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Analysis of Factors of Complications in Patients with Moyamoya Disease After Revascularization 烟雾病患者血运重建术后并发症因素分析
Pub Date : 2023-06-26 DOI: 10.26689/cnr.v1i1.5010
Qing-yue Xu
Objective: In this study, the driving factors of complications in patients with moyamoya disease after revascularization are analyzed and discussed. Methods: A total of 1500 cases with moyamoya disease after revascularization in Yunan Shuifu People’s Hosptial and Beijing University of Chinese Medicine Third Affiliated Hospital from November 2017 to November 2022 were selected retrospectively, and they were divided into an observation group (with postoperative complications) and a control group (with no complications), resulting in 313 cases and 1187 cases in each group, respectively. Univariate and multivariate analysis were performed to screen out independent risk factors for complications in patients with moyamoya disease after revascularization. Results: Univariate analysis showed that the proportion of patients with cerebral ischemia, history of hypertension, and modified Rankin scale (mRs) score of 3-5 in the observation group were significantly higher than those in the control group. Complications were used as the dependent variable, and the indicators with statistically significant differences based on the univariate analysis were included as independent variables in the logistic regression analysis. The results showed that the first symptoms before operation were cerebral ischemia, history of hypertension, and mRs score of 3 to 5 were risk factors for complications in patients with moyamoya disease after revascularization, and there were significant differences in the data (OR = 1.781, 1.811, 1.859, all P < 0.05). Conclusion: Cerebral ischemia is the first symptom before operation, and history of hypertension and mRs score of 3 to 5 are all risk factors for complications in patients with moyamoya disease after revascularization. Therefore, clinical prevention should be strengthened, and corresponding treatment measures should be given in time to reduce the risk of postoperative complications in patients with moyamoya disease.
目的:分析探讨烟雾病患者血运重建术后并发症的驱动因素。方法:回顾性选择2017年11月至2022年11月云南省水府人民医院和北京中医药大学第三附属医院收治的烟雾病重建术后病例1500例,分为观察组(有术后并发症)和对照组(无术后并发症),每组分别为313例和1187例。通过单因素和多因素分析,筛选烟雾病患者血运重建术后并发症的独立危险因素。结果:单因素分析显示,观察组患者脑缺血、高血压病史、改良Rankin量表(mRs)评分为3-5分的比例显著高于对照组。并发症作为因变量,单因素分析中差异有统计学意义的指标作为自变量进行logistic回归分析。结果显示,烟雾病患者术前首发症状为脑缺血、有高血压病史、mRs评分3 ~ 5分为血运重成术后并发症的危险因素,两组数据差异有统计学意义(OR = 1.781、1.811、1.859,均P < 0.05)。结论:脑缺血是烟雾病患者手术前的首发症状,高血压病史及mRs评分在3 ~ 5分是烟雾病患者血运重建术后并发症的危险因素。因此,应加强临床预防,及时给予相应的治疗措施,降低烟雾病患者术后并发症的发生风险。
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引用次数: 0
Rare Neurodegenerative Disease: Systematization of Nursing Care in Patients Affected by Huntington’s Disease 罕见神经退行性疾病:亨廷顿舞蹈病患者的系统化护理
Pub Date : 2023-05-24 DOI: 10.26689/cnr.v1i1.4967
Thamyris Lucimar Pastorini Gonçalves, Vivian Rodrigues Tadeus, Thaynara Naiane Castro Campello, Jamaira do Nascimento Xavier, Naime Ramos Oliveira, Lucas Benedito Fogaça Rabito, Bruna Daniella De Sousa de Lima, Gabriel Guembarski Flávio, Cristiano Lucas Menezes Alves, Andonai Krauze de França, Vivian Susi De Assis Canizares
Huntington’s disease is a rare neurodegenerative condition of genetic origin, which incapacitates the patient in carrying out daily activities over time and that has no cure. Thus, the monitoring of these individuals through systemized nursing is essential to reduce the impacts of the disease, because it allows a holistic look into the needs of the affected by professionals. This article elaborates on the systematization of nursing care to Huntington’s disease patients and their families. 3 clinical cases of the disease were selected, data collection was performed from October 1–November 30, 2018. The study enabled the development of actions based on the real needs of individuals and facilitated the development of nursing care.
