CAJ | 학술논문

目的：观察电针治疗对颈型颈椎病患者颈肌表面肌电信号的影响,探讨电针对颈椎病患者颈肌疲劳的作用机制。方法所有纳入研究的颈椎病患者,均实施电针治疗。在治疗前、首次治疗后和1个疗程电针治疗后,分别测试患者的表面肌电图,并于1个疗程前后,用简化McGill疼痛问卷表评价,统计学分析,治疗前后表面肌电指标RMS值变化及量表评分变化分别进行组内比较。结果首次治疗前后及1个疗程前后,颈竖脊肌和斜方肌上部在头侧屈、头后伸时,RMS值变化均具有统计学意义(P＜0.05)；1个疗程前后量表各项评分差值比较差异有统计学意义(P＜0.05)。结论电针治疗可明显改善颈型颈椎病患者颈肌疲劳状况,表面肌电图作为一种无创的、客观的评价方法,有广阔的应用前景。
목적：관찰전침치료대경형경추병환자경기표면기전신호적영향,탐토전침대경추병환자경기피로적작용궤제。방법소유납입연구적경추병환자,균실시전침치료。재치료전、수차치료후화1개료정전침치료후,분별측시환자적표면기전도,병우1개료정전후,용간화McGill동통문권표평개,통계학분석,치료전후표면기전지표RMS치변화급량표평분변화분별진행조내비교。결과수차치료전후급1개료정전후,경수척기화사방기상부재두측굴、두후신시,RMS치변화균구유통계학의의(P＜0.05)；1개료정전후량표각항평분차치비교차이유통계학의의(P＜0.05)。결론전침치료가명현개선경형경추병환자경기피로상황,표면기전도작위일충무창적、객관적평개방법,유엄활적응용전경。
Objective To investigate the effect of electroacupuncture on cervical surface electromyographic signals and explore the mechanism of its action on cervical muscle fatigue in patients with cervical spondylosis.Method All enrolled patients with cervical spondylosis received electroacupuncture treatment. Surface electromyography was performed in the patients before and after the first and one course of electroacupuncture treatment. An evaluation was made using a short-form McGill Pain Questionnaire before and after one course of electroacupuncture treatment. Pre- and post-treatment surface electromyographic RMS values and questionnaire scores were statistically analyzed and compared within the group.Result There were statistically significant differences in cervical erector spinae and upper trapezius RMS values during head lateral flexion and backward extension between before and after the first or one course of treatment (P<0.05). There were statistically significant differences in the questionnaire sub-scores between before and after one course of treatment (P<0.05).Conclusion Electroacupuncture can markedly reduce cervical muscle fatigue in patients with cervical spondylosis. Surface electromyography as a noninvasive and objective evaluation method has a broad application prospect.