[1]冯春燕,康煜炜,张春红,等.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[J].西部中医药,2022,35(11):4-7.[doi:10.12174/j.issn.2096-9600.2022.11.02]
　FENG Chunyan,KANG Yuwei,ZHANG Chunhong,et al.Penetration Needling on RMS Mean Value of the Surface Myoelectricity of the Foot Varus in Ischemic Stroke[J].Western Journal of Traditional Chinese Medicine,2022,35(11):4-7.[doi:10.12174/j.issn.2096-9600.2022.11.02]
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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
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《西部中医药》[ISSN:2096-9600/CN:62-1204/R]

卷:
35
期数:
2022年11期
页码:
4-7
栏目:
出版日期:
2022-11-15

文章信息/Info

Title:
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2, 张春红3, 李金波1
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
Author(s):
FENG Chunyan1,2, KANG Yuwei2, ZHANG Chunhong3, LI Jinbo1
1.First Teaching Hospital of Tianjin University of TCM/National Clinical Research Center for Chinese Medicine Acupuncture and Moxibustion, Tianjin 300193, China
2.Graduate School of Tianjin University of TCM
3.Acupuncture and Massage Department, Bao'an Authentic TCM Therapy Hospital
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
Keywords:
ischemic stroke; the foot varus; RMS Mean values of the surface myoelectricity; penetration needling from GB40 to KI6; acupuncture
分类号:
R245.3
DOI:
10.12174/j.issn.2096-9600.2022.11.02
文献标志码:
A
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。
Abstract:
ObjectiveTo 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. MethodsAll 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. ResultsThe 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 statistical meaning when rested (P>0.05). ConclusionPenetration needling from GB40 to KI6 in treating the foot varus in ischemic stroke could immediately increase contractility of tibialis anterior muscle of the affected side, enhance muscular tension of gastrocnemius muscle in ankle dorsiflexion, however, only the immediate effect was observed due to the small sample size, it is recommended to further expand the sample size and increase the long-term efficacy evaluation.

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备注/Memo

备注/Memo:
冯春燕（1983—），女，在读博士研究生，主治医师。研究方向：脑血管病及骨关节病变的针灸康复临床及基础研究。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）。
更新日期/Last Update: 2022-11-15