NIHSS)、治疗前后上肢运动情况[Fugl-Meyer评分(FMA)、改良Barthel指数(MBI)、上肢运动指数(MI)]、电刺激指标[中枢运动传导时间(CMCT)、运动诱发电位(MEP)]、表面肌电信号及脑血流动力学指标(外周阻力、平均血流速度、平均血流量)变化。结果 治疗第1、2、4周,两组NHISS逐渐下降,且各时间段电刺激组低于训练组(P<0.05);治疗后两组FMA、MBI、MI评分均上升,且电刺激组均高于训练组(P<0.05);两组CMCT、MEP均下降,且电刺激组均低于训练组(P<0.05);两组肱二头肌屈肘、肱三头肌伸肘时表面肌电信号上升,且电刺激组均高于训练组(P<0.05),肱二头肌伸肘、肱三头肌屈肘时组内或组间比较差异均无统计学意义(P>0.05);两组外周阻力下降,平均血流速度与血流量提高,且电刺激组外周阻力低于训练组,平均血流速度与血流量高于训练组(P<0.05);两组均未发现明显不良反应。结论 间歇性Theta节律刺激联合康复训练可恢复急性重症脑卒中偏瘫患者上肢运动功能,改善肌电信号与脑血流动力学指标,疗效显著,值得推广。 展开更多
关键词 急性重症脑卒中 间歇性Theta节律刺激 康复训练 上肢运动功能
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舌三针联合间歇性θ爆发刺激对脑卒中后吞咽障碍患者 吞咽功能及表面肌电的影响 被引量:1
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作者 袁飞 袁爱红 +4 位作者 童宏梅 解鸿宇 刘友祥 沈蓉 朱少全 《安徽中医药大学学报》 CAS 2024年第1期62-66,共5页
目的观察舌三针联合间歇性θ爆发刺激(intermittent theta burst stimulation,iTBS)对脑卒中后吞咽障碍患者吞咽功能及表面肌电(surface electromyography,sEMG)的影响。方法将40例脑卒中后吞咽障碍患者随机分为对照组和观察组,每组20例... 目的观察舌三针联合间歇性θ爆发刺激(intermittent theta burst stimulation,iTBS)对脑卒中后吞咽障碍患者吞咽功能及表面肌电(surface electromyography,sEMG)的影响。方法将40例脑卒中后吞咽障碍患者随机分为对照组和观察组,每组20例;两组患者均进行常规吞咽训练,对照组在此基础上行舌三针治疗,观察组在对照组治疗基础上增加iTBS治疗,疗程均为4周;观察和比较两组患者治疗前后洼田饮水试验(water swallowing test,WST)评分、标准吞咽功能评估(standardized swallowing assessment,SSA)量表评分、吞咽生活质量(swallowing quality of life,SWAL-QOL)量表评分、sEMG最大波幅值及吞咽时程。结果治疗后两组患者WST评分、SSA量表评分、吞咽时程均较治疗前显著减少(P<0.05),SWAL-QOL量表评分、sEMG最大波幅值均较治疗前显著增加(P<0.05);且观察组WST评分、SSA量表评分、吞咽时程减少程度,SWAL-QOL量表评分、sEMG最大波幅值增加程度均显著大于对照组(P<0.05)。结论舌三针联合iTBS治疗可显著改善脑卒中后吞咽障碍患者吞咽功能并提高生活质量。 展开更多
关键词 脑卒中后吞咽障碍 舌三针 间歇性θ爆发刺激 表面肌电
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间歇性鼻饲联合冰刺激吞咽功能干预在高血压性脑出血中的应用效果
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作者 张晓莉 徐茜 麻永花 《中外医药研究》 2024年第2期135-137,共3页
目的:探讨间歇性鼻饲联合冰刺激吞咽功能在高血压性脑出血中的应用效果。方法:选择2020年1月-2022年12月喀什地区第一人民医院收治的高血压性脑出血患者100例为研究对象,应用随机数字表法分为观察组和对照组,各50例。对照组采取常规干预... 目的:探讨间歇性鼻饲联合冰刺激吞咽功能在高血压性脑出血中的应用效果。方法:选择2020年1月-2022年12月喀什地区第一人民医院收治的高血压性脑出血患者100例为研究对象,应用随机数字表法分为观察组和对照组,各50例。对照组采取常规干预,观察组在对照组基础上采取间歇性鼻饲联合冰刺激吞咽功能干预。比较两组血压水平、吞咽功能分级及反流、误吸情况。结果:干预前,两组收缩压、舒张压水平比较,差异无统计学意义(P>0.05);干预2周后,两组收缩压、舒张压水平较干预前降低,且观察组低于对照组,差异有统计学意义(P<0.05)。观察组吞咽功能分级优于对照组,差异有统计学意义(P=0.034)。观察组反流、误吸发生率低于对照组,差异有统计学意义(P<0.05)。结论:采取间歇性鼻饲联合冰刺激吞咽功能干预在高血压性脑出血中的应用效果较好,可有效控制患者血压水平,改善吞咽功能,降低反流及误吸不良事件发生率。 展开更多