亨廷顿氏病是一种罕见的遗传神经退行性疾病,随着时间的推移,患者无法进行日常活动,而且无法治愈。因此,通过系统护理对这些个体进行监测对于减少疾病的影响至关重要,因为它可以让专业人员全面了解受影响者的需求。本文阐述了对亨廷顿舞蹈病患者及其家属的系统化护理。选择3例临床病例,数据采集时间为2018年10月1日至11月30日。该研究促进了基于个人实际需求的行动的发展,促进了护理的发展。
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引用次数: 0
Evaluation of Optic Nerve Sheath Diameter Measurement in the Management of Patients Admitted to the Emergency Department with Head Trauma 视神经鞘径测量在急诊科颅脑外伤患者管理中的应用价值
Pub Date : 2023-05-24 DOI: 10.26689/cnr.v1i1.4968
Özge Can, M. Ersel, S. Yalçınlı, F. K. Akarca
Objective: Ultrasonographic measurements of optic nerve sheath diameter is associated with increased intracranial pressure. Intracranial pressure measurements are usually performed on critical areas or intensive care unit patients. The effect of ultrasonographic measurement of optic nerve sheath diameter in predicting pathology or the need for surgery in mild or moderate head trauma has not been evaluated. In our study, we compared ultrasonographic optic nerve sheath diameter measurements with cranial computed tomography (CT) findings and clinical outcomes of patients with head trauma. Materials and methods: Patients with head trauma admitted to the emergency department who were diagnosed with mild, moderate, and severe brain injury were selected for this retrospective study. The optic nerve sheath diameters were measured by ultrasonography. The findings were compared with the outcome and cranial tomography characteristics of the patients. Results: Of the 58 patients admitted to the emergency department with head trauma, mild traumatic brain injury was most common. Hospitalization or operation was required in 51.7% of the patients (30 patients). The mean optic nerve sheath diameter was 4.96 ± 1.02 mm (3.1–7.3 mm) on the right and 4.92 ± 1.02 mm (3.3–7.8) on the left. Optic nerve sheath diameter of 5 mm or more were statistically significant in predicting hospitalization, the presence of pathology, and increased intracranial pressure on cranial CT (P < 0.05). Conclusion: Optic nerve sheath diameters of patients with moderate and mild head trauma may provide information about the need for hospitalization or surgery and can be used as a triage criterion in determining the need for monitoring and follow-up and imaging priorities.
目的:超声测量视神经鞘直径与颅内压增高有关。颅内压测量通常在关键部位或重症监护室患者身上进行。超声测量视神经鞘直径在预测轻度或中度头部创伤的病理学或手术需求方面的作用尚未得到评估。在我们的研究中,我们比较了头部创伤患者的超声视神经鞘直径测量值与颅骨计算机断层扫描(CT)结果和临床结果。材料和方法:选择急诊科诊断为轻度、中度和重度脑损伤的头部创伤患者进行回顾性研究。超声测量视神经鞘直径。将这些发现与患者的结果和颅骨断层扫描特征进行比较。结果:在58名因头部创伤而入院的急诊患者中,轻度颅脑损伤最为常见。51.7%的患者(30例)需要住院或手术治疗。右侧的平均视神经鞘直径为4.96±1.02 mm(3.1–7.3 mm),左侧为4.92±1.02毫米(3.3–7.8)。直径为5mm或更大的视神经鞘在预测住院、病理学的存在、或其他方面具有统计学意义,结论:中度和轻度颅脑损伤患者视神经鞘直径可提供住院或手术需求信息,可作为确定监测、随访和影像学优先顺序的分诊标准。
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引用次数: 0
Does Sinapic Acid Provide Neuroprotection Against Cisplatin-Induced Toxicity in HT-22 Cells? 辛酸对HT-22细胞的顺铂毒性有神经保护作用吗?
