A new examining method of pathological reflex / 中华神经医学杂志

Objective To introduce a new method of checking the pathological reflex (press-nail reflex) and explore the possibility of press-nail reflex as a method of pathologic reflex that reflects the injure of pyramidal tract.Methods Sixty-two patients,admitted to the General Surgery and Neurosurgery Department in our hospital from 1-3,September 2011,were studied; and Babinski sign,Chadock sign,Gordon sign and press-nail reflex were examined at the same time.Babinski sign being regarded as the gold standard,the odds of above results were calculated.Results Babinski sign being regarded as the gold standard,4 patients showed false-positive and 0 false-negative in Chadock sign,4 patients showed false-positive and 24 false-negative in Gordon sign,and 6 showed false-positive and 6 false-negative in press-nail reflex; the Youden' s index of chadock sign,Gordon sign and press-nail reflex were 0.946,0.250 and 0.748,respectively.Conclusion Press-nail reflex,being a pathological reflex,can be a regular neurological examination method.

Effect of dahuang zhechong pill on content of amino acids in hippocampal tissue of ischemic cerebral hemorrhagic rats / 中国中西医结合杂志

<p><b>OBJECTIVE</b>To observe the effect of Dahuang Zhechong Pill (DZP) on the content of amino acids in hippocampal tissue of model rats of ischemic cerebral hemorrhage (ICH).</p><p><b>METHODS</b>Collagenase and heparin were injected into caudate nucleus to establish ICH rat model. The content of glutamic acid (Glu), aspartic acid (Asp) and gamma-aminobutyric acid (GABA) in hippocampal tissue was detected by anti-phase high-performance liquid chromatographic fluorimetry to observe the effect of DZP on the content of amino acids in brain tissue.</p><p><b>RESULTS</b>Three days after modeling, the content of Glu, Asp and GABA was significantly higher in the model group than those in the sham-operation and the normal control group (P < 0.05), for Glu 15.2926 +/- 4.2429 micromol/g vs 8.0057 +/- 1.1227 micromol/g and 8.5040 +/- 1.7794 micromol/g, for Asp 3.6384 +/- 3.1021 micromol/g vs 1.4986 +/- 0.4174 micromol/g and 1.2669 +/- 0.4695 micromol/g, and for GABA 0.3859 +/- 0.1846 micromol/g vs 0.1829 +/- 0.04665 micromol/g and 0.1770 +/- 0.0472 micromol/g. The content of Glu (9.0550 +/- 1.7195 micromol/g), Asp (1.8085 +/- 0.6862 micromol/g) and GABA (0.1993 +/- 0.0424 micromol/g) in hippocampal tissue in the DZP group was reduced significantly, as compared with that in the model group (P <0.05).</p><p><b>CONCLUSION</b>DZP could reduce the release of excitatory amino acids (EAA-Glu, ASP) to balance EAA/inhibitory amino acid (IAA), so as to relieve ICH-induced brain injury.</p>

Clinical randomized double-blinded study on treatment of vascular dementia by jiannao yizhi granule / 中国中西医结合杂志

<p><b>OBJECTIVE</b>To observe the effect of Chinese herbal medicine in treating vascular dementia (VD) and to explore the method for therapeutic effect evaluation.</p><p><b>METHODS</b>Multi-center, double-blinded randomize-controlled method was adopted to observe the effect of treatment of 242 patients with VD of mild or middle degree, they were 89 cases in the TCM group, 106 cases in the western medicine group and 47 in the placebo group. Minimental state examination (MMSE), Blessed dementia scoring on TCM symptom classified evaluation were used to evaluate the therapeutic effect after 60 days treatment.</p><p><b>RESULTS</b>The total effective rate of Jiannao Yizhi Granule was 58.4%, showing a better effect than that of the placebo group and the western medicine group respectively. The treatment was superior in holistic regulation and systemic functional state improvement, it could not only improve the mild middle key symptoms of VD and the mental disorder induced reduction of functional activities, but also alleviate or eliminate the peripheral symptoms of VD.</p><p><b>CONCLUSION</b>The effect of treatment of vascular dementia by Jiannao Yizhi Granule is certain and is worth spreading.</p>