简介：ObjectivesToevaluateperipheralauditorydysfunctioninseniledementiaofAlzheimer'sdisease(AD)anditsrelationshipwithcognitivedysfunction.MethodsPuretonethresholds,wordrecognitionscores(WRS),acousticimmittanceandauditorybrain-stemresponses(ABR)weretestedtoevaluatetheauditoryfunctionin43ADpatientsand50normalsubjects.ThetestreliabilityinthesesubjectswasexaminedbeforethetestresultswereevaluatedfortheircorrelationwiththeMiniMentalStateExamination(MMSE)score.ResultsTherewerenostatisticallysignificantdifferencesinperipheralauditoryfunctionsbetweenthetwoearsinthetestedsubjectsorbetweenthetwogroupswhentheauditometricresultsoftherightearwerecompared(P>0.05).Also,therewerenostatisticallysignificantdifferencesbetweenthetwogroupswhenaudiometrictestreliability,acousticimpedanceandABRresultswerecompared(P>0.05).ConclutionsThepuretoneaudiometricthresholdandWRSinADpatientsaresimilartothoseincomparablenon-ADsenilesubjects.Peripheralauditorydysfunctionisnotrelatedtocognitivedysfunction.

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简介：ObjectiveToanalyzethecharacteristicsofauditorybrainstemresponse(ABR)inpresbycusispatientsel-derthan90years.MethodsFourteenpresbycusispatientselderthan90years(presbycusisgroup,91.1.4±1.3years,26ears)and9normal-hearingyoungadults(controlgroup,22.7±1.2years,18ears)participatedinthestudy.Alternativeclick-evokedABRswererecordedinbothgroups.Thepeaklatency(PL)ofpeakI,Ⅲ,andV,andtheinter-peaklatency(IPI)ofI-Ⅲ,Ⅲ-V,andI-Vwerecomparedbetweengroups.ResultsInelderpresbycusispatients,theoccurrencerateofpeakIandⅢwereboth76.9%,andthatofpeakVwas84.6%.Inpresbycusisgroup,thepeaklatenciesofI,Ⅲ,Vweresignificantlylongerthanthatofcontrolgroup(P<0.001).TherewasnosignificantdifferencebetweengroupsintheIPIofpeakI-IⅢ(P=0.298,peakⅢ-V(P=0.254)andpeakI-V(P=0.364).ConclusionsAuditorybrainstemresponsesinpresbycusispa-tientselderthan90yearsshowedworsewavedifferentiation.

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简介：Objective:ToobservethetherapeuticeffectofacupuncturetherapyplusChinesemedicinalherbsinthetreatmentof38casesofsenilepatientswithhemiplegia.Methods;Atotalof69senilestrokepatientswererandomlydividedintotreatmentgroup(n=38,acceptingacupunctureplusherbalmedicinetreatment)andcontrolgroup(n=31,acceptingherbalmedicinetreatmentonly).PrincipalacupointsusedwereBaihui(GV20),Jiquan(HT1),Jianyu(LI15),Quchi(LI11),Zhongwan(RN12),Siqiang(Extraacupoint)andZusanli(ST36),combinedwithotheracupointsaccordingtothesymptoms.Theseacupointswerepuncturedwithfiliformneedlesandstimulatedwithuniformreinforcing-reducingmethod,onceeverydayexceptSundays,with30sessionsbeingatherapeuticcourse.ChinesemedicinalherbsusedwereHuangqi(RadixAstragali,黄芪)30g,Dangshen(RadixCodonopsisPilosulae,党参)30g,Danshen(RadixSalviaeMiltiorrhizae,丹参)30g,Chishao(RadixPaeoniaeRubra,赤芍)30g,Chuanxiong(RhizomaLigusticiChuanxiong,川芎)10g,Dilong(Lumbricus,地龙)10g,Niuxi(RadixAchyranthisBidentatae,牛膝)15g,Jixueteng(CaulisSpatholobi,鸡血藤)30gandGancao(RadixGlycyrrhizae,甘草)6gwhichweredecoctedinwatertobetakenonedoseeveryday(inthemorningandevening),continuouslyfor60days,with30daysbeingatherapeuticcourse.Results:Aftertreatment,intreatmentandcontrolgroups,ofthe38and31cases,18(47.37%)and8(25.81%)experiencedremarkableimprovement,18(47.37%)and18(58.06%)wereeffective,and2(5.26%)and5(16.13%)hadnosignificantchanges,withthetotaleffectiveratesbeing94.74%and83.87%respectively.Simultaneously,indexesofbloodrheologyaswholebloodratiohighshearviscosity(WBRHSV),wholebloodratiolowshearviscosity(WBRLSV),plasmaratioviscosity(PRV),hematacrit(HCT)andfibrinogen(Fib)wereremarkablyreducedincomparisonwithpre-treatment,meaningimprovementofthemicrocirculation(P＜0.05-0.01).Conclusion:Theres

简介：目的将观察把脚洗澡和按摩与为社区粘住老年的失眠的耳的点相结合的治疗学的功效。在我们的社区健康中心对待的210个盒子全部的方法A被他们的访问顺序数字使随机化进一个观察组和一个控制组，在每个组的105个盒子。在观察组的盒子加耳的点粘住与脚洗澡和按摩被对待，而在控制组的盒子被对待，耳的点独自粘住。在处理的四堂功课以后，治疗学的功效被评估。另外，睡觉质量也用匹兹堡睡觉质量索引(PSQI)被估计。结果，显示出统计意义在观察组的全部的有效的率是95.2%，对68.6%在控制组织(P<0.05)。有粘住能更好获得的耳的点的结论联合脚洗澡和按摩比独自粘住的耳的点为社区完成老年的失眠。