关键词： 神经生理学   脊髓   P物质   生长抑素   痛觉  

摘要： 本研究应用痛阈测定及免疫组化法，探讨生长抑素（SST）对脊髓P物质（SP）痛觉调制作用的影响。结果表明，鞘内注射（it）SST（10μg）可使痛阈提高，并可抑制SP引起的痛反应及脊髓c－fos表达；大鼠足底注射福尔马林（For）不仅引起痛反应，还可使脊髓SP样免疫反应物（SP－LI）增加，而itSST可抑制For引起的痛反应及脊髓SP－LI增多效应。说明SST可通过抑制SP及其引起的伤害性反应而产生镇痛作用。

关键词： 行为医学/经济学   行为医学/组织和管理   费用控制/方法   临床路径   决策支持系统   临床   家庭医学/经济学   家庭医学/组织和管理   卫生服务滥用   精神卫生服务/经济学   精神卫生服务/组织和管理   新罕布什尔   纽约   心理生理学   社会支持   人类  

摘要： Health care organizations save by looking beyond the basics of prescribing pills and taking to the operating table. Experts in behavioral medicine have developed six pathways to identify high-cost patients who may benefit from relaxation techniques and psychiatric counseling more than they can from biomedical care. Learn how to cut costs with formal behavioral medicine programs that are being instituted around the country.

关键词： 波士顿   咨询   疾病管理   团体处理   在职培训   组织状况研究   规划制订   心理生理学   卫生保健质量   躯体型障碍/分类   躯体型障碍/心理学   躯体型障碍/治疗   人类  

摘要： More than 50% of medical visits are undertaken by the "worried well," people who manifest physical symptoms without having any underlying physical malady. The Harvard Pilgrim Health Plan has created a program--being made available to other plans and provider groups--to curtail overutilization by these somatizing patients while providing them with the tools to find relief from their very real physical symptoms.

摘要： Methods of clinical neurophysiology are of little use for the diagnosis of headache disorders. They are, however, invaluable tools for a better understanding of the pathophysiology of functional headaches. They are traumatic, able to explore simple or more complex neural activities, and to some extent capable of reflecting activity in certain neurotransmitter systems as well as the action of pharmacologic agents on the CNS. This article reviews the interest and limits of electroencephalography, evoked potentials, electromyography, and nocifensive reflexes in primary headaches. Because neurophysiologic methods are no more than indirect means of looking into the ''black box,'' their results need to be interpreted with caution and, whenever possible, should be compared in the same study with clinical behavioral and biochemical data.

关键词： 神经递质   动作电位   副交感神经   神经刺激   咽缩肌   神经生理学   豚鼠   骨盆   军医   脑干  

摘要： 9708327 犬的下咽缩肌的神经递质/Tadaki N//Otolaryngol Head Neck Surg.-1995,113(6).-755～759 一军大9708328 神经刺激对豚鼠近端肾骨盆记录的自发动作电位的影响/Lang R J//Urol Res.-1995,23(5).-343～350一军大9708329 中脑干的副交感神经反应取决于年龄、性别和色素-试剂因素[俄。

关键词： 医科   神经网   运动神经皮质   计算法   化学特性   大脑皮质神经元   神经生理学   睡眠   监测   脊髓神经元  

摘要： 9704460 未监测神经网的"清醒-睡眠"计算法/Hinton GE//Science.-1995,268(5214).-1158～1161 医科图9704461 诱导睡眠的大脑脂质家族的化学特性/Cravatt BF//Science.-1995,268(5216).-1506～1509

关键词： 医科   视觉诱发电位   局部调节   事件相关电位   神经刺激   运动区域   高分辨   躯体感觉诱发电位   受试者   神经生理学  

摘要： 9700267 语言和非语言配合工作中高分辨诱发电位的局部调节/Gevins-A//Ele-ctroencephalogr-Clin-Neurophysiol.-1995,94(2).-129～147 医科图9700268 手运动时感觉运动区域的 EE-G 节律/Nashmi-R//Electroncepharogr-Clin-Neuropysiol.-1994,91(6).-456～467

关键词： 心理生理学   脑诱发电位   分析方法   人格理论   社会发展   医学心理学   病理心理学   临床实践   生物学   个体差异  

摘要： 9708903 临床和心理生理学应用的大脑诱发电位分析方法[俄,英摘]-1995,26(3).-95～110 军医图9708904 人格理论:临床实践、社会发展和个体差异的生物学/Reiss D//ArchGen Psychiatry.-1995,52(8).-633～636

关键词： neurogenic pain   microneurography   quantitative sensory test   autonomic test   laser evoked potential  

摘要： This paper presents some currently available neurophysiological tools that are helpful in the clinical setting to evaluate and document neuropathic disturbances that may be associated with pain, The specific tests described in this discussion are quantitative sensory tests (QSTs), autonomic tests (ATs), microneurography (MCNG), and laser evoked potentials (LEPs). Quantitative sensory testing of the nociceptive system includes the thermal stimulation (TST) and current perception threshold (CPT) tests. The ATs applicable to some patients with pain are sudomotor and vasomotor tests. The quantitative sudomotor axon reflex test (QSART), resting sweat output (RSO), and sympathetic skin response (SSR) are the tests for sudomotor involvement. The vasomotor system is tested by measuring skin temperature (surface thermistor or thermography) at rest and, in some cases, after provocative maneuvers, In addition, MCNG (intraneural recording of single nerve fibers or fascicles of nerves) allows examiners to look directly at muscle and skin sympathetic efferent output in normal subjects without pain or with experimental pain and in patients with neuropathic pain. This technique also provides a means of studying the physiology of primary afferent fibers in persons with neurogenic pain. Recent development of LEPs that incorporate the use of painful infrared laser-induced stimuli allow selective study of the nociceptive system, both the central and peripheral portions.

关键词： neurophysiology   neural control   smooth muscle cell   colonic motility   psychopathology   anismus   irritable bowel syndrome   biofeedback