不同腧穴配伍对颈型颈椎病患者体表肌电即时效应的影响

发布时间：2018-06-12 14:42

本文选题：腧穴配伍 + 颈型颈椎病　；参考：《中华中医药学刊》2017年04期

【摘要】：目的:观察不同腧穴配伍对颈型颈椎病患者体表肌电即时效应的影响,探讨腧穴配伍之间的相互作用及规律。方法:90例颈型颈椎病患者前后进行3种不同腧穴配伍的针刺,远部取穴组(A组:昆仑、后溪);近部取穴组(B组:风池、天柱);远近取穴组(C组:昆仑、后溪、风池、天柱),采用自身前后对照,观察针刺前后体表肌电(Surface Electromyography,SEMG)平均振幅值,测量肌电积分(Integrated Electromyography,IEMG)及肌电均方根(Root Mean Square,RMS)均值,计算肌电振幅变化率,组内比较不同腧穴配伍针刺前后对体表肌电即时效应影响的差异,组间比较各组针刺后差异。结果:组内针刺前后比较,A、B、C组的肌电平均振幅值、肌电振幅变化率、IEMG、RMS差异有统计学意义(P0.05)。组间针刺后比较,A、B、C组针刺后肌电平均振幅值、肌电振幅变化率、IEMG、RMS都有不同程度的改变,但无显著性差异(P0.05)。结论:不同腧穴配伍的针刺治疗均可以明显改善颈部前屈的耐疲劳性;针刺对颈型颈椎病的治疗作用与取穴数目的多少无关,并不能简单地认为腧穴配伍越多,疗效就会越好。
[Abstract]:Objective: To observe the effect of the compatibility of different acupoints on the immediate effect of the body surface electromyography of cervical spondylosis patients and explore the interaction and regularity of compatibility between acupoints. Methods: 90 patients with cervical spondylosis were treated with 3 different acupoints combined with acupuncture, the remote acupoint group (group A: Kunlun, Hou XI); the proximal acupoint group (group B: Feng Chi, Tianzhu); and the distance from the acupoint. Group C: Kunlun, Hou Xi, Feng Chi, Tianzhu), the average amplitude of Surface Electromyography (SEMG) before and after acupuncture was observed before and after the acupuncture, and the mean value of electromyographic integral (Integrated Electromyography, IEMG) and EMG root mean square root (Root Mean Square, RMS) were measured, and the amplitude of electromyography was calculated, and the compatibility of different acupoints in the group was compared. The difference in the effect of the instant effect of body surface electromyography before and after acupuncture was compared. Results: the average amplitude of electromyography, the amplitude of electromyography, the difference of IEMG, RMS in group A, B and C were statistically significant (P0.05) before and after acupuncture. The mean amplitude of electromyography after acupuncture in group A, B and C group, and the amplitude of electromyography, and the change rate of EMG amplitude, IEMG, RMS have different degrees of change, but there is no significant difference (P0.05). Conclusion: acupuncture treatment in different acupoints with different acupoints can obviously improve the fatigue resistance of neck flexion. The therapeutic effect of acupuncture on cervical spondylosis is not related to the number of acupoints, and it can not be simply considered that the more acupoints compatibility, the better the effect.
【作者单位】：湖北中医药大学针灸治未病湖北省协同创新中心;
【基金】：湖北省教育科学“十二五”规划项目(2014B095)
【分类号】：R246.9

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