分线排刺治疗神经根型颈椎病疗效观察

目的:观察分线取穴排刺法治疗神经根型颈椎病的临床疗效。方法:采用廉玉麟老师根据临床经验所创的颈椎分线排刺方法,取第1和第3侧线穴位排刺治疗神经根型颈椎病34例,并随机选择30例以传统针刺相应颈椎夹脊穴治疗作为对照组。结果:治疗组总有效率为85.29%,对照组为56.67%,治疗组2个疗程有效率为62.07%,对照组为35.29%,两组数据经统计学处理均有显著差异(P<0.05)。结论:分线排刺治疗神经根型颈椎病的临床疗效显著,同时可以缩短疗程,明显优于传统针灸法。     

利用神经入肌点定位肩胛下肌痉挛的阻滞靶点

目的 准确定位肩胛下肌神经入肌点（NEP）的体表位置和穿刺深度,为实现肩胛下肌痉挛乙醇或苯酚注射的化学神经溶解术提供指导。方法 20具中国成年人尸体,仰卧。紧贴皮肤连接颈静脉切迹最下点与肩峰尖和颈静脉切迹最下点与剑胸结合处的曲线分别为NEP的横向参考线（H线）和纵向参考线（L线）。解剖暴露肩胛下肌各神经肌支的NEP,涂抹硫酸钡,螺旋计算机断层扫描（CT）与三维重建。Syngo系统下确定NEP在体表的投影点（P）,P通过NEP投射至背部皮肤上的P’点;经P的垂线与H线、经P的水平线与L线的交点分别记为P_H和P_L,测量P_H和P_L在H和L线上的百分位置及NEP的深度。结果 肩胛下肌上神经支和下神经支的P_H分别位于H线的（46.89±2.73）%和（42.56±2.59）%处,P_L分别位于L线的（7.58±2.88）%和（17.42±3.31）%处;NEP深度分别位于PP’线的（16.32±2.52）%和（29.93±2.89）%处。结论 上述结果可为提高肩胛下肌痉挛化学神经溶解术的疗效和效率提供指导。     

美国妇产科医师学会“妊娠期恶心呕吐指南2015版”要点解读

正妊娠期恶心、呕吐是一种影响孕妇及其胎儿健康的常见疾病。早孕期轻度的恶心、呕吐是一种生理性反应;中度(和)或重度或病情迁延(和)或加重的妊娠期恶心、呕吐,会严重影响孕妇的生活质量,乃至危及母胎生命安全,需及时诊治。美国妇产科医师学会(ACOG)近年来针对妊娠期呕吐,颁布了一系列指南,并提出一些与妊娠期恶心、呕吐诊治有关的新观念及循证医学证据。本文对2015年颁布的第153号《妊娠期恶心     

Clinical monitoring of torso deformities in scoliosis using structured splines models

This paper describes the use of structured splines indices for the clinical monitoring of torso deformity in scoliosis. Structured splines indices are computed from the distribution of points of maximal curvature (dominant points) of an object. The suitability and robustness of the indices for this application is assessed by ascertaining their robustness to inevitable torso shape variations due to sway and breathing and the variability in their values relative to existing clinical measures of deformity. To assess the consistency of these indices with other indices in use for this application, they were used to assess the relative information contents of the front and back of the torso. Results show that structured splines indices are more robust than existing clinical measures for monitoring torso deformity in scoliosis. Results also show that the scoliosis information content ratio of the back torso to the front torso is three to one.     

