温针灸对颈肩腰腿痛患者肢体疼痛、三角肌表面肌电和运动功能的影响
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Effect of Warming-Needle Moxibustion on Body Pain, Surface Electromyography of Deltoid Muscle and Motor Function in Patients with Neck,Shoulder,Waist and Leg Pain
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    摘要:

    目的:观察温针灸对颈肩腰腿痛患者肢体疼痛、三角肌表面肌电和运动功能的影响。方法:选取 100例老年颈肩腰腿痛患者,随机分为联合组和对照组各50例。对照组采用常规西药治疗,联合组在对照组基 础上加用温针灸治疗,2组均持续治疗8周。分别于治疗前后比较2组肢体疼痛视觉模拟评分法(VAS) 评分、 三角肌表面肌电信号[三角肌中束的平均振幅(RMS)、中值频率(MF)] 及运动功能Fugl-meyer运动功能评 分量表(FMA)] 情况。结果:治疗前,2组肩颈腰腿痛VAS评分比较,差异无统计学意义(P>0.05)。治疗 2、4、8周后,2组VAS评分均较治疗前降低(P<0.05),且呈下降趋势(P<0.05);联合组在相同时间点VAS 评分均低于对照组(P<0.05)。治疗前,2组三角肌中束RMS、MF水平比较,差异无统计学意义(P>0.05); 治疗后,2组RMS、MF水平均较治疗前升高(P<0.05),且联合组2项三角肌表面肌电指标水平均高于对照 组(P<0.05)。治疗前,2组FMA 量表中上肢运动功能、下肢运动功能评分及总分比较,差异无统计学意 义(P>0.05);治疗后,2组上、下肢运动功能评分评分及总分均较治疗前升高(P<0.05),且联合组3项分值 均高于对照组(P<0.05)。2组均未见明显不良反应。结论:温针灸可以有效缓解颈肩腰腿痛患者的疼痛程度, 增强患者三角肌表面肌电信号,提高其运动功能。

    Abstract:

    Abstract: Objective: To observe the effect of warming-needle moxibustion on body pain, surface electromyography (sEMG) of deltoid muscle and motor function in patients with neck,shoulder,waist and leg pain. Methods:A total of 100 elderly patients with neck,shoulder,waist and leg pain were selected and randomly divided into the combination group and the control group,with 50 cases in each group. The control group was treated with routine western medicine, and the combination group was treated with warming-needle moxibustion based on the treatment of the control group. Both groups were treated for eight weeks. The Visual Analogue Scale (VAS) scores , sEMG signals of deltoid muscle [root mean square (RMS) of deltoid middle fiber, and median frequency (MF)], and motor function of Fugl-Meyer Assessment (FMA) were compared between the two groups before and after treatment. Results: Before treatment,there was no significant difference in the VAS scores of the shoulders,neck,waist,and legs between the two groups (P>0.05). After 2, 4, and 8 weeks of treatment, the VAS scores in the two groups were decreased when compared with those before treatment (P<0.05) and showed a downward trend (P<0.05);the VAS scores in the combination group were lower than those in the control group at the same time point (P<0.05). Before treatment,there was no significant difference in RMS and MF levels of deltoid middle fiber between the two groups (P>0.05). After treatment,the RMS and MF levels in the two groups were increased when compared with those before treatment (P<0.05), and the two levels in the combination group were higher than those in the control group (P<0.05). Before treatment,there was no significant difference in the scores of upper limb and lower limb motor function in the FMA and total scores between the two groups (P>0.05). After treatment,the upper and lower-limb motor function scores and total scores in the two groups were increased when compared with those before treatment (P<0.05),and the scores of three items in the combination group were higher than those in the control group (P<0.05). No significant adverse reactions were observed in the two groups. Conclusion:Warming-needle moxibustion can effectively relieve the pain degree of patients with neck, shoulder, waist and leg pain, enhance the sEMG of patients' deltoid muscles,and improve their motor function.

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童杨华,王娜娜.温针灸对颈肩腰腿痛患者肢体疼痛、三角肌表面肌电和运动功能的影响[J].新中医,2024,56(12):137-140

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  • 在线发布日期: 2024-06-28
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