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机械通气患者ICU获得性衰弱诊断及早期康复治疗进展 被引量:5
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作者 赖玲 何礼平 +2 位作者 袁蔓娇 杨辰菲 李莉 《老年医学研究》 2022年第3期60-64,共5页
重症监护病房(ICU)获得性衰弱(ICU-AW)是ICU常见的神经肌肉综合征,常发生于机械通气患者。ICU机械通气的患者ICU-AW发生时间早、发生率较高,尽早筛查鉴别并干预对患者而言尤为重要。ICU-AW评估诊断方法主要包括肌力测定、肌电图、肌肉... 重症监护病房(ICU)获得性衰弱(ICU-AW)是ICU常见的神经肌肉综合征,常发生于机械通气患者。ICU机械通气的患者ICU-AW发生时间早、发生率较高,尽早筛查鉴别并干预对患者而言尤为重要。ICU-AW评估诊断方法主要包括肌力测定、肌电图、肌肉活检、肌肉超声、生物学指标及数字技术;ICU-AW早期康复主要包括肢体活动锻炼、神经电刺激、多学科协作及中医治疗。 展开更多
关键词 神经肌肉综合征 ICU获得性衰弱 早期康复 机械通气
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Treatment for Depression with Chronic Neck Pain Completely Cured in 94.2% of Patients Following Neck Muscle Treatment 被引量:1
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作者 Takayoshi Matsui Toshiro Fujimoto 《Neuroscience & Medicine》 2011年第2期71-77,共7页
We report three patients with cervical neuromuscular syndrome (CNMS) who followed similar courses. Autonomic imbalance may occur following neck muscle pain, and a wide variety of somatic symptoms including headache an... We report three patients with cervical neuromuscular syndrome (CNMS) who followed similar courses. Autonomic imbalance may occur following neck muscle pain, and a wide variety of somatic symptoms including headache and vertigo appear and a generalized poor condition may continue for long periods. If many such somatic symptoms persist for months to years, symptoms of depression are exacerbated. The patients end up in psychiatric clinics, where they are diagnosed with depression, but they do not respond to antidepressants. Thus, they continue to suffer for many years. These patients eventually were completely cured with the resolution of neck pain by neck muscle treatment, using two types of special low-frequency therapy equipment, far-infrared radiation and acupuncture. When treatment for the neck muscles is initiated, symptoms of depression are quickly relieved, and diverse somatic symptoms disappear one after another as neck muscle tension is gradually alleviated (the number of abnormal neck muscle checkpoints decreases). Such a course suggests that neck muscle tension and chronic pain are closely related to depression. Neck muscle-related depression due to CNMS clearly differs from psychiatric conditions such as major and bipolar depression. In patients with neck muscle-related depression, symptoms of depression are not accompanied by ungrounded anxiety, a sense of emptiness, apathy, or self-rejection. Neck muscle abnormalities leading to CNMS are caused by head injury, whiplash injury, and a prolonged forward-bent-posture due to using a personal computer, playing computer games, texting, and engaging in machine-paced work such as assembly-line operation. 展开更多
关键词 Cervical neuromuscular syndrome DEPRESSION NECK MUSCLE pain NECK MUSCLE tension Autonomic imbalance
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进行性神经性肌萎缩症的临床与检查——附58例分析 被引量:2
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作者 陈伟贤 沈鸣九 +1 位作者 姚朝亚 陈诒 《新医学》 北大核心 2002年第6期329-331,共3页
目的:研究进行性神经性肌萎缩症的临床及实验室检查特点。方法:对58例进行性神经性肌萎缩症患者的临床表现,肌酶、肌电图、肌肉活组织检查(活检)及腿部肌肉CT扫描结果进行回顾性分析。结果及结论:本病临床呈良性过程,病人仍能保持一定... 目的:研究进行性神经性肌萎缩症的临床及实验室检查特点。方法:对58例进行性神经性肌萎缩症患者的临床表现,肌酶、肌电图、肌肉活组织检查(活检)及腿部肌肉CT扫描结果进行回顾性分析。结果及结论:本病临床呈良性过程,病人仍能保持一定的劳动力;7例肌酶轻度增高;肌电图改变有两类,一类表现为神经源性损害伴传导速度减慢或不能引出,共52例,另一类是神经源性损害伴高电位出现,6例;肌肉活检23例,19例表现为大群性肌萎缩,4例为小群性肌萎缩,其中4例病人出现肌病性改变;6例患者行腿部肌肉CT扫描,均显示肌肉密度减低。对患者的临床表现,肌酶、肌电图、肌活检、CT检查结果进行综合分析有助于进行性神经性肌萎缩症的诊断和对其进行分类。 展开更多
关键词 进行性神经性肌萎缩症 临床 检查 肌酶 肌电图 肌肉活组织检查 CT 临床表现
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