丘墟透照海对缺血性脑卒中患者足内翻表面肌电RMS Mean值的影响  

Penetration Needling on RMS Mean Value of the Surface Myoelectricity of the Foot Varus in Ischemic Stroke

作　　者：冯春燕[1,2] 康煜炜 张春红 李金波 FENG Chunyan;KANG Yuwei;ZHANG Chunhong;LI Jinbo(First Teaching Hospital of Tianjin University of TCM/National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion,Tianjin 300193,China;Graduate School of Tianjin University of TCM;Acupuncture and Massage Department,Bao'an Authentic TCM Therapy Hospital)

机构地区：[1]天津中医药大学第一附属医院/国家中医针灸临床医学研究中心,天津300193 [2]天津中医药大学研究生院 [3]宝安纯中医治疗医院针灸推拿科

出　　处：《西部中医药》2022年第11期4-7,共4页Western Journal of Traditional Chinese Medicine

基　　金：国家中医药管理局国家中医临床研究基地业务建设科研专项课题(JDZX2015022)。

摘　　要：目的:观察丘墟透照海对缺血性脑卒中患者足内翻胫前肌、腓肠肌表面肌电均方根振幅(root mean square,RMS)Mean值的影响。方法:依次对26例缺血性卒中足内翻患者行被动牵拉跟腱、踝关节主动背屈及丘墟透照海针刺治疗,观察不同状态下健侧/患侧、针刺前后胫前肌、腓肠肌表面肌电RMS Mean值变化。结果:静息状态下,健侧与患侧对照:胫前肌/腓肠肌RMS Mean值差异无统计学意义(P>0.05);踝关节被动牵拉、主动背屈运动及放松即刻,健侧与患侧对照:患侧胫前肌RMS Mean值较健侧低,差异具有统计学意义(P<0.05),而健侧/患侧腓肠肌RMS Mean值无显著变化;与实验前静息状态对照:踝关节被动牵拉、主动背屈后放松状态下健侧胫前肌RMS Mean值增加,患侧胫前肌RMS Mean值降低,差异均具有统计学意义(P<0.05);健侧/患侧腓肠肌RMS Mean值无显著变化。丘墟透照海针刺即刻,针刺前后对照:患侧胫前肌RMS Mean值有所增加,但差异无统计学意义(P>0.05);腓肠肌收缩状态下RMS Mean值增加(P<0.05),放松状态下差异无统计学意义(P>0.05)。结论:丘墟透照海即刻能增加缺血性脑卒中患者足内翻患侧胫前肌收缩力,增加踝背屈状态下腓肠肌肌张力,但因样本量较小,仅观测即刻效应,可进一步扩大样本量,增加远期疗效评估。Objective:To observe the effects of penetration needling from Qiuxu(GB40)to Zhaohai(KI6)on RMS Mean values of the surface myoelectricity of tibialis anterior muscle and gastrocnemius muscle of the foot varus in ischemic stroke.Methods:All 26 patients suffering the foot varus induced by ischemic stroke were treated by passive traction of Achilles's tendon,active dorsiflexion of the ankle and penetration needling from GB40 to KI6,to observe RMS Mean values of the surface myoelectricity of the unaffected side and affected side under different state,and tibialis anterior muscle and gastrocnemius muscle before and after the acupuncture.Results:The control between the groups of the unaffected side and the affected side when rested:the difference had no statistical meaning in RMS Mean values of tibialis anterior muscle/gastrocnemius muscle(P>0.05);through ankle joint passive traction,active dorsiflexion movement of ankle joint and immediate relaxation,control between the groups of the unaffected side and the affected side:RMS Mean value of tibialis anterior muscle of the affected side was lower than that of the unaffected side,and the difference had statistical meaning(P<0.05),while no significant change could be found in RMS Mean values of gastrocnemius muscle of the unaffected side/the affected side;the control between the relaxation state after passive traction and active dorsiflexion of the ankle joint,the resting state before the experiment:RMS Mean value of tibialis anterior muscle of the unaffected side increased,but decreased of the affected side,and the difference was statistically significant(P<0.05);RMS Mean values of gastrocnemius muscle of the unaffected side/the affected side showed no signficant changes.Self control before and after penetration needling from GB40 to KI6:RMS Mean values of tibialis anterior muscle of the affected side increased,while the difference had no statistical meaning(P>0.05),RMS Mean value raised when the gastrocnemius muscle is contracted(P<0.05),and the difference had no statisti

关 键 词：缺血性脑卒中 足内翻 表面肌电RMS Mean值 丘墟透照海 针刺 

分 类 号：R245.3[医药卫生—针灸推拿学]