刺络放血疗法对气滞血瘀型颈椎病的电生理评价
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摘要
目的观察三棱针散刺与梅花针叩刺对气滞血瘀型神经根型颈椎病的神经肌电图相关指标的影响。方法 60例气滞血瘀型神经根型颈椎病患者随机分为三棱针组和梅花针组,每组30例。三棱针组采用三棱针散刺治疗,梅花针组采用梅花针叩刺治疗。比较两组治疗前后感觉和运动神经传导速度、潜伏期及诱发电位波幅的变化。结果两组治疗后感觉和运动神经传导速度、潜伏期及诱发电位波幅与同组治疗前比较,差异均无统计学意义(P>0.05);两组治疗后感觉和运动神经传导速度、潜伏期及诱发电位波幅比较,差异均无统计学意义(P>0.05)。结论三棱针散刺和梅花针叩刺均无法改善受损神经功能,且两者之间没有明显区别。
Objective To observe the effects of three-edged needle scattered needling and plum blossom needle tapping on related electroneuromyographic indicators in cervical spondylotic radiculopathy of qi stagnation and blood stasis type. Method Sixty patients with cervical spondylotic radiculopathy of qi stagnation and blood stasis type were randomized to three-edged needle and plum blossom needle groups, with 30 cases in each group. The three-edged needle group received three-edged needle scattered needling and the plum blossom needle group, plum blossom needle tapping. Sensory nerve conduction velocities, motor nerve conduction velocities, latent periods and evoked potential amplitudes were compared between the two groups before and after treatment. Result There were no statistically significant pre-/post-treatment differences in sensory nerve conduction velocity, motor nerve conduction velocity, latent period and evoked potential amplitude in the two groups(P>0.05). There were no statistically significant posttreatment differences in sensory nerve conduction velocity, motor nerve conduction velocity, latent period and evoked potential amplitude between the two groups(P>0.05). Conclusion Both three-edged needle scattered needling and plum blossom needle tapping cannot improve the functions of the injured nerves with no significant differences between the two treatments.
Objective To observe the effects of three-edged needle scattered needling and plum blossom needle tapping on related electroneuromyographic indicators in cervical spondylotic radiculopathy of qi stagnation and blood stasis type. Method Sixty patients with cervical spondylotic radiculopathy of qi stagnation and blood stasis type were randomized to three-edged needle and plum blossom needle groups, with 30 cases in each group. The three-edged needle group received three-edged needle scattered needling and the plum blossom needle group, plum blossom needle tapping. Sensory nerve conduction velocities, motor nerve conduction velocities, latent periods and evoked potential amplitudes were compared between the two groups before and after treatment. Result There were no statistically significant pre-/post-treatment differences in sensory nerve conduction velocity, motor nerve conduction velocity, latent period and evoked potential amplitude in the two groups(P>0.05). There were no statistically significant posttreatment differences in sensory nerve conduction velocity, motor nerve conduction velocity, latent period and evoked potential amplitude between the two groups(P>0.05). Conclusion Both three-edged needle scattered needling and plum blossom needle tapping cannot improve the functions of the injured nerves with no significant differences between the two treatments.
引文
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[10]曹慧,黄志东.井穴刺血对卒中后认知障碍患者认知功能恢复及预后的影响[J].上海针灸杂志,2019,38(2):164-168.
[11]韩雪,尚清,马丙祥.梅花针叩刺督脉和夹脊穴为主治疗不随意运动型小儿脑瘫疗效观察[J].中国针灸,2010,30(5):359-363.
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[13]程波,潘国良,董晓薇,等.刺血疗法治疗神经根型颈椎病的临床文献研究[J].陕西中医药大学学报,2017,40(4):140-144.
[14]罗高俊,赵忠辉,黄香红,等.针刺夹脊穴配合十宣穴放血治疗神经根型颈椎病疗效观察[J].上海针灸杂志,2016,35(1):53-55.
[15]陈卫华,张佳乐,蔡遥遥.皮部引流法治疗神经根型颈椎病临床疗效观察[J].广州中医药大学学报,2018,35(1):37-41.
[16]Anat R,Ran Y,Dikla K,et al.The relation between central variables,electromyography signals and peripheral microcirculation during intensive treadmill exercise[J].Clin Biomech(Bristol,Avon),2019,67:52-60.
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[18]Tkachenko IM,Vodoriz YY,Marchenko IY,et al.Changes in electromyography test results of patients with pathological abrasion of teeth.the role of anterior teeth in the process of rehabilitation[J].Wiad Lek,2019,72(4):553-557.
[19]Qian X,Li P,Shi S,et al.Measurement of Uterine and Abdominal Muscle Electromyography in Pregnant Women for Estimation of Expulsive Activities during the 2nd Stage of Labor[J].Gynecol Obstet Invest,2019,30:1-7.
[20]Noble EB,Pilarski JM,Vora HK,et al.Log-Transformed Electromyography Amplitude-Power Output Relationship:Single-Leg Knee-Extensor Versus Single-Leg Cycle Ergometry[J].J Strength Cond Res,2019,33(5):1311-1319.
