Neurology Department

The Department of Neurology of Tianjin First Central Hospital is a key development department. After decades of development and accumulation, it has considerable academic influence in the country, and its clinical scale and clinical diagnosis and treatment capabilities rank among the top neurology departments in Tianjin. The Department of Neurology is the Youth Civilization Number of the Tianjin Health System, the National Health and Family Planning Commission Stroke Screening Base, and the Tianjin Neurology Training Base for the Standardized Training of Resident Physicians. It has three inpatient wards, more than 70 beds, 8 functional examination rooms, and more than 100 doctors, nurses, technicians, graduate students and further training personnel. The department has an annual outpatient volume of nearly 100,000 and discharges more than 3,000 patients annually. The Department of Neurology has a reasonable staff structure and a complete organizational structure. There are well-known domestic old experts who graduated in the 1950s and now enjoy the special allowance for experts from the State Council, and experts who graduated in the 1960s and are popular among patients. There are also middle-aged directors who are committed to the study of neurological diseases and maintain a good academic style. There is also a team of young and energetic doctors. More than 90% of the students in our department have a graduate degree or above. It has a long-range video EEG examination room, a conventional EEG examination room, a cervical vascular color ultrasound examination room, an EMG examination room and a TCD examination room. In addition to having all the necessary rescue equipment for internal medicine (electrocardiogram, ventilator, monitor, etc.).It also has a 128-lead video EEG system, conventional EEG machine, 5 sets of advanced electromyography and evoked potential examination equipment, temperature stimulation instrument, ultra-low frequency transcranial magnetic stimulator, cerebrovascular ultrasound examination equipment, 24-hour dynamic blood pressure monitoring, cervical vascular ultrasound, thromboelastography detection equipment, neuroimmunology laboratory; at the same time, relying on the hospital's hardware equipment, such as CT, MRI, SPECT, digital subtraction machine CR, PET, etc., it can currently complete relatively comprehensive neurological examinations. The professional groups have developed in a balanced manner. At present, the cerebrovascular disease professional group, the epilepsy professional group, the dementia professional group, the neurorehabilitation group, the neuropsychology group and the neurodegenerative diseases group have been established. Among them, the neurodegenerative disease group and the cerebrovascular disease group have wide influence in Tianjin. Experts are available for consultation every day, and each expert can provide you with diagnosis and treatment of various neurological diseases, including cerebrovascular diseases, sleep disorders, infectious diseases, demyelinating diseases, peripheral neuropathy, neurodegenerative diseases, epilepsy, dementia, intracranial infection, headache, vertigo and extrapyramidal system, genetic diseases of the nervous system, neurological diseases caused by other systems, etc. We do not close on holidays, emergency services are available 24 hours a day, and general outpatient services are available around the clock.We strive for excellence in clinical practice, study professional knowledge carefully, and have accumulated rich clinical treatment experience over the years. Our department has cured a large number of patients over the years and saved the lives of many patients who were on the verge of death. At the same time, our department has a well-trained and dedicated nursing team. Under the leadership of the head nurse, they serve patients enthusiastically and have won many awards from the hospital and superior departments. They have achieved excellent results in every practical assessment. Their proficient professional skills and rigorous and serious work attitude have enabled them to win high satisfaction in previous patient surveys. The Department of Neurology has completed a number of scientific research projects, and more than 100 medical papers have been published in domestic and foreign magazines. The impact factor of a single paper is as high as 8.2. The projects currently undertaken include National Natural Science Foundation projects, Ministry of Education projects, Tianjin municipal projects, key public relations projects of the Health Bureau, international cooperation projects and hospital projects, etc. Many projects have won national and municipal awards. The Department of Neurology is responsible for the theoretical teaching and clinical internship and internship tasks of neurology at Nankai University School of Medicine and Tianjin Medical University. It is also responsible for the training and teaching of training doctors from all over the country, and also takes into account the training of professional graduate students.The teachers have worked tirelessly and taught diligently, and have cultivated a group of medical workers with solid knowledge, excellent clinical skills and certain scientific research capabilities. Currently, there are many elites from relevant units and foreign working learners. Our department also maintains close contact with foreign counterparts and experts, and currently maintains close cooperative relations with the United States, Australia, Germany, Singapore, New Zealand, Sweden and other countries. Learning, harmony, benevolence, and innovation are our responsibilities and professional pursuits. The entire medical and technical nursing team works together and is ready to better serve patients and the public; and make unremitting efforts to reach the peak of science! It is clinically oriented and relies on the strong hardware