Comparison of isometric and anatomical graft placement in synthetic ACL reconstructions: A pilot study

Correct graft placement is critical to the success of anterior cruciate ligament reconstructions (ACLR). Whilst current trend is to insert the graft in an anatomical location, synthetic grafts have shown to better perform when they are located in an isometric position. Placement, however, is largely dependent on the surgeon and no consensus has been reached for synthetic grafts.Kinematic flexion-extension data of four separate cadaveric knees was obtained using an optical tracking system. Knees were CT-scanned and computer models were developed for each specimen. Three different graft insertion techniques were simulated in each of the computer models. Kinematic data obtained from the optical tracking was applied to the 3D computer models to simulate knee flexion-extension, and virtual change in ACL graft length was measured over the cycle for each insertion technique. Length changes were plotted onto the Radiological-Quadrant.The isometric region on the femur was found to be a band spreading from the mid to deep end of the Blumensaat's line down to the shallow-inferior end of the femoral condyle. The JP Laboureau isometric point technique was consistently located in the isometric zone, with the following coordinates on the Radiographic-Quadrant: t=0.375 (SD 0.0066), h=0.227 (SD 0.0266). The Bernard–Hertel and Charlie Brown anatomical placement methods were located (13%, ?6%) and (8%, ?15%) away, from the JP Laboureau isometric point, respectively, based on t- and h- coordinates of the Radiographic-Quadrant.This study has determined the isometric region using three-dimensional analysis relative to the Radiographic-Quadrant. The JP Laboureau method best finds the isometric point. This information is useful for synthetic graft placement.     

Influences of an acoustic signal with ultrasound components on the acquisition of a defensive conditioned reflex in Wistar rats

The effects of short (90 sec) exposures to a complex acoustic signal with ultrasound components on the acquisition of a defensive conditioned two-way avoidance reflex using an electric shock as the unconditioned stimulus in a shuttle box were studied in female Wistar rats. This stimulus induced audiogenic convulsions of different severities in 59% of the animals. A scale for assessing the ability of rats to acquire the conditioned two-way avoidance reflex was developed. Presentation of the complex acoustic signal was found to be a powerful stressor for Wistar rats, preventing the acquisition of the reflex in the early stages (four and six days) after presentation. This effect was independent of the presence and severity of audiogenic convulsions in the rats during presentation of the acoustic signal. On repeat training nine days after the acoustic signal (with the first session after four days), acquisition of the reflex was hindered (as compared with controls not presented with the acoustic signal). However, on repeat training at later time points (1.5 months after the complex acoustic signal, with the first session after six days), the rats rapidly achieved the learning criterion (10 correct avoidance responses in a row). On the other hand, if the acoustic signal was presented at different times (immediately or at three or 45 days) after the first training session, the animals’ ability to acquire the reflex on repeat training was not impaired at either the early or late periods after exposure to the stressor. These results suggest that the complex acoustic signal impairs short-term memory (the process of acquisition of the conditioned two-way avoidance reflex at the early post-presentation time point) but has no effect on long-term memory or consolidation of the memory trace. __________ Translated from Zhurnal Vysshei Nervnoi Deyatel’nosti imeni I. P. Pavlova, Vol. 56, No. 3, pp. 371–378, May–June, 2006.     

Rehabilitation of the short pelvic floor. II: Treatment of the patient with the short pelvic floor

Several urogynecologic syndromes are associated with the clinical finding of a short, painful, tender and weak pelvic floor and a variety of connective tissue abnormalities. Techniques for rehabilitation include the avoidance of perpetuating factors, rehabilitation of extrapelvic musculoskeletal abnormalities, the use of manual techniques and needling to promote resolution of connective tissue problems, closure of any diastasis recti, and transvaginal/transrectal manual release of muscular trigger points and contractures. Therapy can be facilitated by pudendal or epidural nerve block. Patients contribute to their success through home maintenance programs.Abbreviations TP Trigger point - PFM Pelvic floor musclesEditorial Comment: The authors nicely describe a syndrome called short pelvic floor syndrome. Healthcare providers who treat and diagnose conditions of the female pelvic floor should be aware of and versed in both the diagnosis and the treatment of conditions that can cause pelvic pain. To date this area has been poorly understood and very poorly studied. Hopefully preliminary data such as these will stimulate more collaboration between clinicians and physical therapy specialists, so that these very difficult patients can be better served.