应用皮电检测新技术探索人体应激时的皮电响应

近年来,皮肤电作为反映情绪状态的一个敏感指标,引起了人们的广泛关注。为了研究情绪对皮肤电的具体影响．本研究用皮电检测仪（EDSD）的“能量过筛”技术,检测被试应激前后的皮肤电阻和电容的变化,提出了用皮肤电的综合情况来表征人体调节能力的概念。试验采用音乐、噪声、静息为应激源,让被试接受10min的刺激,并在刺激前后进行“能量过筛”,统计结果显示：（1）人体在应激前后的皮肤电的综合情况变化具有显著差异;（2）音乐可以调节人体的生理状态,而噪声则对人体十分有害;（3）在应激前后配以POMS心境量表检测被试的心理指标,以及对心率、血压生理指标的测量,也从不同水平上证实了不同的应激源对心理和生理指标的影响。     

一阶运动和二阶运动方向辨别的知觉学习及传递性研究

为了明确视觉系统对一阶运动和二阶运动识别机制之间的相互关系,采用一阶运动和二阶运动的正弦光栅刺激,在旁中央凹对训练组(14名被试)进行运动方向辨别的知觉学习训练．通过比较训练前后的对比敏感度变化,并同对照组(11名被试)的结果比较后发现：a．在旁中央凹,一阶运动光栅方向辨别的训练提高了被试辨别一阶运动方向的能力,但是这种提高的效果却不能传递到二阶运动光栅的方向辨别任务当中;b．二阶运动光栅方向辨别的训练在提高被试二阶运动方向识别能力的同时,也提高了被试在一阶运动光栅方向辨别任务中的表现．这一训练效果的“非对称”传递现象提示,人的视觉系统中存在两种不同的机制分别用于感知一阶运动和二阶运动,但这两种机制并非截然不同,而是部分分离的．     

呼吸训练可改善心力衰竭患者的临床效果

为了探讨心力衰竭患者应用呼吸方法训练的临床效果,本研究选取了2015年6月至2016年1月在我院进行治疗的200例心力衰竭患者为研究对象,将其随机分为实验组和对照组,每组100例患者。对照组给予常规治疗和护理,实验组在常规治疗和护理的基础上给予呼吸训练,时间为6个月。对两组患者治疗前、治疗后的心功能指标、呼吸困难分级、6 min步行距离和生活质量进行分析比较。研究结果显示,经呼吸训练后,实验组患者的LVEF(48.9±6.6)明显大于对照组患者(42.9±3.7)(p0.05);实验组BNP含量(431.4±40.4)明显低于对照组(568.5±41.1)(p0.05);实验组患者的呼吸困难分级得分(2.20±0.27)明显低于对照组(3.09±0.31)(p0.05);实验组患者的6 min步行距离(492.20±9.27)明显长于对照组患者(433.09±6.31)(p0.05);实验组患者的明尼苏达评分(45.8±2.6)明显低于对照组患者(55.3±3.4)(p0.05)。本研究表明,对于心力衰竭患者而言,呼吸训练能够明显改善心功能指标,改善呼吸,增加运动耐受力,提高患者生活质量。     

脑钠肽在慢性心功能不全诊治的临床观察

目的：评价脑钠肽在慢性心功能不全过程中的诊治效果,探讨其临床适用性。方法：选择从2012年3月至2013年3月于我院就诊的82例心功能不全患者作为实验组,另选择同期的80例健康体检者作为对照组,分析实验组和对照组人员的脑钠肽的浓度,以及实验组患者经过治疗后的脑钠肽浓度变化情况,所有人员同时给予超声心动并观察实验组血浆脑钠肽浓度与左室射血分数及心功能分级之间的关系。结果：实验组患者的血浆脑钠肽浓度明显高于对照组人员,差异有统计学意义（P〈0．05）;实验组患者治疗前后血浆脑钠肽浓度有明显改变,差异也有统计学意义（P〈0．05）;心功能和左室射血分数不同分级之间的血浆脑钠肽浓度也不同,各级差异有明显统计学意义（P〈0．05）;脑钠肽浓度的不同参考值测定的灵敏度和特异性也不同。结论：脑钠肽在慢性心功能不全的诊治过程中有重要价值,为临床心功能的判断可以提供较为敏感的指示,适合临床长期推广应用。     

