无肌肉的

Methods 16 patients who were diagnosed as myasthenia gravis with initial head and neck symptoms were determined by a pure tone audiometer and acoustic immitance measurement and then the acoustic reflex was reexamined 30 min after injection of Neostigminum sulfate 0.5～1?

对以头颈部和五官症状为首发症状而到我科初诊的16例重症肌无力患者进行纯音测听和声导抗检测，并在肌肉注射甲基硫酸新斯的明0.5～1.0？mg，30？min后复查声反射。检测用0.5、1.0、2.0和4.0？kHz的纯音作同侧和对侧刺激，比较用药前后有无声反射及其阈值、振幅变化、有无衰减等。

Our work has corroborated the findings of others in asymptomatic subjects (Herzog et al., 1999;Symons et al., 2000) in actual patients that consistent neuromuscular reflex responses occur in response to chiropractic adjustments.

我们的工作已经证实赫尔佐格等人的研究结果别人在无症状科目（。，1999；西蒙斯等人。，2000例）实际是一致的神经肌肉反射性的反应调整发生在脊椎治疗反应。

High-frequency ultrasound has important diagnostic value in the Disease of the musculoskeletal system,as an unfound,fast and easy to reduplicative imaging in Musculoskeletal system diseases.The sound beam of ultrasonic visualization can cut through the joint space,which offers a convenient and shortcut bases in the localization.

高频彩超作为一种无创、快速、便于重复的影像学检查方法，对于肌肉骨骼系统疾病应用诊断价值高，超声显像的声束能从骨关节间隙中穿过，在定位方面提供了简便快捷的依据。

Only the front waist of the abdominal cavity and soft iliopsoas, only in the vicinity of some of the muscles, ligaments and fascia, and other non-bony structures of protection, or lack of coordination in the weight-bearing exercise, vulnerable to injury.

腰部前方只有松软的腹腔和髂腰肌，附近仅有一些肌肉、筋膜和韧带等无骨性结构的保护，因此在负重或不协调的运动中，极易受到损伤。

3The values of AEMG of the contralateral multifidus were higher than ipsilateral during trunk axial rotation;(4) During the trunk flex to 45 and 65 degree position, the AEMG of lumbar multifidus and erector spinae muscles were higher than the other degree and there was significant difference.(Experiment 2)(1)The AEMG of the lumbar multifidus and erector spinae were influenced by load levels, load ways and road conditions during the walking.There was significant interaction between load levels and load ways.

(1) 负荷等级、负荷方式及路面条件对行走过程中腰部竖脊肌和多裂肌AEMG具有显著影响，且负荷等级与负荷方式之间交互作用显著；左手负重行走时腰部竖脊肌AEMG与右手负重时不存在显著差异，但背部负重时的竖脊肌AEMG值明显小于单侧手负重时的AEMG值；(2)多裂肌的AEMG值在不同负重方式下行走时均无显著差异；(3)路面条件对腰部肌肉AEMG值具有显著影响，上楼时腰部竖脊肌、多裂肌的AEMG值显著大于平地和下楼时的AEMG值；(4)单侧手持负荷且当负荷等级达到一定水平时，腰部竖脊肌和多裂肌对侧的AEMG值显著大于同侧。

Whereas osteoporosis is unassociated with bone pain, osteomalacia has been associated with isolated or generalized bone pain.39,40 The cause is thought to be hydration of the demineralized gelatin matrix beneath the periosteum; the hydrated matrix pushes outward on the periosteum, causing throbbing, aching pain.7 Osteomalacia can often be diagnosed by using moderate force to press the thumb on the sternum or anterior tibia, which can elicit bone pain.7,40 One study showed that 93% of persons 10 to 65 years of age who were admitted to a hospital emergency department with muscle aches and bone pain and who had a wide ariety of diagnoses, including fibromyalgia, chronic fatigue syndrome, and depression, were deficient in itamin D.41

然而，骨质疏松症与骨痛无关联，而软骨病则与局部性或全身性骨痛有关。其原因被认为是骨膜下已去矿质化的胶原基质上发生的水合反应，水合的胶原基质在骨膜上向外扩张，引起阵痛。软骨病可通过以拇指适度挤压胸骨和胫骨前方以引起骨痛感。一项研究显示10岁到65岁中有93%的人向医院急诊室承认有肌肉疼痛和骨痛症状，他们还有一些其他症状包括纤维肌痛、慢性疲劳综合征、抑郁等，该研究显示他们都缺乏维生素D。本人已认领该文第9、10两部分，48小时后若未提交译文，请其他战友自由认领。本人已认领该文11、12部分编译，48小时后若未提交译文，请其他战友自由认领。本人认领第十三部分，48小时内交稿请战友纠错！

