本文選題：觸發(fā)點(diǎn)　切入點(diǎn)：干針　出處：《針刺研究》2018年02期 　論文類型：期刊論文

【摘要】：目的:建立表征觸發(fā)點(diǎn)活性的客觀性量化指標(biāo),并嘗試?yán)迷撝笜?biāo)實(shí)現(xiàn)干針和被動(dòng)牽張療法對(duì)肌筋膜疼痛觸發(fā)點(diǎn)療效的定量評(píng)價(jià)。方法:SD大鼠隨機(jī)分為空白組、干針組、牽張組和干針牽張組,每組6只。采用打擊結(jié)合離心運(yùn)動(dòng)方法對(duì)大鼠左下肢腓腸肌部位進(jìn)行觸發(fā)點(diǎn)造模,造模8周,自然恢復(fù)4周,定位觸發(fā)點(diǎn)位置并記錄肌電信號(hào)。第13周進(jìn)行1次治療,記錄治療后6min觸發(fā)點(diǎn)的肌電信號(hào)。干針組進(jìn)行干針治療,牽張組對(duì)其左側(cè)腓腸肌進(jìn)行被動(dòng)緩慢牽張,干針牽張組先進(jìn)行干針治療隨后進(jìn)行被動(dòng)牽張鍛煉。采用肌電信號(hào)序列的樣本熵估計(jì)觸發(fā)點(diǎn)活性,進(jìn)行療效分析。結(jié)果:(1)造模周期結(jié)束后,空白組肌電信號(hào)樣本熵均值(0.985±0.196)高于干針組(0.034±0.010)、牽張組(0.045±0.023)和干針牽張組(0.047±0.034)均(P0.01)。(2)治療后干針組(0.819±0.088)、牽張組(0.532±0.205)、干針牽張組(0.810±0.117)肌電信號(hào)樣本熵估計(jì)均上升(均P0.01)。(3)牽張組治療后樣本熵估計(jì)低于干針組和干針牽張組(P0.01)。結(jié)論:肌電信號(hào)樣本熵作為觸發(fā)點(diǎn)活性評(píng)價(jià)的客觀性指標(biāo)具有較好的一致性和靈敏度;干針、牽張、干針結(jié)合牽張對(duì)大鼠觸發(fā)點(diǎn)均有一定療效,干針治療短期療效顯著,明顯優(yōu)于單一被動(dòng)牽張治療,能迅速降低大鼠肌筋膜觸發(fā)點(diǎn)活性。
[Abstract]:Objective: to establish an objective quantitative index to characterize the activity of the trigger point and to evaluate the therapeutic effect of dry acupuncture and passive stretch therapy on the trigger point of myofascial pain. Methods: the rats were randomly divided into blank group and dry needle group. There were 6 rats in each group in distraction group and 6 in dry needle group. The trigger point of gastrocnemius muscle of left lower extremity was made by means of strike combined with centrifugal exercise. The model was made for 8 weeks and recovered naturally for 4 weeks. The position of trigger point was located and EMG signal was recorded. After 13 weeks treatment, the electromyography (EMG) of trigger point was recorded 6 minutes after treatment. The dry needle group was treated with dry acupuncture, and the left gastrocnemius muscle of the distraction group was subjected to passive and slow distraction. Dry needle stretch group was treated with dry acupuncture first and then passive stretch exercise. The activity of trigger point was estimated by sample entropy of EMG signal sequence, and the curative effect was analyzed. The mean entropy of EMG samples in the blank group (0.985 鹵0.196) was higher than that in the dry needle group (0.034 鹵0.010), the distraction group (0.045 鹵0.023) and the dry needle distraction group (0.047 鹵0.034) respectively (P 0.01 鹵0.088).) after treatment, the entropy estimates of EMG samples in the dry needle group (0.819 鹵0.088), the distraction group (0.532 鹵0.205) and the dry needle distraction group (0.810 鹵0.117) were significantly increased (P < 0.01. 0. 3). The estimation of sample entropy was lower than that of dry needle group and dry needle stretch group (P 0.01). Conclusion: the sample entropy of EMG signal as the objective index of activity evaluation of trigger point has good consistency and sensitivity. Dry needle, distraction, dry needle combined with distraction have certain curative effect on the trigger point of rats. The short-term curative effect of dry acupuncture treatment is obvious, which is obviously superior to that of single passive distraction therapy, and can rapidly reduce the activity of the trigger point of muscle fascia in rats.
【作者單位】： 上海體育學(xué)院運(yùn)動(dòng)科學(xué)學(xué)院運(yùn)動(dòng)康復(fù)系;
【基金】：國(guó)家自然科學(xué)基金資助項(xiàng)目(No.81470105)
【分類號(hào)】：R245
，

本文編號(hào)：1628949