静息态功能磁共振在偏头痛患者中的应用及价值研究

本研究综合分析了静息态功能磁共振在偏头痛患者中的应用及价值。选取在我院2016年11月至2017年5月收治的51例偏头痛患者一般资料作为实验组,再选取51例健康者一般资料作为对照组。两组研究对象均接受静息态功能磁共振检查方法,采用SPSS 20.0统计学软件进行统计学分析两组患者的低频振幅值(左侧额叶,双侧枕叶,双侧丘脑)。研究发现:(1)实验组左侧额叶、双侧枕叶、双侧丘脑低频振幅值与对照组比较有统计学意义(p0.05);(2)实验组右侧丘脑局部一致性值、右侧壳核局部一致性值、右侧小脑局部一致性值和脑干局部一致性值显著低于对照组(p0.05),实验组右侧枕叶局部一致性值显著高于对照组(p0.05);(3)实验组右侧丘脑局部一致性值与病程、发作频率有负性相关趋势,无统计学意义(p0.05)。研究说明偏头痛患者在疼痛处理过程中能够有效调节脑区功能。     

DOI诱导的大鼠头部抽动模型脑内多巴胺转运体的研究

目的研究DOI诱导的大鼠头部抽动模型脑内多巴胺转运体改变,探讨Tourette综合征发病与突触前多巴胺神经纤维支配的关系。方法将30只Wistar大鼠随机分为模型组和对照组,应用DOI诱导大鼠头部抽动作为Tourette综合征动物模型。两组以99mTc-TRODAT-l作为配体,采用放射自显影和γ测量方法观察大鼠脑内多巴胺转运体分布及其密度。结果放射自显影结果表明模型组大鼠脑内银颗粒密度显著高于对照组,尤其是纹状体。γ测量结果显示,模型组纹状体每克脑组织含放射性占注射剂量的百分比(%ID/g)与对照组相比显著增高(P<0.01),模型组海马和大脑皮层与对照组相比有统计学差异(P<0.05)。结论DOI诱导的大鼠头部抽动模型脑内多巴胺转运体密度较正常大鼠显著增加,Tourette综合征发病与突触前多巴胺神经纤维支配增加密切相关。     

少数民族班级兽医微生物学实验课教学内容及考核方式改革

兽医微生物学是动物医学专业的专业基础课,实验课是本课程重要的组成部分,对达成课程目标及后续课程的学习均具有重要的意义。为解决兽医微生物学实验课教学中主要存在的“痛点”问题,有效提高少数民族学生实验水平。通过合理编排实验内容、采用“竞赛式”考核方式将405名少数民族学生随机分为实验组和对照组,分别采用改革后的教学模式与传统教学模式进行授课。通过对比分析两组学生的考试成绩及调查问卷得知：实验组学生的考试成绩、实验操作能力、创新能力、资料处理及分析问题的能力较对照组学生均有显著的提高,表明教学改革取得了良好的效果。     

丁香酚抑制日本沼虾应激反应效果的研究

本实验以丁香酚和日本沼虾为对象,研究了丁香酚对日本沼虾因温度的急剧变化和形态测量所造成的应激反应的抑制效果.结果显示,丁香酚浓度为500 mg/L时,对照组和实验组的存活率开始呈显著下降趋势的温差幅度分别为10和14℃;当温差为18℃时,对照组存活率为0,实验组存活率为0.653±0.033;当温差达到10℃后,实验组存活率明显高于对照组存活率(P＜0.05).形态测量结果显示,实验组的断肢率显著低于对照组,而存活率显著高于对照组(P＜0.05).研究表明,丁香酚可明显提高日本沼虾存活率,并显著抑制日本沼虾的应激反应.     

神经导航下经胼胝体-穹窿间入路切除丘脑胶质瘤的临床应用价值分析

目的:探讨神经导航系统辅助下经胼胝体-穹窿间入路手术切除丘脑胶质瘤的临床应用价值。方法:选择2016年2月至2018年9月我院收治的丘脑胶质瘤患者60例为研究对象,以其中采用神经导航系统辅助下的经胼胝体-穹隆间入路显微切除丘脑胶质瘤的30例患者作为实验组,另外30例采用常规手术切除的患者作为对照组。分析和比较两组手术情况、治疗效果及并发症的发生情况。结果:治疗后,实验组手术时间、住院时间均比对照组明显缩短,术中出血量及术中引流量显著少于对照组(均P0.05);实验组肿瘤全切除率高于对照组,次全切除率及部分切除率均低于对照组(P0.05);实验组并发症发生率(20.0%)显著低于对照组(53.3%)(P0.05)。结论:与常规手术相比,神经导航系统辅助下经胼胝体-穹窿间入路切除丘脑胶质瘤能显著缩短手术时间,减少术中出血量及术后引流量,显著提高丘脑肿瘤全切除率,并降低术后并发症的发生率。     

