表面肌电图在中医脊柱平衡法治疗青少年特发性脊柱侧凸症中的应用  

Application of surface electromyography in the treatment of adolescent idiopathic scoliosis with traditional spinal balanced therapy

作　　者：杜红根[1] 叶树良[1] 徐金元[1] 蒋忠[1] 宋鸿权[1] 郁继伟[1] 

机构地区：[1]浙江省中医院推拿科,浙江杭州310006

出　　处：《中国骨伤》2013年第11期914-917,共4页China Journal of Orthopaedics and Traumatology

基　　金：浙江省中医药科技计划优秀青年人才基金(编号:2012ZQ011)~~

摘　　要：目的:评价表面肌电图(sEMG)检测在非手术治疗青少年特发性脊柱侧凸症(AIS)中的应用价值。方法:对2011年10月至2012年5月采用中医脊柱平衡法治疗的33例青少年特发性脊柱侧凸症患者临床资料进行总结分析。其中男14例,女19例,年龄(15.40±3.01)岁,Cobb角13°～40°,病程均在3个月以上。X线检查:"C"形侧弯21例,"S"形侧弯9例。观察指标为治疗前、治疗后6个月的Cobb角、平均肌电值(AEMG)比值和治疗的安全性。结果:30例患者完成全部的治疗和检测,完成率为90.9%(30/33)。整个临床治疗和检测过程中,未发现对生命体征产生不良影响,无骨折、脱位、晕厥、针口感染及病情加重情况发生。AEMG比值与Cobb角呈正相关(P=0.003)。有效治疗后,患者AEMG比值减小(P<0.01),表明肌力的差异性改善。结论:侧凸椎旁肌sEMG检测可以作为评定AIS凸凹侧肌电活动差异的客观检查之一,通过动态检测,可以作为疗效评价和进展风险评估的客观指标,初步表现出较好的临床应用价值。Objective：To evaluate the values of surface electromyography （sEMG） in the treatment of adolescent idiophathic scoliosis （AIS） with non-surgical therapy. Methods：From October 2011 to May 2012, the data of 33 patients with AIS underwent traditional spinal balanced therapy were analyzed. There were 14 males and 19 females with an average age of （15.40±3.01） years,ranging in Cobb angle from 13° to 40° ,course of disease more than 3 months. X-rays showed 21 cases were type C and 9 cases were type S. Preoperative and postoperative 6 months, Cobb angle, the ratio of averaged electromyography paramete （AEMG）,security of treatment were observed. Results ：Thirty cases （90.9%） accomplished the treatment and detection. No harmful effects to vital sign was found and no fracture, dislocation, apopsychia,infection of pin hole was found. There was positive correlation between the ratio of AEMG and Cobb angle （P=0.003）. The ratio of AEMG decreased after treatment,and indicated the improvement of myosthenic otherness. Conclusion：sEMG can be used as a objective examination in evaluating difference of muscle electricity activity on both concaved and convex sides for patients of AIS, so it is a qualified objective examination for effectiveness evaluation and assessment aggravation risk, and has great value in clinic.

关 键 词：脊柱侧凸 表面肌电图 推拿 脊柱 青少年 

分 类 号：R576[医药卫生—消化系统]