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Objective: To compare the effects of different enteral nutrition support schemes on intestinal mucosal barrier function and Th17/Treg immune response balance in patients with type 2 diabetes mellitus (T2DM) complicated with acute stroke. Methods: 93 patients with T2DM complicated with acute stroke in our hospital from March 2019 to February 2021 were selected, and they were divided into the control group (46 cases) and the study group (47 cases) according to the envelope drawing method. The control group received the traditional enteral nutrition support scheme, and the study group received the individualized enteral nutrition support scheme. The blood glucose level, nutritional indexes, intestinal mucosal barrier function and Th17/Treg immune response balance were observed in two groups. Results: The blood glucose level of the observation group was lower than that of the control group at 1~7 d after treatment (P<0.05). 7 d after treatment, the serum albumin, prealbumin and hemoglobin levels of the study group were higher than those of the control group (P<0.05). 7 d after treatment, the plasma endotoxin (ET) and diamine oxidase (DAO) of the study group were lower than those of the control group (P<0.05). 7 d after treatment, Th17 and Th17/Treg of the study group were lower than those of the control group. Treg was higher than that of control group (P<0.05). Conclusion: Individualized enteral nutrition support scheme is beneficial to reduce the blood glucose level of patients with T2DM complicated with acute stroke, promote the recovery of intestinal mucosal barrier function, and then improve the nutritional status and immune status of the body. [ABSTRACT FROM AUTHOR]

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Journal of Clinical Nursing in Practice is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

【摘要】 目的 分析急性缺血性卒中完全可逆性DWI高信号病例的临床与影像学特征。 方法 回顾性分析2012年1月-2015年12月的急性缺血性卒中完全可逆性DWI高信号病例9例，通过基线与随访数据评估其临床与影像学特征。 结果 急性缺血性卒中完全可逆性DWI高信号病例基线NIHSS评分为1（1～2.5）分，基线DWI高信号体积为0.94（0.28～2.39）mL，病变既见于皮层/皮层下，又见于深部白质，随访90 d的mRS评分为0（0～1）分。 结论 急性缺血性卒中完全可逆性DWI高信号多见于轻型卒中，病灶梗死体积小，临床预后良好。 【Abstract】 Objective To analyze the clinical and imaging characteristics in acute ischemic stroke (AIS)patients with complete reversible DWI hyperintensities. Methods Data of nine AIS patients with complete reversible DWI hyperintensities from January 2012 to December 2015 were collected retrospectively. Clinical and imaging characteristics in these patients were evaluated through baseline and follow-up information. Results The median baseline NIHSS was 1 (1-2.5), the mean baseline volume of DWI hyperintensities was 0.94 (0.28-2.39) mL and the median mRS at 90 days was 0 (0-1) in the nine patients. Complete reversible DWI hyperintensities could be found in cortex, subcortical white matter, and deep white matter. Conclusions Complete reversible DWI hyperintensities were usually found in minor stroke with small infarct volume, and such patients usually had good clinical outcome.

Copyright of Rigakuryoho Kagaku is the property of International Press Editing Center Incorporation and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective To analyze the effect of emergency nursing team model combined with chain management on the emergency efficiency and treatment effect of acute stroke. Methods A total of 98 patients with acute stroke admitted to Dongfeng People's Hospital of Zhongshan City from December 2018 to May 2020 were selected and divided into an observation group (n =49) and a control group (n =49) according to the random number table. The control group received routine nursing, and the observation group received the emergency nursing team model combined with chain management on the basis of routine nursing. The treatment effect, first aid efficiency, occurrence of adverse events, and the National Institutes of Health Stroke Scale (NIHSS) scores and Barthel Index (BI) scores before and after thrombolysis were compared between the two groups. Results The total effective rate of treatment in the observation group was 97. 96%, which was significantly higher than 81. 63% in the control group (P <0. 05). The triage time, waiting time and emergency treatment time of the observation group were significantly shorter than those of the control group (all P < 0. 05). After thrombolysis, the NIHSS scores of the two groups were lower than those before thrombolysis, and the BI scores were higher than those before thrombolysis. The NIHSS scores of the observation group were lower than those of the control group, and the BI scores were higher than those of the control group. The differences were statistically significant (all P < 0. 05). The incidence of adverse events in the observation group was 2.04%, and 8.16% in the control group. The difference was not statistically significant (P > 0. 05). Conclusion The application of emergency nursing team model combined with chain management in acute stroke can improve the effect and efficiency of emergency treatment, improve neurological function, improve the ability of daily life, and reduce the incidence of adverse events. [ABSTRACT FROM AUTHOR]