Pub Date : 2023-05-24 DOI: 10.26689/cnr.v1i1.4984
Betül Çiçek, Sıdıka Genç
Objective: The aim of this study was to explain the benefits and possible protective mechanisms of sinapic acid (SA) against cisplatin-induced oxido-inflammatory damage in HT-22 rat hippocampal cells by biochemical and molecular methods. Materials and methods: Sinapic acid (SA) was applied at different concentrations (100, 400, and 800 μM) before cisplatin treatment on HT-22 cells under in vitro conditions to elicit neuroprotective activity. Half an hour after SA treatment, 5.5 μM cisplatin was added to all wells except the control group and incubated for 24 hours. Cell viability was determined by 3-(4,5-dimethyl thiazol-2-yl)-2,5-diphenyltetrazolium bromide (MTT) and cytotoxicity was determined by lactate dehydrogenase (LDH) assays. Oxidative stress was evaluated by total antioxidant capacity (TAC), catalase (CAT), glutathione reductase (GSH), malondialdehyde (MDA), and superoxide dismutase (SOD) assays. In addition, the effect of SA on Caspase-3 gene regulation in HT-22 cells was investigated by real-time PCR. Results: Cisplatin decreased cell viability by approximately 40% and increased LDH level in HT-22 cells. In SA-treated groups, cell viability increased and LDH level decreased dose-independently. SA showed neuroprotective activity by inhibiting the cytotoxic activity of cisplatin and increasing the antioxidant activity in cells. Similarly, Caspase-3, which was up-regulated by cisplatin, approached the control value upon SA administration. SA eliminated the neurotoxicity of cisplatin and significantly reduced cell death and oxidative stress. Conclusion: The results of this study indicate that SA protects HT-22 cells against cisplatin by inhibiting both the formation of oxidative stress and induction of cell apoptosis.
目的:从生物化学和分子生物学的角度探讨辛酸(SA)对顺铂诱导的HT-22大鼠海马细胞氧化炎症损伤的作用及其可能的保护机制。材料与方法:在体外条件下,顺铂治疗HT-22细胞前,分别用100、400、800 μM浓度的Sinapic acid (SA)对HT-22细胞施加神经保护作用。SA处理后半小时,除对照组外,其余孔均加5.5 μM顺铂孵育24小时。采用3-(4,5-二甲基噻唑-2-基)-2,5-二苯基溴化四唑(MTT)测定细胞活力,乳酸脱氢酶(LDH)测定细胞毒性。通过总抗氧化能力(TAC)、过氧化氢酶(CAT)、谷胱甘肽还原酶(GSH)、丙二醛(MDA)和超氧化物歧化酶(SOD)检测评估氧化应激。此外,采用real-time PCR检测SA对HT-22细胞Caspase-3基因调控的影响。结果:顺铂使HT-22细胞存活率降低约40%,LDH水平升高。在sa处理组中,细胞活力增加,LDH水平降低,与剂量无关。SA通过抑制顺铂的细胞毒活性和提高细胞抗氧化活性来显示神经保护作用。同样,Caspase-3在顺铂作用下表达上调,给药后接近控制值。SA消除顺铂的神经毒性,显著减少细胞死亡和氧化应激。结论:本研究结果表明,SA通过抑制氧化应激的形成和诱导细胞凋亡来保护HT-22细胞免受顺铂的侵害。
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引用次数: 0
Mechanisms of Cognitive Improvement After Carotid Endarterectomy: Results of an Autopsy 颈动脉内膜切除术后认知改善的机制:尸检结果
Pub Date : 2023-05-24 DOI: 10.26689/cnr.v1i1.4966
K. Ogasawara
To develop a clinically meaningful definition of cognitive change before and after carotid endarterectomy (CEA), we categorized patients with “improved postoperative function” and “non-improved postoperative function” based on subjective assessment and neuropsychological tests. The results showed that 11% of the patients showed an improvement in postoperative function. Through single-photon emission computerized tomography (SPECT), positron emission tomography (PET), magnetic resonance imaging (MRI), etc., it was found that improvement of cerebral blood flow by carcinoembryonic antigen (CEA) → improvement of cerebral metabolism → improvement of cerebral cortical neuroreceptor function and cerebral white matter microstructure → improvement of cognitive function. The degree of preoperative cerebral hemispheric white matter lesions was the rate-limiting factor for improvement in cognitive function.
为了对颈动脉内膜切除术(CEA)前后的认知改变进行有临床意义的定义,我们根据主观评估和神经心理学测试将患者分为“术后功能改善”和“术后功能未改善”。结果显示,11%的患者术后功能得到改善。通过单光子发射计算机断层扫描(SPECT)、正电子发射断层扫描(PET)、磁共振成像(MRI)等发现,癌胚抗原(CEA)改善脑血流量→改善脑代谢→改善大脑皮层神经受体功能和脑白质微结构→改善认知功能。术前大脑半球白质病变程度是认知功能改善的限速因素。
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引用次数: 0
Is C-Reactive Protein an Indicator of Periodontal Risk? C反应蛋白是牙周病风险的指标吗?