针刺联合康复疗法对半月板损伤患者关节镜术后膝关节功能的影响

为了揭示针刺联合康复疗法对半月板损伤患者关节镜术后膝关节功能的影响。本研究选择120例在我院接受关节镜半月板修复术治疗的半月板损伤患者,将患者随机分为观察组和对照组,每组60例。观察组术后采用针刺联合康复疗法治疗,对照组仅采用单纯康复训练治疗。研究显示,治疗3个月后,针刺联合康复疗法治疗的患者有效率(73.33%)显著高于单纯康复训练患者(56.67%)(p=0.034)。本研究应用Lokomat全自动机器人步态训练与评定系统测量半月板损伤患者的膝关节能量、支撑力矩和摆动力矩。研究显示,治疗3个月后,与单纯康复训练组患者相比,针刺联合康复疗法可显著提高患者的膝关节能量(6.63 vs 4.87)、支撑力矩(279 vs 224)和摆动力矩(76 vs 38)。说明半月板损伤患者关节镜术后应用针刺联合康复疗法治疗,具有较好的止痛消肿作用,疗效优于单纯康复训练,并且可显著改善患者的膝关节功能,提高患者的行走能力。     

核心稳定性训练联合高压氧对脑梗死恢复期患者血液流变学、脑能量代谢和血清NGF、NSE、MBP的影响

摘要 目的：观察核心稳定性训练联合高压氧对脑梗死恢复期患者血液流变学、脑能量代谢和血清神经生长因子（NGF）、神经元特异性烯醇化酶（NSE）、髓鞘碱性蛋白（MBP）的影响。方法：选择我院2018年3月~2021年3月期间收治的脑梗死恢复期患者103例。采用随机数字表法将患者分为对照组和观察组两组,例数分别为51例和52例。对照组患者接受核心稳定性训练,观察组患者接受核心稳定性训练联合高压氧治疗,对比两组疗效、血液流变学、脑能量代谢指标和血清NGF、NSE、MBP水平及相关量表评分。结果：观察组的临床总有效率高于对照组（P<0.05）。治疗后,两组上肢/下肢Lovett肌力评分升高,美国国立卫生研究院卒中量表（NIHSS）评分下降,且观察组的改变程度大于对照组（P<0.05）。治疗后,两组全血高切黏度、血细胞比容、全血低切黏度、血浆黏度下降,且观察组的改变程度大于对照组（P<0.05）。治疗后,两组血氧饱和度升高,空腹血糖、乳酸水平下降,且观察组的改变程度大于对照组（P<0.05）。治疗后,两组NGF水平升高,NSE、MBP水平下降,且观察组的改变程度大于对照组（P<0.05）。结论：核心稳定性训练联合高压氧应用于脑梗死恢复期患者,可促进其血液流变学、脑能量代谢改善,有效调节血清NGF、NSE、MBP水平,疗效明确。     

A Study on the Importance of Core Strength and Coordination Balance during Basketball Based on Biomechanics

When basketball players play against each other in a game, better coordinated balance can give them a better advantage. This paper briefly introduces the coordination balance and core strength of basketball players. Twenty basketball varsity members were selected from Chengdu College of University of Electronic Science and Technology of China as subjects for the test. The athletes were randomly divided into a control group and an experimental group. The control group received regular strength training, and the experimental group received core strength training in addition to regular training. Both groups underwent isometric muscle strength test, coordination and balance test and shooting percentage test before and after training. The results demonstrated that muscle group strength increased in the control group after conventional training, but the experimental group showed more significant improvement in muscle group strength after additional core strength training; the experimental group had better coordination and balance ability after core strength training; the experimental group had a significantly higher shooting percentage after core strength training due to the improvement of coordination and balance ability.     

Self-regulation of amygdala activation using real-time FMRI neurofeedback

Real-time functional magnetic resonance imaging (rtfMRI) with neurofeedback allows investigation of human brain neuroplastic changes that arise as subjects learn to modulate neurophysiological function using real-time feedback regarding their own hemodynamic responses to stimuli. We investigated the feasibility of training healthy humans to self-regulate the hemodynamic activity of the amygdala, which plays major roles in emotional processing. Participants in the experimental group were provided with ongoing information about the blood oxygen level dependent (BOLD) activity in the left amygdala (LA) and were instructed to raise the BOLD rtfMRI signal by contemplating positive autobiographical memories. A control group was assigned the same task but was instead provided with sham feedback from the left horizontal segment of the intraparietal sulcus (HIPS) region. In the LA, we found a significant BOLD signal increase due to rtfMRI neurofeedback training in the experimental group versus the control group. This effect persisted during the Transfer run without neurofeedback. For the individual subjects in the experimental group the training effect on the LA BOLD activity correlated inversely with scores on the Difficulty Identifying Feelings subscale of the Toronto Alexithymia Scale. The whole brain data analysis revealed significant differences for Happy Memories versus Rest condition between the experimental and control groups. Functional connectivity analysis of the amygdala network revealed significant widespread correlations in a fronto-temporo-limbic network. Additionally, we identified six regions--right medial frontal polar cortex, bilateral dorsomedial prefrontal cortex, left anterior cingulate cortex, and bilateral superior frontal gyrus--where the functional connectivity with the LA increased significantly across the rtfMRI neurofeedback runs and the Transfer run. The findings demonstrate that healthy subjects can learn to regulate their amygdala activation using rtfMRI neurofeedback, suggesting possible applications of rtfMRI neurofeedback training in the treatment of patients with neuropsychiatric disorders.     