目的 探讨2型糖尿病患者颈动脉斑块磁共振成像（magnetic r esonance i maging，MRI）特征与相应供 血区急性脑缺血病灶形态的关系。 方法 横断面研究，入组临床急性颈内动脉供血区缺血性卒中患者，排除心源性卒中，在发病一周 内行颈动脉磁共振管壁成像（magnetic resonance vessel wall imaging，MR-VWI）检查和常规MRI [包括 磁共振血管成像（magnetic resonance angiography，MRA）和弥散加权成像（diffusion-weighted imaging， DWI）]检查，评估症状侧颈动脉斑块负荷和成分特征以及颅内外动脉管腔狭窄度，根据DWI上梗死灶 形态对急性脑缺血病灶形态和体积进行分析。 结果 共入选140例急性缺血性卒中患者，其中68例（48.6%）为2型糖尿病患者，多因素回归分析显 示2型糖尿病是症状侧颈动脉斑块富脂质核发生的独立危险因素[比值比（odds ratio，OR）3.35，95% 可信区间（confidence interval，CI）1.33～8.43]；在兼具富脂质核斑块的患者中，2型糖尿病组颈内动脉 区域急性脑缺血病灶体积（[ 15.45±8.97）ml vs（9.09±8.64）ml，P=0.011]和大穿支动脉梗死发生率 [34.0% vs 13.2%，P =0.024）]显著高于非糖尿病组。 结论 颈动脉供血区急性缺血性卒中患者中，2型糖尿病与症状侧颈动脉动脉粥样硬化斑块MRI特征， 尤其是富脂质核密切相关，且更易发生大穿支动脉的梗死，提示MR-VWI细致化分析结合糖尿病因素 有助于临床对缺血性卒中风险的分层和个体化诊治。 Abstract: Objective This study aimed to investigate the correlation between the carotid plaque magnetic resonance imaging (MRI) characteristics and acute cerebral infarction focus features in patients with type 2 diabetes mellitus (DM). Methods It was a cross section study. Patients with acute cerebrovascular syndrome in internal carotid artery territory were recruited and the cardiogenic factors were excluded. All patients underwent both carotid and brain MRI scans including magnetic resonance angiography (MRA) and diffusion-weighted imaging (DWI) within 1 week of symptom onset. Ipsilateral carotid plaque morphological and compositional characteristics intracranial and extracranial carotid arteries stenosis were also determined. Acute cerebral infarction patterns and size were evaluated on DWI. Results Of the 140 patients been recruited, 68 (48.6%) patients had DM. The multivariate analysis showed that DM was found to be an independent risk factor for the presence of lipi-rich necrotic core (LRNC) plaque [odds ratio (OR) 3.35, 95% confidence interval (CI) 1.33-8.43], and type 2 DM patients exhibited higher prevalence of carotid type IV-VI lesions, larger plaque burden as well as larger lipid-rich necrotic core plaques compared with non-DM patients. Among the patients with carotid LRNC plaque on symptomatic side, larger acute cerebral infarction size and more concomitant large perforating artery infarct patterns in the internal carotid artery territory were found in DM group than those of non-DM group [(15.45±8.97) ml vs (9.09±8.64) ml, P =0.011; 34.0% vs 13.2%, P =0.024]. Conclusion This study shows that more concomitant large perforating artery infarct patterns in the internal carotid artery territory are found in the type 2 DM patients with ipsilateral carotid plaque features, particularly the LRNC, than those of non-DM patients. Quantification of the carotid plaque characteristics by MRI combined DM has the potential usefulness for stroke risk stratification and individualized diagnosis and treatment.