关键词 高血压性脑出血 间歇性鼻饲 冰刺激吞咽功能
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健侧小脑间歇性θ短阵脉冲刺激康复治疗对脑卒中患者下肢步行功能的影响
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作者 邓罗义 陈彦 +5 位作者 曾妮 黄璞 张兴 胡康杰 郑鹏 吴霜 《实用医学杂志》 CAS 北大核心 2024年第13期1797-1802,共6页
目的探讨健侧小脑间歇性θ短阵脉冲刺激(intermittent theta-burst stimulation,iTBS)对脑卒中患者步行功能的影响。方法采用随机、单盲、假对照研究。共纳入50例脑卒中患者,随机分为iTBS组和Sham组各25例。iTBS组采用常规康复治疗+健... 目的探讨健侧小脑间歇性θ短阵脉冲刺激(intermittent theta-burst stimulation,iTBS)对脑卒中患者步行功能的影响。方法采用随机、单盲、假对照研究。共纳入50例脑卒中患者,随机分为iTBS组和Sham组各25例。iTBS组采用常规康复治疗+健侧小脑iTBS刺激,Sham组采用常规康复治疗+健侧小脑iTBS假刺激。对治疗前及治疗21d相关指标进行分析:比较两组下肢FMA评分、Berg评分、Brunnstrom下肢分期、H/Q比值、MBI评分,步态分析参数以及TMS测得的MEP值,评估小脑iTBS对卒中后步行功能康复的有效性。结果治疗21 d时,iTBS组下肢Brunnstrom分期、Holden分级、Berg评分、下肢FMA评分、6 min步行距离、NIHSS评分和MBI评分改善程度均明显优于Sham组(P<0.05);治疗后iTBS组H/Q比值较前明显增加(P<0.05),但组间比较差异无统计学意义(P>0.05);iTBS组步速、步频、步宽、患侧单支撑相及GDI评分均较Sham组显著改善(P<0.05),两组治疗后步长比较差异无统计学意义(P>0.05);iTBS组治疗后患侧大脑皮层MEP波幅较前降低(P<0.05)。结论健侧小脑iTBS联合常规康复治疗可改善卒中患者步行功能及日常生活能力。 展开更多
关键词 脑卒中 间歇θ短阵脉冲刺激 三维步态分析 步行功能
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间歇性气压治疗联合仿生物电治疗预防人工髋关节置换术后深静脉血栓形成的疗效 被引量:8
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作者 马爽 王驰 崔岩 《中国医科大学学报》 CAS 北大核心 2023年第4期357-360,365,共5页
目的探讨间歇性气压治疗(IPC)联合仿生物电治疗(NMES)预防人工髋关节置换术后下肢深静脉血栓形成(DVT)的疗效。方法选择接受人工髋关节置换术的126例患者为研究对象,根据术后下肢DVT预防措施分为NMES+IPC组(41例)、NMES组(43例)和IPC组... 目的探讨间歇性气压治疗(IPC)联合仿生物电治疗(NMES)预防人工髋关节置换术后下肢深静脉血栓形成(DVT)的疗效。方法选择接受人工髋关节置换术的126例患者为研究对象,根据术后下肢DVT预防措施分为NMES+IPC组(41例)、NMES组(43例)和IPC组(42例)。比较3组凝血指标、血液流变学指标、血流情况以及DVT发生率。结果NMES+IPC组术后凝血酶原时间(PT)、活化部分凝血酶原时间(APTT)和股静脉血流速度明显高于NMES组和IPC组(P<0.05),D-二聚体水平、红细胞沉降率、红细胞压积、纤维蛋白原水平、DVT发生率明显低于NMES组和IPC组(P<0.05)。结论人工髋关节置换术患者接受NMES联合IPC治疗,有利于提高下肢血流速度,改善全身凝血和血液流变学指标,明显降低DVT发生率。 展开更多
关键词 人工髋关节置换术 间歇性气压治疗 仿生物电治疗 深静脉血栓
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SCAVENGING EFFECT OF BERBAMINE ON ACTIVE OXYGEN RADICALS IN PHORBOL ESTER-STIMULATED HUMAN POLYMORPHONUCLEAR LEUKOCYTES
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《内蒙古医科大学学报》 1991年第1期56-56,共1页