互联网教育对超声住培教学的影响及思考

目的 分析互联网教育对超声专业住培医师教学的影响.方法 将我科接受超声专业住院医师规范化培训的50名住培医师为研究对象,其中以2019年1～4月的住培医师为对照组,以2020年1～4月的住培医师为实验组.对照组以传统教学方式教学,实验组以互联网教学为主要教学方式,两组住培医师通过考试成绩(笔试及技能)及问卷调查方法评估...     

黑柄炭角菌(乌灵菌)粉改善睡眠作用以及对小鼠大脑神经递质及其受体的影响

本研究探讨了黑柄炭角菌菌核乌灵菌粉的改善睡眠作用以及对小鼠大脑神经递质及其受体的影响。144例小鼠随机分为低、中、高3个剂量(0.25、0.5和1.0 g/kg bw)的乌灵菌粉实验组和1个空白对照组,进行了30 d的灌胃干预,从小鼠睡眠行为和其大脑组织中神经递质及其受体两个方面进行分析。结果显示,乌灵菌粉无直接催眠作用,对小鼠正常生长和体重增长无显著影响。相比于对照组,乌灵菌粉3个剂量实验组巴比妥钠诱导的入睡潜伏期均显著缩短(P<0.05),戊巴比妥钠阈下剂量下入睡动物数均有增加,戊巴比妥钠诱导的睡眠时间仅有中、高两个剂量组显著增加(P<0.05),低剂量组睡眠时间增加不显著(P>0.05)。低、中、高3个剂量组小鼠大脑组织中γ-氨基丁酸A型受体(GABA_AR)表达量均显著上升(P<0.05),γ-氨基丁酸B型受体(GABA_BR)表达量却显著下降(P<0.05),5-羟色胺(5-HT)和γ-氨基丁酸含量均显著上升(P<0.01)。综上所述,乌灵菌粉具有明显的改善睡眠功效,其作用机制可能是通过提高脑中5-HT和GABA含量,促进小鼠大脑组织中GABA_AR受体表达来实现。     

Effect of training on the muscle strength and dynamic balance ability of adults with down syndrome

The purpose of this study was to evaluate the effect of training on the muscle strength and dynamic balance ability of adults with Down syndrome (DS). Twenty-five adults with DS were separated into 2 groups. Fifteen subjects (mean age, 24.5 years) constituted the experiment group, whereas 10 subjects (mean age, 24.7 years) were in the control group of the study. Parameters measured were peak torque, isokinetic muscle endurance, and dynamic balance ability. All subjects performed a leg strength test on a Cyber II isokinetic dynamometer. In addition, the subjects' dynamic balance ability was measured by means of a balance deck (Lafayette). The experimental group followed a 12-week training program. As the results indicated, the experimental group showed a statistically significant improvement in all measured values when compared with the control group. It is concluded that adults with DS can improve their physical and kinetic abilities with the application of a systematic and well-designed training program.     

The effect of interval training in children with exercise-induced asthma competing in soccer

A lot of emphasis has been placed in screening individuals with exercise-induced bronchospasm in order to avoid persistence bronchial hyperactivity and consequent chronic silent inflammation of the respiratory tract. The purpose of this study was to evaluate the effect of interval training on the respiratory function and endurance in children with exercise-induced asthma (EIA) participating in the sport of soccer. Twenty-nine boys ages 10-14, who developed EIA after a 6-minute free running test (decline in forced expiratory volume in 1 second: FEV(1)10%), participated in the study. They were divided into 2 groups (experimental: n = 18, and control: n = 11), fulfilling the same criteria (i.e., age, body height and weight, and severity of asthma). The experimental group exercised with the interval training method for a period of 8 weeks, (3 sessions per week), whereas the control group exercised with the usual football program. Measurements were made for FEV(1) and endurance in both groups, before and after the application of training (8 weeks). Following the implementation of the training program, a significant improvement in FEV(1) and endurance was documented in the experimental group, as well as significant differences between the 2 groups. In conclusion, duration and aerobic training via the interval method seems to be beneficial to soccer players with EIA.     

