经穴诱发中风患者下肢Bechterev反射的电生理学效应  

Study on Surface EMG Signals of Stroke Patient's Lower Limb Bechterev Flexion Reflex induced by Qiuxu Acupressure

作　　者：廖燕锬[1] 刘凤彬[2] 林茜[1] 杨珊莉[1] 邱丽芳[1] 陈岚榕[1] 蔡素芳[1] 

机构地区：[1]福建中医药大学附属康复医院康复治疗部,福州350003 [2]福建中医药大学附属人民医院肿瘤内科,福州350004

出　　处：《光明中医》2016年第16期2373-2375,共3页GUANGMING JOURNAL OF CHINESE MEDICINE

基　　金：福建省卫生厅中医药科研课题(No.wzzh201309)

摘　　要：目的利用表面肌电图技术研究点按穴位法、常规方法诱发脑卒中患者患侧下肢Bechterev屈曲反射的电生理学效应。方法选取30例脑卒中的患者,每个患者先后随机用点穴方法及常规方法诱发患侧下肢Bechterev屈曲反射,同时使用表面肌电图检测,分析和探讨患侧下肢电生理学效应。结果点穴方法和常规方法对脑卒中患者患侧下肢电生理学效应比较:股直肌、股二头肌、胫前肌、腓肠肌的表面肌电积分的差异有显著性意义(P<0.05),胫前肌-腓肠肌协同收缩率的结果无明显差异(P>0.05)。结论点穴手法比常规手法更有效地促进脑卒中患者患侧下肢Bechterev屈曲反射的肌肉收缩效应;两种手法诱发Bechterev屈曲反射对脑卒中患者患侧胫前肌-腓肠肌的协同收缩影响无明显差别。Objective To study the electrophysiological effects of the Bechterev flexion reflex in stroke patients by using the surface EMG technology at the acupoint pressing method and conventional method. Methods A total of 23 cases of cerebral apoplexy patients,each patient＇s lower limbs Bechterev flexion reflex has random evoked by acupuncture method or routine method using the surface EMG detection.The electro physiological effects of lower limbs were analyzed and discussed. Results The acupressure method was compared to the conventional method on rectus femoris,femoral biceps muscle,tibialis anterior muscle and gastrocnemius muscle surface EMG differences were significant（ P〈0. 05）,and tibialis anterior muscle and gastrocnemius muscle cocontraction rate showed no significant difference（ P〈0. 05）. Conclusion Acupressure method was better than the conventional method in effectively promoting stroke patient ＇s muscle contraction effect of lower limbs Bechterev flexion reflex. Stroke patient＇s tibialis anterior muscle and gastrocnemius muscle cocontraction ratio had no significant difference by two methods to induce Bechterev flexion reflex.

关 键 词：丘墟穴位 穴位按压 反射 脑卒中 表面肌电图 

分 类 号：R246.6[医药卫生—针灸推拿学]