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On the anxious seat and standing and sciatica aroused by the fifth lumber surge, sudden loss of deaf aroused by the third cervical vertebra, the wooden tongue aroused by the fourth cervical vertebra.

第5腰椎滑脱引起的坐立艰难和坐骨神经痛、第三颈椎病引起的暴聋、第四颈椎病引起的木舌症

This article studied differences in postpartum fatigue and birth outcomes between women who pushed immediately and those who delayed pushing during the second stage of labor. Data were collected from primiparous women in their 38th to 42nd gestational week who did not receive epidural analgesia during labor and were free of complications during pregnancy. Using a quasi-experimental design, 72 participants selected by convenient sampling were assigned based on individual participant's preference to either an experimental or control group. For the experimental group, pushing was delayed until the point after full cervical dilation at which the mother felt a strong physical pushing reflex, the fetal head had both descended to at least the +1 level in the pelvis and turned to the occiput anterior position, and uterine contractions were at least 30 mmHg. For the control group, the physician instructed mothers to begin pushing after full cervical dilation at the point when the fetal head was in the occiput anterior position and uterine contractions were at least 30 mmHg.

本研究目的在探讨初产妇女第二产程立即用力与延迟用力对产后疲惫及生产结果的影响,收案对象为怀孕38-42周初产妇女、待产期间未施打硬脊膜外麻醉,且怀孕期间无任何合并症,於待产期间向其解释研究目的及收案方法后予以收案,采类实验设计法,以方便取样并依个案之意愿分派於实验组及控制组,实验组於子宫颈完全扩张后等到强烈想用力的感觉、胎头位到达坐骨棘连线下1公分以下、胎头位置转到枕前位、子宫收缩规律强度至少30mmHg才教导向下用力;控制组於子宫颈完全扩张后即教导向下用力,共收案72位。

Presenting complanints of the patient with established diskogenic back pain are remarkable for radicular symptoms.

症状及体征:最常出现的是坐骨神经痛,即向下放射至小腿的疼痛。

Atteusor fasciae latae,liuking form greater trochanter to tuber is chiaclican,its lower 1/3 and anteri or 1/3 is the most suitable site to inject.Its upper and micldle 1/3 orea about two finger breadths can be elected,others are nit.

从大转子到坐骨结节连线以上的臀部外上区,其下中1/3和前1/3区的上部最适宜肌肉注射,上、中1/3区下部两横指处可作被选部位,其余区域不宜肌肉注射。

Atteusor fasciae latae,liuking form greater trochanter to tuber is chiaclican,its lower 1/3 and anteri or 1/3 is the most suitable site to inject.

从大转子到坐骨结节连线以上的臀部外上区,其下中1/3和前1/3区的上部最适宜肌肉注射,上、中1/3区下部两横指处可作被选部位,其余区域不宜肌肉注射。

Study of peripheral nerve lesions and the effects of the recipe of supplementing Qi and activating blood circulation on it in streptozotocin-induced diabetic rats: It was showed that the weight, MNCV and SNCV were significantly reduced, H reflex were significantly prolongated, the level of blood sugar were significantly increased in diabetic rats compared to normal rats at 1 week, 3 week and 5 week after STZ injection (p.05), some changes of the sciatic nerve structure were occurred after 5 weeks of the diabetic progress.

STZ大鼠周围神经功能变化及益气活血方对其影响的实验研究:STZ诱发的糖尿病大鼠,成模1W后体重减轻、血糖升高、SNCV、MNCV减慢、SNCVamp减小、SNCVlat及H反射延迟,以上各项指标与对照组相比差异显著(P均。05):成模5W后上述改变更为明显。成模5W后大鼠坐骨神经纤维出现髓鞘变性、融合、部分神经纤维变性等形态改变。

Results: Base on the dissection, the rabbits' sciatic nerve was composed of the seventh lumbar nerve and first and second sacral nerves. The sciatic trunk descended in front of the sacroiliac joint and escaped between the sacral bone and ilium, then left the pelvis from the greater sciatic notch. The segment of sciatic trunk which ran between the sacrum and ilium was stable and feasible for localization according to the related bony structures in CT scanning, so it was selected as irradiation target. After high dose of stereotactic radiation, the degeneration and necrosis in nerve fibers could be observed under microscope.

结果:通过解剖可见坐骨神经主干由第7腰神经和第1、2荐神经组成,坐骨神经主干从荐髂关节下、荐骨和髂骨之间穿出后,跨过坐骨大切迹的一段坐骨神经主干位置恒定,且有荐骨和髂骨做定位标志,可作为CT定位的照射靶点,单次大剂量照射后镜下可见神经纤维变性坏死。

A radiosurgery treatment planning was performed on the selected nerve segment, its changes of pathology and ultrastructure were observed. Results: Base on the dissection, the rabbits' sciatic nerve was composed of the seventh lumbar nerve and first and second sacral nerves. The sciatic trunk descended in front of the sacroiliac joint and escaped between the sacral bone and ilium, then left the pelvis from the greater sciatic notch.

结果:通过解剖可见坐骨神经主干由第7腰神经和第1、2荐神经组成,坐骨神经主干从荐髂关节下、荐骨和髂骨之间穿出后,跨过坐骨大切迹的一段坐骨神经主干位置恒定,且有荐骨和髂骨做定位标志,可作为CT定位的照射靶点,单次大剂量照射后镜下可见神经纤维变性坏死。

A radiosurgery treatment planning was performed on the selected nerve segment, its changes of pathology and ultrastructure were observed. Results: Base on the dissection, the rabbits' sciatic nerve was composed of the seventh lumbar nerve and first and second sacral nerves. The sciatic trunk descended in front of the sacroiliac joint and escaped between the sacral bone and ilium, then left the pelvis from the greater sciatic notch. The segment of sciatic trunk which ran between the sacrum and ilium was stable and feasible for localization according to the related bony structures in CT scanning, so it was selected as irradiation target.

结果:通过解剖可见坐骨神经主干由第7腰神经和第1、2荐神经组成,坐骨神经主干从荐髂关节下、荐骨和髂骨之间穿出后,跨过坐骨大切迹的一段坐骨神经主干位置恒定,且有荐骨和髂骨做定位标志,可作为CT定位的照射靶点,单次大剂量照射后镜下可见神经纤维变性坏死。

Assuming that the horse is stiff on the left side, trot around the arena on the right rein. At C, turn down the center line. Shift your weight slightly onto your left seat bone to encourage the horse to step under your center of gravity.

假设马匹左侧僵硬,在场地中做右里怀快步,在 C 点转向中线,调整骑手重心到左坐骨上,鼓励马在你的新的重心下踏进。

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