Objective: To study the effect of acupoint massage combined with hyperbaric oxygen on the rehabilitation of swallowing dysfunction after acute stroke. Methods: 80 cases of patients with dysphagia after acute stroke from January 2016 to December 2018 were selected and randomly divided into two groups. The control group was treated with hyperbaric oxygen, while the observation group was treated with acupoint massage combined with hyperbaric oxygen. The improvement of swallowing dysfunction were compared between two groups after treatment. Results: The improvement rate of swallowing dysfunction in the observation group was significantly higher than that in the control group (P<0.05). The scores of Watian Drinking Water Test and SWALQOL scores of observation group after treatment were significantly lower than those of the control group (P<0.05). The incidence of aspiration pneumonia in the observation group was 7.50% (3/40), which was significantly lower than control group [25.00% (10/40)] (P<0.05). Conclusion: Acupoint massage combined with hyperbaric oxygen can promote the recovery of swallowing function in patients with dysphagia after acute stroke, prevent the occurrence of aspiration pneumonia and improve the quality of life. [ABSTRACT FROM AUTHOR]

Copyright of Nursing of Integrated Traditional Chinese & Western Medicine is the property of Journal of Clinical Nursing in Practice (Editorial Board, Shanghai Jiao Tong University Press) and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective： To investigate the efficacy of acupuncture combined with functional electrical stimulation on dysphagia after acute stroke,and to find out a new effective therapy. Methods： A total of 93 patients with dysphagia after acute stroke, who were treated in department of neurology medicine and emergency in Tongren Affiliated Hospital of Medicine Collage of Shanghai Jiaotong University from July 2010 to July 2014, were chosen as the research subjects and randomly divided into three groups(group A, B and C), with 31 patients in each group. Based on the conventional medical treatment and rehabilitation training,group A was added acupuncture, group B, functional electrical stimulation, and group C, acupuncture combined with functional electrical stimulation. Then the drinking water test scores before and after treatment and the efficacy were compared among the three groups. Results： Compared with before treatment, drinking water test scores of three groups after treatment decreased (P<0.05), and drinking water test score of group C was significantly lower than that of group A and group B, the differences were statistically significant(P<0.05). The total effective rate(93.5%) in group C was significantly higher than that(67.7%) in group A and that(74.2%) in group B, the differences were statistically significant (P<0.05). Conclusion： The efficacy of acupuncture combined with functional electrical stimulation is much better than that of acupuncture or functional electrical stimulation alone in the treatment of patients with dysphagia after acute stroke. [ABSTRACT FROM AUTHOR]

Copyright of Practical Pharmacy & Clinical Remedies is the property of Editorial Department of Practical Pharmacy & Clinical Remedies and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Objective To analyze the therapeutic effect of acute stroke dysphagia using rehabilitation therapy. Methods A total of 94 cases diagnosed with dysphagia after acute stroke were randomly selected from January 2012 to May 2013 in our hospital. The patients were equally divided into control group and research group. The control group received the conventional support treatment and the research group received comprehensive rehabilitation treatment. The results of swallowing dysfunction recovery of two groups were compared. Results After the treatment for 3 weeks， swallowing disorder degree score and swallowing function ratings were improved in both groups and the research group's scores were significantly higher than those of the control group (<0.05). Conclusion Application of comprehensive rehabilitation treatment for dysphagia in patients with acute stroke has significant curative effect and is worth promoting. [ABSTRACT FROM AUTHOR]