ABSTRACT
Objective To analyze the(ACI) relationship between infarction sites and cognitive impairment after acute cerebral infarction.Methods A total of 134 patients with first ACI and 50 healthy control subjects matched with age, sex and education level were selected.All subjects were assessed with mini-mental state examination (MMSE), clinical memory scale ( CMS), verbal fluency test ( VFT), clock drawing task ( CDT), Barthel index (B1) assessment,Haehinski ischemic scale (HIS), Hamilton depression scale (HAMD).All patients and healthy control subjects were examined with event-related potentials (ERP) P300 test.The relationship between Results of above-mentioned neuropsychological assessment and P300 findings were compared and analyzed in accordance with the neuroimaging type of cerebral infarction.Results 1.There was statistical significance in differences of scores of MMSE, CMS, VFT, CDT between middle infarction and lacunar infarction ( P < 0.05 or P < 0.01 ) ; There was no statistically significant difference in the scores of MMSE, CMS, VFT, CDT between middle infarction and small infarction, and between small infarction and lacunar infarction( P > 0.05 ).2.In middle infarction and small infarction subgroups: the scores of MMSE, CMS in frontal lobe infarction and temporal lobe infarction were lower than those in basal ganglia infarction, parietal lobe infarction and occipital lobe infarction; the scores of MMSE, CMS in basal ganglia infarction were lower than those in parietal lobe infarction and occipital lobe infarction, all had statistically significant differences( P < 0.05 or P < 0.01 ) ; the scores of VFT ,CDT in frontal lobe infarction were significantly lower than those in temporal lobe infarction, parietal lobe infarction, occipital lobe infarction and basal ganglia infarction, the difference had statistical significance( P < 0.05 or P < 0.01 ).3.In lacunar infarction subgroups: there was no statistically significant difference in scores of MMSE, CMS, VFT, CDT among frontal lobe infarction, temporal lobe infarction, parietal lobe infarction, occipital lobe infarction and basal ganglia infarction ( P >0.05 ).Conclusion The location of cerebral infarction is closely related with cognitive function impairment after ACI.
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Objective To explore the application and effect of scene imitation method in the education of patients before fiberoptic bronchoscopy.Methods 264 elective bronchoscopy patients between March 2007 and Decembet 2007 were randomly divided into control group(120 patients)and the experiment group(144 patients)Traditional health education was applied in the control group before bronehoscopy.Scene imitation method in health education was applied in the experiment group before bronchoscopy.Results The examination succes rate in the experiment group was significantly improved(P＜0.05).The medical order obeying behavior(MOOB)of the patients was significantly different between the two group(P＜0.01).Conclusion Before the use of fiberoptic bronchoscopy,the new scene simulation method Can help patients on the list obtain more cognitive ability about the testing.Comparing the traditional education,it establishes a sound relationship between doctors and patients,reduces complication and leads to more accurency of testing,thus helping patients to recover soon.
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Objective In order to understand the depression situation of the hospitalized tuberculosis patients.Methods Zung depression was used as a tool for assessment,the objective of 130 patients hospitalized for tuberculosis survey.Results 58.5% of the hospitalized tuberculosis patients showed symptoms of depression,compared with the secondary and 3 care patients,the rate was high among the level care patients,meaningful differences(P