针刺对急性脑梗死患者上肢体感诱发电位的影响  

Effect of Acupuncture on Somatosensory Evoked Potentials in Patients with Acute Cerebral Infarction

作　　者：郑正涛[1] 陈玲[1] 张雷[1] 林子玲[1] 

机构地区：[1]中山大学附属第五医院,珠海519000

出　　处：《中国中医急症》2010年第10期1665-1666,1689,共3页Journal of Emergency in Traditional Chinese Medicine

摘　　要：目的观察针刺对急性脑梗死患者上肢体感诱发电位(SEP)的影响。方法将患者36例随机分为两组,针刺组予西医常规康复治疗及针刺治疗,对照组仅接受常规康复治疗。两组治疗前后分别接受SEP检测、Fugl-Meyer运动功能评定(FMA)和改良Barthel指数(MBI)评定,记录SEP检测中N9及N20潜伏期和波幅。结果治疗后两组SEP、FMA评分和MBI评分均明显改善,治疗组变化更为显著。结论针刺能促进急性脑梗死患者神经功能的康复,SEP检查可作为一种客观的神经电生理检查手段来评价脑梗死的疗效。Objective：To explore the effect of acupuncture on somatosensory evoked potential（SEP） of the upper extremity in patients with acute cerebral infarction.Methods： 36 cases with acute cerebral infarction were divided randomly into the acupuncture group（18 cases） and the control group（18 cases）.The acupuncture group was treated by acupuncture for 3 weeks（5 times a week） in addition to the routine treatment including conventional rehabilitation therapy and other symptomatic treatment）.The control group was treated only by the routine method.The Fugl-meyer assessment（FMA）,the modifed Barthel index（MBI） and the somatosensory evoked potential（SEP） were detected in two groups before and after treatment.The latency and the amplitude of N9 and N20 in SEP were recoded in two groups.Results： After 3 weeks’treatment,the scores of SEP,FMA and MBI were improved significantly in two groups.The latency was decreased obviously but the amplitude was increased remarkably.Compared with the control group,these changes were more significant in the treatment group.Conclusion： The rehabilitation of the neural function in acute cerebral infarction could be improved by the acupuncture.The SEP examination could be used as an objective means of neural electrophysiological examination to evaluate the efficacy of cerebral infarction.

关 键 词：脑梗死 针刺 体感诱发电位 

分 类 号：R743.9[医药卫生—神经病学与精神病学]