The scavenging effect of berbamine(Ber) on active oxygen radicals was studied, using a spin-trapping technique and a chemiluminescence(CL) method in phorbol myristate acetate(PMA) stimulated polymorphonuclear le... The scavenging effect of berbamine(Ber) on active oxygen radicals was studied, using a spin-trapping technique and a chemiluminescence(CL) method in phorbol myristate acetate(PMA) stimulated polymorphonuclear leukocytes(PMN) and in four cell-free superoxide(O<sub>2</sub>) or hydroxyl radical(OH) generating systems. Ber(0.1 to 0.3 mM) effectively reduced active oxygen radicals in PMN stimulated with PMA, but had no obvious effect on oxygen consumption during the respiratory burst of PMN, measured with spin probe oxymetry. Ber(0.3 mM) prominently inhibited the CL response of 展开更多
关键词 superoxide SCAVENGING inhibited stimulated HYDROXYL burst TRAPPING XANTHINE leuko generating
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θ爆发刺激治疗卒中相关失眠的疗效分析 被引量:1
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作者 李国华 唐吉友 任永霞 《中风与神经疾病杂志》 CAS 2023年第3期207-211,共5页
目的观察连续性θ爆发刺激(cTBS)治疗卒中相关失眠的疗效。方法纳入亚急性期脑梗死患者60例,采用匹兹堡睡眠质量指数(PSQI)进行测评,以PSQI量表总分>7分作为判断睡眠障碍的标准。随机分为药物治疗组、联合治疗组,各30例。药物治疗组... 目的观察连续性θ爆发刺激(cTBS)治疗卒中相关失眠的疗效。方法纳入亚急性期脑梗死患者60例,采用匹兹堡睡眠质量指数(PSQI)进行测评,以PSQI量表总分>7分作为判断睡眠障碍的标准。随机分为药物治疗组、联合治疗组,各30例。药物治疗组给予唑吡坦10 mg口服、联合治疗组给予唑吡坦5 mg口服+cTBS模式刺激右侧背外侧前额叶和顶枕区域,分别比较两组患者抗失眠药物停药时间和2周停药率、PSQI减分率、NIHSS评分、HAMD和HAMA评分的变化,以观察cTBS治疗卒中相关失眠的临床疗效。结果联合治疗组平均停药时间短于药物治疗组,2周停药率均高于药物治疗组(P<0.05);两组患者NIHSS评分、HAMD及HAMA评分随治疗时间呈现好转趋势,同一随访时间组间比较无明显差异。由于两组患者HAMD、HAMA评分交互P有统计学意义,说明随着时间的变化,两组间的HAMD、HAMA评分会出现差异。结论cTBS对于卒中相关失眠的治疗具有明显作用,且一定程度上改善了患者的焦虑抑郁状态。 展开更多
关键词 连续性θ爆发刺激 卒中 失眠 右侧背外侧前额叶 顶枕区
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不同重复经颅磁刺激模式对脑卒中后上肢运动功能障碍干预效果的网状Meta分析 被引量:7
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作者 熊丹 谢海花 +3 位作者 李浩 张泓 谭洁 赵宁 《中国全科医学》 CAS 北大核心 2023年第8期997-1007,1014,共12页
背景上肢运动功能障碍是脑卒中后常见的后遗症之一,严重影响患者日常生活能力。重复经颅磁刺激(rTMS)作为常见的神经电生理技术对治疗脑卒中后上肢运动功能障碍有较好的疗效,但临床对不同rTMS干预模式的选择仍缺乏循证依据。目的采用网... 背景上肢运动功能障碍是脑卒中后常见的后遗症之一,严重影响患者日常生活能力。重复经颅磁刺激(rTMS)作为常见的神经电生理技术对治疗脑卒中后上肢运动功能障碍有较好的疗效,但临床对不同rTMS干预模式的选择仍缺乏循证依据。目的采用网状Meta分析方法比较rTMS的4种模式对脑卒中后上肢运动功能障碍患者的临床疗效。方法计算机检索PubMed、Embase、Cochrane Library、Web of Science、中国生物医学文献数据库、中国知网、万方数据知识服务平台、维普网中有关rTMS治疗脑卒中后上肢运动功能障碍的随机对照试验,并通过追溯Meta分析的参考文献作为补充。