Pub Date : 2023-04-20 DOI: 10.26689/cnr.v1i1.4032
Gisella Rojas González, Sandra de la Fuente
Periodontitis is a chronic, multifactorial, inflammatory disease caused by microorganisms and characterized by the progressive destruction of tooth-supporting tissue. In recent years, studies have shown a correlation and association between periodontitis and atherosclerotic cardiovascular disease, because both the disease has some similar risk factors and they produce an increase in plasma C-reactive protein (CRP) level. This protein has been attributed favorable characteristics as an inflammatory marker. This study was aimed to identify if there is any relationship between periodontitis and CRP values before starting periodontal treatment in a group of patients from the Faculty of Dentistry of the University of Costa Rica. Periodontal examinations were performed on 30 patients, and a blood sample was obtained from each patient to determine the P-CR concentration. The average P-CR was found to be 3.72mg/L (95%CI: 2.06–5.38), which is a moderate to severe risk marker. Fifty-four percent of the total patients had chronic generalized periodontal disease, with no significant difference between the different periodontal disease with gender (p=0.416) or age (p=0.477). Meanwhile, forty-three and three percent of the total patients had localized chronic periodontal disease, and gingivitis respectively. It was observed that the female gender showed a relatively higher cardiovascular risk compared to the opposite gender (p=0.640). In contrast, no statistically significant difference was found in the P-CR value by gender, age or the presence of other diseases, although it was higher in those with metabolic diseases (5.5mg/L) compared to those without (2.7mg/L).
牙周炎是一种由微生物引起的慢性、多因素炎症性疾病,其特征是牙齿支撑组织的逐渐破坏。近年来的研究表明牙周炎与动脉粥样硬化性心血管疾病之间存在相关性和相关性,因为这两种疾病具有一些相似的危险因素,均可引起血浆c反应蛋白(CRP)水平升高。这种蛋白被认为是一种炎症标志物。这项研究的目的是在哥斯达黎加大学牙科学院的一组患者开始牙周治疗之前,确定牙周炎和CRP值之间是否存在任何关系。对30例患者进行牙周检查,并采集血样测定P-CR浓度。P-CR平均值为3.72mg/L (95%CI: 2.06 ~ 5.38),为中度至重度危险标志。慢性广泛性牙周病占患者总数的54%,不同牙周病的性别(p=0.416)和年龄(p=0.477)差异无统计学意义。同时,43%的患者患有局部慢性牙周病,3%的患者患有牙龈炎。结果显示,女性患心血管疾病的风险相对高于男性(p=0.640)。相比之下,P-CR值在性别、年龄和有无其他疾病方面均无统计学差异,但代谢性疾病患者P-CR值(5.5mg/L)高于无代谢性疾病患者(2.7mg/L)。
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引用次数: 0
Effect of Antipsychotic Drugs on the Cardiac Function of Patients with Schizophrenia and Analysis of Echocardiogram Results 抗精神病药物对精神分裂症患者心功能的影响及超声心动图分析
Pub Date : 2023-03-28 DOI: 10.26689/cnr.v1i1.5032
J. Fan
Objective: To explore and analyze the effect of antipsychotic drug treatment on the cardiac function of patients with schizophrenia. Methods: From January 2021 to December 2022, 30 patients with schizophrenia were divided into three groups, group A (n = 10), group B (n = 10), and group C (n = 10), by random number table. Patients in group A were treated with risperidone, patients in group B were treated with quetiapine, and patients in group C were treated with aripiprazole. The Positive and Negative Syndrome Scale (PANSS) and Lowenstein Occupational Therapy Cognitive Assessment (LOTCA) scores, electrocardiogram results, and echocardiogram results were compared among the three groups. Results: There were no significant differences in PANSS and LOTCA scores among the three groups after treatment (P > 0.05). Electrocardiogram showed that the incidence of prolonged QT interval in group C was higher than that in groups A and B (P < 0.05); echocardiogram showed that the left ventricular ejection fraction (LVEF) and left ventricular end-diastolic volume (LVEDV) in group C were lower than those in group A and group B (P < 0.05). Conclusion: Risperidone, quetiapine, and aripiprazole can improve the symptoms and cognitive function in patients with schizophrenia. Aripiprazole has a greater impact on cardiac function, as evidenced on electrocardiogram and echocardiogram. Therefore, close monitoring must be done to ensure drug safety.