and software capabilities of the department. It is led by a team of young and middle-aged experts with innovative thinking and who have returned from well-known hospitals at home and abroad to carry out a large number of characteristic treatments and examinations, including: ultra-early intravenous thrombolytic treatment for cerebral infarction, botulinum toxin injection treatment, early stroke rehabilitation, transcranial Doppler microemboli monitoring, thromboelastography testing, neurology laboratory examinations, etc. Acute Cerebral Infarction Intravenous Thrombolysis Green Channel Acute cerebral infarction is a common disease in neurology. Its high morbidity, disability and mortality rates place a heavy burden on patients, families and society.Ultra-early thrombolytic therapy can recanalize occluded blood vessels and restore blood flow in the ischemic penumbra. It is currently a very effective drug treatment for cerebral infarction. An intravenous thrombolysis team composed of the chief physician, deputy chief physician, and attending physician has been established, and a rigorous intravenous thrombolysis treatment plan has been formulated. In conjunction with relevant departments such as the emergency department, imaging department, laboratory department, and pharmacy department, a green channel for thrombolysis has been opened. From the first minute the patient arrives at the emergency department, all departments work together to complete preparations and assessments before thrombolysis in a short time, and quickly complete thrombolysis treatment. At present, nearly 200 cases of timely intravenous thrombolysis have been completed, achieving very obvious therapeutic effects and accumulating rich experience. Botulinum toxin injection treatment Botulinum toxin A (BTX-A) is an exotoxin produced during the reproduction process of Gram-positive anaerobic spores Clostridium botulinum. Botulinum toxin A selectively acts on peripheral cholinergic nerve endings, inhibiting stimulatory and spontaneous quantum release of acetylcholine.Selecting the appropriate muscle and injecting an appropriate amount of BTX-A can cause local chemical denervation, causing transient paralysis and atrophy of the injected muscle, quickly eliminating or relieving muscle spasm, improving related pain, tremor, abnormal posture, movement disorders and other manifestations, and significantly improving the patient's quality of life. The main indications for this treatment are focal dystonic diseases, including primary ophthalmomyospasm, Meige syndrome, spasmodic torticollis, spasmodic dysarthria, and hemifacial spasm. It also has good effects on paralyzed limb spasticity, intractable migraine, hyperhidrosis, and cosmetology in patients with stroke. Approximately 70% of stroke patients who recover early from stroke have varying degrees of functional impairment, including limb movement disorders, speech disorders, dysphagia, cognitive decline, etc. Early rehabilitation treatment can reduce the disability rate, reduce neurological deficits, and improve daily living abilities. For patients with stable vital signs, early recovery can begin 48 hours after neurological symptoms no longer progress. The stroke rehabilitation treatments I currently carry out include: neurological function reconstruction system rehabilitation treatment, biomyoelectric feedback, swallowing function training, limb hemiplegia functional training, joint range of motion training, acupuncture rehabilitation, etc.Through scientific and active rehabilitation training, good results can be achieved in improving motor function, improving living ability, and reducing disability. Transcranial Doppler Microemboli Monitoring Transcranial Doppler microemboli monitoring technology monitors intracranial and intracranial blood vessels. If microemboli are found, it can be predicted before the occurrence of cerebral infarction and transient cerebral ischemia, and effective preventive measures can be taken promptly to prevent the occurrence of the disease. Patients with clinical high-risk factors for cerebrovascular disease should be monitored for microemboli, actively search for the causes of microemboli, and provide timely interventional treatment according to the cause to prevent and reduce acute ischemic cerebrovascular events. In addition, dynamic monitoring and comparison of microemboli detection rates before and after stroke treatment can help determine the efficacy of drugs. Adjust medication and treatment in a timely manner according to the effect, so that the patient's treatment activities can achieve the desired effect. Magnetic stimulation motor evoked potential examinationTranscranial magnetic stimulation motor evoked potential (MEP) technology is a method to objectively detect the motor conduction function of the central nervous system and peripheral nerves. It has the advantages of strong penetration, small stimulation artifact, non-invasiveness and painlessness. It is currently widely used in the treatment of multiple sclerosis, visual acuity and other diseases. Localization and qualitative diagnosis of demyelinating diseases such as neuromyelitis, cerebral infarction, transient ischemic attack, cervical spondylosis, acute myelitis, subacute combined degeneration and other spinal and spinal cord lesions, peripheral neuropathies such as Guillain-Barre syndrome (GBS), motor neuron disease and Parkinson's disease. Contact heat pain evoked potential (CHEP) Traditional sensory nerve conduction velocity and somatosensory evoked potential can only activate thick fibers, namely Aα and Aβ fibers. Contact thermal pain evoked potential (CHEP) is a new neuroelectrophysiological examination method that can selectively excite thin myelinated Aδ and unmyelinated C fibers and objectively reflect the pain and temperature sensation conduction pathways. Thromboelastography testing neurology laboratory testing neurotransmitter testing technology