After bleeding sloped, the hemoglobin amount in films or gauzes were measured to determine the hemostatic effect Using a randomized design, one incision in each animal was treated with C-CM membrane, the influence of C-CM film on the growth of bacteria (Staphylococcus aureus ATCC 27853. Escherichia coli ATCC 25922. Monil lia albicans ATCC 14053)were observed in vitro with solid medium. Rusults: It was observed that C-CM membrane had no toxic effects on surrounding tissue and was slowly degraded after implanted into rat leg muscular porch ; The results of hemostatic experiment showed that C-CM film adhered well to incisions.

结果：C-CM膜植入动物肌肉中，周围组织无明显炎症，未发现组织变性和坏死，可在组织内缓慢降解，具有良好的组织相容性，6周后反应接近外科缝合丝线组；止血实验结果发现：C-CM膜组和纱布组的出血时间分别为83.5±9.333s和117±15.9275s，血红蛋白光度吸收值为0.9204±0.7559和1.9764±0.7205，二组比较差异显著(P＜0.05)，说明C-CM膜有一定的止血作用；促进创面愈合实验结果显示：不同时间段C-CM膜组肉芽组织较对照组厚，其中胶原纤维含量亦较多，C-CM膜组的创面愈合时间早于空白对照组，伤口愈合较快；抑菌实验显示C-CM膜对三种菌产生接触性抑制。

In each Piog interfering group,thedeposition of the Ig in liver,pancreas,and muscle decreased apparently,especially inGroup C,which had no significant difference with Group D and E.

Piog干预的DM大鼠肝脏、胰腺和肌肉组织IgA、IgG和IgM的表达和沉积均明显减少，尤其是在C组，与CsA干预的D、E组无显著性差别；6。

DATA SYNTHESIS: From the synthesis materials we found that there was little progress on the drug treatment of muscular spasm of cerebral palsy in recent years. The main drugs for treatment still were valium, baclofen, tizanidine, anhydrous alcohol, phenol, A-type borulinus toxin etc. common used drugs.

资料综合：综合资料发现近几年脑性瘫痪肌痉挛的药物治疗进展不多，治疗的主要药物仍然是苯甲二氮草、巴氯芬、替扎尼定、无水乙醇、苯酚、A型肉毒毒素等常用药物，给药的途径主要有口服、鞘内注射或肌肉注射。

Abstract］ objective to observe the clinical value of botulinus toxin a on the treatment of spastic cerebral palsy for children.methods thirty children were injected with bta for spasticity treatment,the dosage was 2～5 u/kg; the therapeutic efficacy was evaluated by physician rating scale and dystonia was evaluated by improved ashworth and the result was done with statistical analysis.results 29 cases was obviously improved in symptoms after injection.no obvious side effects were found during and after injection.conclusion btx-a proves to be a simple,safe and effective method in the treatment of the spastic cerebral palsy.in short,it is a useful therapeutic option.

目的 探讨a型肉毒毒素对痉挛性小儿脑瘫的临床疗效。方法根据纳入标准，选择30例患儿作为观察对象，采用bta肌肉注射，剂量为2～5 u/kg。疗效评定：肌张力采用改良的ashworth法评价、prs评分，并进行统计学处理。结果 29例治疗后较治疗前症状明显改善，其prs指标治疗前后比较差异显著（p.01）；按ashworth分级，30例中，治疗前最高5级，最低2级，平均4级。注射后除一例无效外，肌张力降为最高4级，最低1级，平均2级。治疗中及治疗后无明显副作用发生。结论 bta治疗痉挛性小儿脑瘫，副作用小，方法简单，刺激性小，维持有效时间长。bta是改善小儿脑瘫肌痉挛和肢体功能的一种实用性的治疗选择。

The big eared hedgehog, the little owl, the sand gecko, the three-toed jerboa, and every show needs a villain - saw-scale - the viper!

大耳刺猬，小猫头鹰，沙壁虎，三趾跳鼠，每场戏都需要反派角色：蝰蛇。

Plasmodiophora brassicae ; resting spores ; density gradient centrifugation of sucrose ; ultrasonic disruption

根肿；休眠孢子；蔗糖密度梯度离心；超声波破碎