目的:探讨和分析抗精神病药物治疗对精神分裂症患者心功能的影响。方法:将2021年1月至2022年12月30例精神分裂症患者按随机数字表法分为A组(n = 10)、B组(n = 10)、C组(n = 10)。A组采用利培酮治疗,B组采用喹硫平治疗,C组采用阿立哌唑治疗。比较三组患者的正负综合征量表(PANSS)、洛温斯坦职业治疗认知评估(LOTCA)评分、心电图、超声心动图结果。结果:三组患者治疗后PANSS、LOTCA评分比较,差异均无统计学意义(P < 0.05)。心电图显示,C组QT间期延长发生率高于A、B组(P < 0.05);超声心动图显示,C组左室射血分数(LVEF)和左室舒张末期容积(LVEDV)均低于A、B组(P < 0.05)。结论:利培酮、喹硫平和阿立哌唑能改善精神分裂症患者的症状和认知功能。阿立哌唑对心功能有较大的影响,心电图和超声心动图证实。因此,必须密切监测,以确保药品安全。
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引用次数: 0
Analysis and Discussion on the Effect of Early Rehabilitation on Motor Dysfunction in Patients with Acute Cerebral Infarction 早期康复治疗对急性脑梗死患者运动功能障碍的影响分析与探讨
Pub Date : 2023-03-10 DOI: 10.26689/cnr.v1i1.4969
Weisheng Sun
Objective: To analyze the effect of early rehabilitation on motor dysfunction in patients with acute cerebral infarction. Methods: A total of 70 patients with acute cerebral infarction admitted to Suqian Zhongwu Hospital (our hospital) from January 2020 to December 2021 were selected as research subjects. The participants were divided into two groups through envelopes. The patients of the reference group (n = 35) received conventional treatment whereas the observation group underwent early rehabilitation and conventional treatment (n = 35). The scores of limb motor function (Fugl-Meyer Assessment [FMA]), functional independence (Barthel Scale), and Motor Assessment Scale (MAS) of the two groups were compared. Results: There was no significant difference between the scores of the two groups before treatment (P > 0.05); after early rehabilitation, the FMA and Barthel scale scores of the observation group were higher than those of the reference group, and the MAS scores of the observation group were also better than the reference group (P < 0.05). Conclusion: Early rehabilitation treatment on the basis of conventional treatment for patients with acute cerebral infarction can promote the recovery of motor function and improve the ability to perform daily activities of patients, thus it should be popularized.
目的:分析早期康复治疗对急性脑梗死患者运动功能障碍的影响。方法:选取2020年1月至2021年12月宿迁市中武医院收治的急性脑梗死患者70例作为研究对象。参与者通过信封被分成两组。对照组(n = 35)给予常规治疗,观察组(n = 35)给予早期康复治疗和常规治疗。比较两组患者肢体运动功能(Fugl-Meyer Assessment [FMA])、功能独立性(Barthel Scale)、运动评定量表(MAS)评分。结果:两组治疗前评分比较,差异无统计学意义(P < 0.05);早期康复后,观察组患者FMA、Barthel评分均高于对照组,观察组患者MAS评分也优于对照组(P < 0.05)。结论:急性脑梗死患者在常规治疗的基础上进行早期康复治疗,可促进患者运动功能的恢复,提高患者日常活动能力,值得推广。
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引用次数: 0
Disorders of Childhood Origin 童年起源障碍
Pub Date : 2018-12-07 DOI: 10.4324/9781315209227-9
L. Weyandt
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引用次数: 0
Anxiety Disorder and Obsessive-Compulsive Disorder 焦虑障碍和强迫症
Pub Date : 2018-12-07 DOI: 10.4324/9781315209227-7
L. Weyandt
{"title":"Anxiety Disorder and Obsessive-Compulsive Disorder","authors":"L. Weyandt","doi":"10.4324/9781315209227-7","DOIUrl":"https://doi.org/10.4324/9781315209227-7","url":null,"abstract":"","PeriodicalId":87465,"journal":{"name":"Clinical neuroscience research","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2018-12-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88851828","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
Clinical neuroscience research
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