Effects of Auditory Attention Training with the Dichotic Listening Task: Behavioural and Neurophysiological Evidence

Facilitation of general cognitive capacities such as executive functions through training has stirred considerable research interest during the last decade. Recently we demonstrated that training of auditory attention with forced attention dichotic listening not only facilitated that performance but also generalized to an untrained attentional task. In the present study, 13 participants underwent a 4-week dichotic listening training programme with instructions to report syllables presented to the left ear (FL training group). Another group (n = 13) was trained using the non-forced instruction, asked to report whichever syllable they heard the best (NF training group). The study aimed to replicate our previous behavioural results, and to explore the neurophysiological correlates of training through event-related brain potentials (ERPs). We partially replicated our previous behavioural training effects, as the FL training group tended to show more allocation of auditory spatial attention to the left ear in a standard dichotic listening task. ERP measures showed diminished N1 and enhanced P2 responses to dichotic stimuli after training in both groups, interpreted as improvement in early perceptual processing of the stimuli. Additionally, enhanced anterior N2 amplitudes were found after training, with relatively larger changes in the FL training group in the forced-left condition, suggesting improved top-down control on the trained task. These results show that top-down cognitive training can modulate the left-right allocation of auditory spatial attention, accompanied by a change in an evoked brain potential related to cognitive control.     

神经肌肉电刺激联合吞咽康复训练对脑卒中后吞咽障碍患者吞咽功能、表面肌电图及舌骨喉复合体动度的影响

摘要 目的：观察吞咽康复训练、神经肌肉电刺激（NMES）联合治疗对脑卒中后吞咽障碍患者吞咽功能、表面肌电图及舌骨喉复合体动度的影响。方法：选取2018 年9月~2020年10 月期间在我院治疗的70例脑卒中后吞咽障碍患者,根据住院号尾数的奇偶将患者分为对照组和实验组,各35例。对照组仅进行吞咽康复训练,实验组在此基础上接受NMES治疗,两组均治疗2个疗程,观察治疗前后两组患者吞咽功能、表面肌电图、舌骨喉复合体动度及生活质量变化。结果：治疗2个疗程后,实验组患者的吞咽功能改善总有效率高于对照组,组间比较有显著性差异（P<0.05）。治疗2个疗程后,两组吞咽时程缩短、最大波幅值升高,且实验组的吞咽时程短于对照组,最大波幅值高于对照组（P<0.05）。治疗2个疗程后,两组舌骨上移距离、舌骨前移距离、甲状软骨上移距离、甲状软骨前移距离增大,且实验组的舌骨上移距离、舌骨前移距离、甲状软骨上移距离、甲状软骨前移距离大于对照组（P<0.05）。治疗2个疗程后,两组SWAL-QOL总分均升高,且实验组的SWAL-QOL总分高于对照组（P<0.05）。结论：NMES联合吞咽康复训练应用于脑卒中后吞咽障碍患者,可有效促进其吞咽功能改善,提高舌骨肌肌群肌力及生活质量。     

Effects of proprioceptive neuromuscular facilitation stretching on stiffness and force-producing characteristics of the ankle in active women

The purpose of this study was to examine the effect of proprioceptive neuromuscular facilitation (PNF) stretching on musculotendinous unit (MTU) stiffness of the ankle joint. Twenty active women were assessed for maximal ankle range of motion, maximal strength of planter flexors, rate of force development, and ankle MTU stiffness. Subjects were randomly allocated into an experimental (n = 10) group or control group (n = 10). The experimental group performed PNF stretching on the ankle joint 3 times per week for 4 weeks, with physiological testing performed before and after the training period. After training, the experimental group significantly increased ankle range of motion (7.8%), maximal isometric strength (26%), rate of force development (25%), and MTU stiffness (8.4%) (p < 0.001). Four weeks of PNF stretching contributed to an increase in MTU stiffness, which occurred concurrently with gains to ankle joint range of motion. The results confirm that MTU stiffness and joint range of motion measurements appear to be separate entities. The increased MTU stiffness after the training period is explained by adaptations to maximal isometric muscle contractions, which were a component of PNF stretching. Because a stiffer MTU system is linked with an improved the ability to store and release elastic energy, PNF stretching would benefit certain athletic performance due to a reduced contraction time or greater mechanical efficiency. The results of this study suggest PNF stretching is a useful modality at increasing a joint's range of motion and its strength.