检索时间均为建库至2022年2月,采用主题词和自由词结合方式进行。2名研究者进行文献筛选、资料提取及质量评价。采用RevMan 5.0软件和Stata 16.0软件进行统计学分析。结果最终纳入17篇文献,790例患者,共涉及6种干预措施:高频rTMS(HF-rTMS)、低频rTMS(LF-rTMS)、间断性theta节律刺激(iTBS)、连续性theta节律刺激(cTBS)、假刺激、常规疗法。网状Meta分析结果显示,HF-rTMS、LF-rTMS提高脑卒中后上肢功能障碍患者Fugl-Meyer运动评分量表上肢部分(FMA-UE)评分均高于假刺激、常规疗法(P<0.05),cTBS提高脑卒中后上肢功能障碍患者FMA-UE评分高于常规疗法(P<0.05),LF-rTMS提高脑卒中后上肢功能障碍患者改良Barther指数(MBI)和Barther指数(BI)评分均高于假刺激、常规疗法(P<0.05),HF-rTMS、LF-rTMS缩短脑卒中后上肢功能障碍患者运动诱发电位(MEP)潜伏期高于假刺激(P<0.05)。不同措施提高脑卒中后上肢运动功能障碍患者FMA-UE评分的累积排序概率曲线下面积(SUCRA)排序结果显示,LF-rTMS(79.9%)>cTBS(75.3%)>HF-rTMS(71.1%)>iTBS(45.8%)>假刺激(20.2%)>常规疗法(7.7%),降低改良Ashworth量表(MAS)评分的SUCRA排序结果显示,iTBS(77.0%)>LF-rTMS(64.1%)>cTBS(61.0%)>HF-rTMS(38.0%)>假刺激(30.6%)>常规疗法(29.2%),提高MBI和BI评分的SUCRA排序结果显示,LF-rTMS(96.4)>iTBS(74.9%)>HF-rTMS(38.6%)>假刺激(30.7%)>常规疗法(9.4%),缩短MEP潜伏期的SUCRA排序结果显示,HF-rTMS(80.0%)>LF-rTMS(78.9%)>常规疗法(58.8%)>iTBS(24.9%)>假刺激(7.5%)。结论现有证据表明,在假刺激及常规疗法对照的基础上,LF-rTMS在改善脑卒中患者上肢运动功能、日常生活能力方面的效果优于HF-rTMS和i TBS、cTBS;iTBS对上肢肌张力的降低具有明显优势;HF-rTMS对皮质脊髓兴奋性的干预效果更佳。 展开更多
关键词 卒中 重复经颅磁刺激 theta节律刺激 上肢运动功能 网状Meta分析 随机对照试验
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TBS模式下高频重复经颅磁刺激辅助治疗慢性精神分裂症的效果观察 被引量:7
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作者 李丽 陈学全 费龙才 《临床和实验医学杂志》 2023年第9期938-941,共4页
目的探究θ短阵快速脉冲刺激(TBS)模式下高频重复经颅磁刺激(rTMS)辅助治疗慢性精神分裂症的效果。方法前瞻性选取2021年5月至2022年5月合肥市第四人民医院收治的98例慢性精神分裂症患者作为研究对象,采用随机数字表法分为两组:对照组... 目的探究θ短阵快速脉冲刺激(TBS)模式下高频重复经颅磁刺激(rTMS)辅助治疗慢性精神分裂症的效果。方法前瞻性选取2021年5月至2022年5月合肥市第四人民医院收治的98例慢性精神分裂症患者作为研究对象,采用随机数字表法分为两组:对照组、试验组,各49例。其中对照组给予伪刺激,试验组给予TBS模式下高频rTMS辅助治疗,疗程4周。比较两组患者病情及症状改善情况、社会功能、认知功能、不良反应。结果治疗后,对照组简明精神病评定量表(BPRS)评分较治疗前比较,差异无统计学意义(P>0.05),试验组BPRS评分较治疗前下降,试验组BPRS评分为(31.26±1.77)分,低于对照组[(32.38±1.86)分],差异有统计学意义(P<0.05)。两组治疗后一般精神病理症状评分、阳性症状评分比较,差异均无统计学意义(P>0.05),试验组阴性症状、总分评分分别为(13.22±2.39)、(60.86±6.07)分,低于对照组[(16.18±2.54)、(64.87±6.14)分],差异均有统计学意义(P<0.05)。两组治疗前及治疗后社会适应能力评定量表(SAFE)评分比较,差异均无统计学意义(P>0.05)。对照组治疗后MDRS-2评分与治疗前比较,差异无统计学意义(P>0.05),试验组治疗后MDRS-2评分升高,且高于对照组,差异有统计学意义(P<0.05)。两组治疗期间不良反应发生率比较,差异无统计学意义(P>0.05)。结论采用TBS模式下高频rTMS辅助治疗可显著改善慢性精神分裂症患者的病情及症状、认知功能,但对于患者社会功能的改善效果不显著。 展开更多
关键词 慢性精神分裂症 θ短阵快速脉冲刺激 高频重复经颅磁刺激
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