针灸治疗脊髓灰质炎后遗症的肌电图观察.pdfVIP

2008年7H 中国民康医学 Ju1．2008 第20卷 下半月 第14期 Medical Journal of Chinese People s Health Vo1．20 SHM No．14 【中医与中西医结合】 针灸治疗脊髓灰质炎后遗症的肌电图观察 张体云 (河南省平舆县人民医院，河南 平舆 463400) 【摘要】 目的：观察针灸治疗对脊髓灰质炎后遗症肌电图的影响。方法：使用针灸对脊髓灰质炎后遗症进行治疗，分别在治疗前后记录 患者股四头肌肌电图并对比其治疗前后的变化。结果：在治疗前，多数患者肌电图运动单位电位未引出或明显减少，但电压增高或减低、时限 宽；少数有纤颤电位、正锐波。3个疗程后，肌电图的纤颤电位减少或消失；运动单位电位数量增加，电压及时限均有一定恢复；出现多相电位 等。肌电图好转者32例，有效率78％，且肌电图变化与临床疗效和肌力变化一致。结论：针灸是治疗脊髓灰质炎后遗症的有效方法。 【关键词】脊髓灰质炎后遗症；针灸；肌电图 [中图分类号]R512．4 [文献标识码] A [文章编号] 0369(2008)14—1574—02 Acupuncture treat ment of polio sequelae of E M G observatio n ZHANG Ti—．run (Henan Province，Pingyu County People’s Hospital，Henan 463400，China) 【Abstract】Objective：T。investigate the polio sequelae。f aoupuncture treatment on the impact ofthe EMG．Metht~：The use ofacupuncture to treat polio sequelae were recorded before and after treatment in patients with EMG quadriceps before and after treatment and compared their changes．Results：Before treatment，the majority of patients EMG motor unit potential leads or not significantly reduced，but higher or lower voltage， time width；A handful of fibrillation potential is sharp waves．Three courses，the EMG fibrillation potential to reduce or disappear；The increase in the number of motor unit potential，a certain voltage and the time limits are restored；Such a muhiphase potentia1．EMG turn for the better have 32 cases， the response rate was 78％ ，and EMG changes and clinical efficacy and strength changes unanimously．Conclusion：Acupuncture treatment is the most effective way of polio sequelae． 【Key words】poli。sequelae；Acupuncturists；EMG 我院采用肌电图检查作为脊髓灰质炎后遗症的诊断和 重者。 针刺疗效的客观指标，现总结如下：