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基于表面肌电图电针治疗颈椎病临床观察 被引量:6

Clinical Surface Electromyogram-based Observations on Electroacupuncture Treatment for Cervical Spondylosis
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摘要 目的观察电针治疗对颈型颈椎病患者颈肌表面肌电信号的影响,探讨电针对颈椎病患者颈肌疲劳的作用机制。方法所有纳入研究的颈椎病患者,均实施电针治疗。在治疗前、首次治疗后和1个疗程电针治疗后,分别测试患者的表面肌电图,并于1个疗程前后,用简化Mc Gill疼痛问卷表评价,统计学分析,治疗前后表面肌电指标RMS值变化及量表评分变化分别进行组内比较。结果首次治疗前后及1个疗程前后,颈竖脊肌和斜方肌上部在头侧屈、头后伸时,RMS值变化均具有统计学意义(P<0.05);1个疗程前后量表各项评分差值比较差异有统计学意义(P<0.05)。结论电针治疗可明显改善颈型颈椎病患者颈肌疲劳状况,表面肌电图作为一种无创的、客观的评价方法,有广阔的应用前景。 Objective To investigate the effect of electroacupuncture on cervical surface electromyographic signals and explore the mechanism of its action on cervical muscle fatigue in patients with cervical spondylosis.Method All enrolled patients with cervical spondylosis received electroacupuncture treatment. Surface electromyography was performed in the patients before and after the first and one course of electroacupuncture treatment. An evaluation was made using a short-form McGill Pain Questionnaire before and after one course of electroacupuncture treatment. Pre- and post-treatment surface electromyographic RMS values and questionnaire scores were statistically analyzed and compared within the group.Result There were statistically significant differences in cervical erector spinae and upper trapezius RMS values during head lateral flexion and backward extension between before and after the first or one course of treatment (P〈0.05). There were statistically significant differences in the questionnaire sub-scores between before and after one course of treatment (P〈0.05).Conclusion Electroacupuncture can markedly reduce cervical muscle fatigue in patients with cervical spondylosis. Surface electromyography as a noninvasive and objective evaluation method has a broad application prospect.
作者 刘立安 王蕾
出处 《上海针灸杂志》 2015年第2期158-160,共3页 Shanghai Journal of Acupuncture and Moxibustion
关键词 电针 颈椎病 肌电描记术 表面肌电图 颈部肌肉 Electroacupuncture Cervical spondylosis Electromyography Surface electromyography Cervical muscles
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