[21]Ali SS,Khan AY,Michael SG,et al.Use of Digital Infrared Thermal Imaging in the Electromyography Clinic:A Case Series[J].Cureus,2019,11(2):e4087.
[22]林木南,刘建华,刘献祥,等.针刀治疗神经根型颈椎病的症状体征比较研究[J].中国中医骨伤科杂志,2005,13(5):19-23.
[23]张洁,崔丽英.脊髓型颈椎病肌电图与颈椎MRI分级,临床症状评分间的相关性[C].长春:第十一届全国神经病学学术会议,2008:6570-6572.
[24]潘晓丽,潘志宏,杨军.电生理检测在颈椎间盘突出症的诊断价值[J].中国医科大学学报,2003,32(1):49-51.
[2]Olmarker K,Rydevik B.Pathophysiology of sciatica[J].Orthop Clin North Am,1991,22(2):223-234.
[3]Watanabe R,Parke WW.Vascular and neural pathology of lumbosacral spinal stenosis[J].J Neurosurg,1986,64(1):64-70.
[4]吴发荣.穴位注射联合针灸推拿治疗神经根型颈椎病的临床效果[J].中国医药导报,2014,11(3):105-107,110.
[5]周建伟,蒋振亚,叶锐彬,等.针灸推拿为主治疗神经根型颈椎病:多中心随机对照研究[J].中国针灸,2006,26(8):537-543.
[6]周璐,蒋琼,曾莉华,等.针药并用治疗风寒阻络证神经根型颈椎病疗效观察[J].上海针灸杂志,2015,34(11):1095-1098.
[7]曾景钊.电针结合推拿治疗神经根型颈椎病的临床疗效观察[D].广州:广州中医药大学,2014.
[8]吴峻,沈晓柔.刺血治疗前后微循环变化33例对照观察[J].中国针灸,2001,21(9):42-43.
[9]徐斌.刺络放血疗法的血管生物学基础[J].中国临床康复,2004,8(24):5126-5127.
[10]曹慧,黄志东.井穴刺血对卒中后认知障碍患者认知功能恢复及预后的影响[J].上海针灸杂志,2019,38(2):164-168.
[11]韩雪,尚清,马丙祥.梅花针叩刺督脉和夹脊穴为主治疗不随意运动型小儿脑瘫疗效观察[J].中国针灸,2010,30(5):359-363.
[12]Olmarker K,Rydevik B,Holm S.Edema formation in spinal nerve roots induced by experimental,graded compression.An experimental study on the pig cauda equina with special reference to differences in effects between rapid and slow onset of compression[J].Spine(Phila Pa 1976),1989,14(6):569-573.
[13]程波,潘国良,董晓薇,等.刺血疗法治疗神经根型颈椎病的临床文献研究[J].陕西中医药大学学报,2017,40(4):140-144.
[14]罗高俊,赵忠辉,黄香红,等.针刺夹脊穴配合十宣穴放血治疗神经根型颈椎病疗效观察[J].上海针灸杂志,2016,35(1):53-55.
[15]陈卫华,张佳乐,蔡遥遥.皮部引流法治疗神经根型颈椎病临床疗效观察[J].广州中医药大学学报,2018,35(1):37-41.
[16]Anat R,Ran Y,Dikla K,et al.The relation between central variables,electromyography signals and peripheral microcirculation during intensive treadmill exercise[J].Clin Biomech(Bristol,Avon),2019,67:52-60.
[17]Papagiannis GI,Triantafyllou AI,Roumpelakis IM,et al.Methodology of surface electromyography in gait analysis:review of the literature[J].J Med Eng Technol,2019,10:1-7.
[18]Tkachenko IM,Vodoriz YY,Marchenko IY,et al.Changes in electromyography test results of patients with pathological abrasion of teeth.the role of anterior teeth in the process of rehabilitation[J].Wiad Lek,2019,72(4):553-557.
[19]Qian X,Li P,Shi S,et al.Measurement of Uterine and Abdominal Muscle Electromyography in Pregnant Women for Estimation of Expulsive Activities during the 2nd Stage of Labor[J].Gynecol Obstet Invest,2019,30:1-7.
[20]Noble EB,Pilarski JM,Vora HK,et al.Log-Transformed Electromyography Amplitude-Power Output Relationship:Single-Leg Knee-Extensor Versus Single-Leg Cycle Ergometry[J].J Strength Cond Res,2019,33(5):1311-1319.
[21]Ali SS,Khan AY,Michael SG,et al.Use of Digital Infrared Thermal Imaging in the Electromyography Clinic:A Case Series[J].Cureus,2019,11(2):e4087.
[22]林木南,刘建华,刘献祥,等.针刀治疗神经根型颈椎病的症状体征比较研究[J].中国中医骨伤科杂志,2005,13(5):19-23.
[23]张洁,崔丽英.脊髓型颈椎病肌电图与颈椎MRI分级,临床症状评分间的相关性[C].长春:第十一届全国神经病学学术会议,2008:6570-6572.
[24]潘晓丽,潘志宏,杨军.电生理检测在颈椎间盘突出症的诊断价值[J].中国医科大学学报,2003,32(1):49-51.