单次电针与经皮穴位电刺激治疗前后体感诱发电位的比较

doi:10.3969/j.issn.1006-9771.2017.02.013

《中国康复理论与实践》 ›› 2017, Vol. 23 ›› Issue (2): 185-188.doi: 10.3969/j.issn.1006-9771.2017.02.013

单次电针与经皮穴位电刺激治疗前后体感诱发电位的比较

刘慧华¹, 王颖敏¹, 何晓阔², 赵敬璞¹, 金冬梅¹, 庄志强¹, 林锦丰³, 燕铁斌¹

1.中山大学孙逸仙纪念医院康复科,广东广州市 510120;
2.十堰市太和医院(湖北医药学院附属医院)康复科,湖北十堰市 442000;
3.汕头市中心医院(中山大学附属汕头医院)康复科,广东汕头市 515000

收稿日期:2016-09-05 修回日期:2016-10-20 出版日期:2017-02-05 发布日期:2017-03-06
通讯作者: 燕铁斌,男,教授,博士生导师。E-mail: dr.yan@126.com。
作者简介:刘慧华(1984-),女,汉族,河南焦作市人,博士,主治医师,主要研究方向：脑卒中后肢体功能障碍的康复治疗。
基金资助:
1.广东省医学科研基金项目(No.B2014132); 2. “十二五” 国家科技支撑项目(No.2013BAI10B03)

Comparison of Electroacupuncture and Transcutaneous Electrical Acupoint Stimulation on Somatosensory Evoked Potential

LIU Hui-hua¹, WANG Ying-min¹, HE Xiao-kuo², ZHAO Jing-pu¹, JIN Dong-mei¹, ZHUANG Zhi-qiang¹, LIN Jin-feng³, YAN Tie-bin¹

1. Department of Rehabilitation, Sun Yat-sen Memorial Hospital, Sun Yat-sen University, Guangzhou, Guangdong 510120, China;
2. Department of Rehabilitation, Taihe Hospital, The Affiliated Hospital of Hubei Medical College, Shiyan, Hubei 442000, China;
3. Department of Rehabilitation, Shantou Central Hospital, Affiliated Shantou Hospital of Sun Yat-sen University, Shantou, Guangdong 515000, China

Received:2016-09-05 Revised:2016-10-20 Published:2017-02-05 Online:2017-03-06
Contact: YAN Tie-bin. E-mail: dr.yan@126.com

摘要/Abstract

摘要： 目的观察电针和经皮穴位电刺激(TEAS)前后体感诱发电位(SEP)的变化。方法 2015年10月至2016年4月本科实习生10例,采用自身前后对照研究,每例受试者均随机接受电针和TEAS治疗,间隔1周。治疗前后检测SEP的N20、N9潜伏期及波幅。结果电针治疗后,刺激侧N20潜伏期明显延长(Z=-2.620, P<0.01);非刺激侧N9潜伏期延长(Z=-2.454, P<0.05),N9波幅降低(Z=-2.330, P<0.05)。TEAS治疗后,刺激侧和非刺激侧N9潜伏期均明显延长(Z>2.695, P<0.01)。两组治疗前后刺激侧及非刺激侧N20和N9潜伏期、波幅差值均无显著性差异(Z<1.817, P>0.05)。结论单次电针及TEAS治疗均可对SEP的N20、N9潜伏期及波幅产生影响,两种治疗对SEP的影响组间无明显差异。

关键词: 电针, 经皮穴位电刺激, 体感诱发电位

Abstract: Objective To explore the effect of electroacupuncture and transcutaneous electrical acupoint stimulation (TEAS) on somatosensory evoked potential (SEP) of the upper extremity in healthy subjects. Methods From October, 2015 to April, 2016, ten healthy young volunteers were selected. Each of the subjects was randomly treated with electroacupuncture and TEAS. Before and after treatment, the latency and amplitude of N20 and N9 of SEP were detected. Results After electroacupuncture, the latency of N20 prolonged in the stimulated side (Z=-2.620, P<0.01); the latency of N9 prolonged (Z=-2.454, P<0.05), and the amplitude of N9 decreased (Z=-2.330, P<0.05) in the non-stimulated side. After TEAS, the latencies of N9 both in the stimulated side and the non-stimulated side prolonged (Z>2.695, P<0.01). There was no significant difference in the D-value of latency and amplitude of N20 and N9 in both two sides between two treatments (Z<1.817, P>0.05). Conclusion Both electroacupuncture and TEAS could affect the latency and amplitude of N20 and N9, and no difference was found between two treatments.

Key words: electroacupuncture, transcutaneous electrical acupoint stimulation, somatosensory evoked potential

中图分类号:

R454.1

刘慧华, 王颖敏, 何晓阔, 赵敬璞, 金冬梅, 庄志强, 林锦丰, 燕铁斌. 单次电针与经皮穴位电刺激治疗前后体感诱发电位的比较[J]. 《中国康复理论与实践》, 2017, 23(2): 185-188.

LIU Hui-hua, WANG Ying-min, HE Xiao-kuo, ZHAO Jing-pu, JIN Dong-mei, ZHUANG Zhi-qiang, LIN Jin-feng, YAN Tie-bin. Comparison of Electroacupuncture and Transcutaneous Electrical Acupoint Stimulation on Somatosensory Evoked Potential[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2017, 23(2): 185-188.

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单次电针与经皮穴位电刺激治疗前后体感诱发电位的比较

Comparison of Electroacupuncture and Transcutaneous Electrical Acupoint Stimulation on Somatosensory Evoked Potential

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