广州高校150名老年教师神经系统检查报告

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在广州高校正常体检同时,对前来检查的60岁以上教职员工进行全面神经系统检查。其中教师150名,无神经系疾病及病史者占139名。139名中男性123名,女性16名。年龄为60~86岁。正副教授占125名,余为讲师。神经系有异常体征人数:颅神经异常46名(331%),双眼聚合反射迟钝最常见,依次为嗅觉减低、咽反射迟钝。感觉改变以下肢音义觉减低;但运动系统以共济活动障碍较多;深、浅反射改变以双腹壁反射减低或消失,但均不如颅神经改变多。掌颏反射阳性104名(748%);伸肌组病理反射阳性6名(43%),均为70岁以上,其中3名有多项神经系改变体征。可疑有轻度锥体外系损害33名(237%)。神经系改变有二项以上者20名(144%),均为65岁以上。有人具备十多项改变。有些项目比文献报导者高。本次新查出神经科疾患6名。原150名中已知有神经系统病11人,共17名,患病率为113%,比广州居民普查患者病率887%高,且集中于65岁组以上者。以上资料提示高校体检应重视65岁以上教师神经系统检查 At the same time as normal physical examinations in Guangzhou universities, a comprehensive neurological examination was conducted on the staff members over 60 years of age who came to be examined. Among them, 150 were teachers and 139 had no neurological diseases and medical history. There were 123 males and 16 females in 139 cases. Age is 60-86 years old. There are 125 associate professors and more than lecturers. There were abnormal numbers of neurological disorders: 46 (33.1%) of cranial nerve abnormalities, and the most common manifestations of binocular aggregate reflexes were slow olfactory sensation and slow pharyngeal reflexes. Sensation changes in the lower leg sound sense reduction; but the motor system is more obstacles to mutual economic activities; deep, shallow reflex changes in the double abdominal wall reflection reduced or disappeared, but not as much as the cranial nerve changes. 104 (74.8%) were positive for palmoplantar reflexes; 6 (4. 3%) were positive for pathological reflexes in the extensor muscle group. All of them were over 70 years old, and 3 of them had multiple neurological changes. Suspected 33 patients with mild extrapyramidal lesions (23.7%). There were 20 or more (14.4%) of the neurological changes, both of which were over 65 years old. Someone has more than a dozen changes. Some items are higher than those reported by the literature. This time we found 6 neurological diseases. Among the original 150 patients, 11 were known to have neurological disease, a total of 17; the prevalence rate was 11.3%, which was higher than the 8.87% rate of census patients in Guangzhou, and was concentrated in those over 65 years old. The above information suggests that college medical examination should pay attention to the examination of nervous system of teachers over 65 years old
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