Zhou Y P, Hou Z M, Gu G, Chu H R, Cao Y, Jin Z P
Zhen Ci Yan Jiu. 1989;14(3):344-7.
We observed the changes of quadriceps femoris EMG before and after treatment on treatment 41 cases of poliomyelitis sequelae with series electroacupuncture. In 41 patients muscles strength of quadriceps femoris before treatment in 35 cases was below 0 degree and 1 degree. The changes of EMG, Most had no motor unit potential, some only a few but duration was long, and amplitude decreased markedly. A few had fibrillation or positive sharp wave. The changes in EMG accorded with the diagnosis of poliomyelitis sequelae. After 3 month treatment, tee EMG findings were decreasing or there was loss of fibrillation, appearance of motor unit potentials, increase of the amount of motor unit potentials, prolongation of duration and increasing of amplitude of motor unit potentials, appearance of polyphasic potentials etc. Through analysis of EMG, 32 among 41 cases were improved, effective rate was 78%, P less than 0.01. EMG indices indicate the efficacy of series mg electroacupuncture in treating the sequelae of poliomyelitis and confirm the clinical therapeutic effect of the treatment. The indices indicate that the pathological changes of damaged anterior horn cells of the spinal cord were decreased and partial recovery of nervous function. The EMG changes paralleled those in clinical therapeutic effect of treatment and changes of muscle strength.
我们采用系列电针治疗41例小儿麻痹后遗症患者,观察了治疗前后股四头肌肌电图的变化。41例患者中,治疗前35例股四头肌肌力在0级及1级以下。肌电图变化:多数无运动单位电位,少数仅有少量但时限长,波幅明显降低。少数有纤颤或正锐波。肌电图变化符合小儿麻痹后遗症的诊断。治疗3个月后,肌电图表现为纤颤电位减少或消失,出现运动单位电位,运动单位电位数量增多,时限延长,波幅增高,出现多相波等。经肌电图分析,41例中32例好转,有效率为78%,P<0.01。肌电图指标表明系列电针治疗小儿麻痹后遗症有效,并证实了该疗法的临床治疗效果。这些指标提示脊髓前角细胞受损的病理改变减轻,神经功能有部分恢复。肌电图变化与临床治疗效果及肌力变化相平行。