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刘斯文,李华南,海兴华,刘立丽,李海争,鲁 育,张 玮,赵 娜,翟静波,王金贵.慢性腰痛患者表面肌电图临床特征及数据分析[J].中国康复医学杂志,2017,(12):1361~1365
慢性腰痛患者表面肌电图临床特征及数据分析    点此下载全文
刘斯文  李华南  海兴华  刘立丽  李海争  鲁 育  张 玮  赵 娜  翟静波  王金贵
天津中医药大学第一附属医院推拿科,天津,300193
基金项目:“十一五”国家科技支撑计划·中医治疗常见病项目(2007BAI20B032);天津中医药大学第一附属医院学科建设基金; 国家中医药管理局公共卫生专项资金·中医临床治疗指南应用评价项目(SATCM-2015-BZ016)
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摘要:
      摘要 目的:分析慢性腰痛住院患者治疗前的表面肌电图临床特征及数据,进一步阐明表面肌电生物反馈在慢性腰痛诊疗过程中的临床意义。 方法:本研究回顾性分析401例慢性腰痛患者的表面肌电图相关信息,比较了腰痛发病部位与相关肌肉肌电的关系,以及腰背后伸、下肢后伸、足部背屈过程中肌肉肌电变化情况。 结果:401例慢性腰痛患者接受了表面肌电图检查,年龄16—85岁,平均(51.78±13.69)岁,主要集中在51—60岁阶段。男性160例(39.90%),女性241例(60.10%),男女性别比为0.66∶1。双侧发病162例(40.40%),单侧发病239例(59.60%),其中右侧发病120例(29.93%),左侧发病119例(29.68%)。单侧发病慢性腰痛患者疼痛侧臀中肌与臀大肌的肌电平均振幅值均低于非疼痛侧,差异有显著性意义(P<0.05或P<0.01)。而慢性腰痛患者腰背后伸、下肢后伸、足部背屈过程中,非疼痛侧和疼痛侧竖脊肌腰段、多裂肌、股二头肌、胫骨前肌与腓骨肌的肌电平均振幅值无显著差异(P>0.05)。 结论:51—60岁是慢性腰痛的高发年龄,此后随着年龄增加,腰痛发病有趋缓现象;在慢性腰痛的诊疗过程中患者的主观感觉只是指导临床工作的一部分,表面肌电水平更能客观地反映患者的肌肉功能,慢性腰痛患者存在特有的表面肌电图特征。
关键词:慢性腰痛  表面肌电图  数据分析
Clinical features and data analysis of surface electromyography in 401 patients with chronic low back pain    Download Fulltext
The First Teaching Hospital of Tianjin University of Traditional Chinese Medicine, 300193
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Abstract:
      Abstract Objective: To analyze the clinical features and influencing factors of surface electromyography in patients with chronic low back pain, and to further elucidate the clinical significance of surface electromyography biofeedback in diagnosis and treatment of chronic low back pain. Method: Surface electromyography information in 401 patients with chronic low back pain was retrospectively analyzed and compared the incidence of low back pain, and related muscle surface EMG level, and the changes of the EMG average amplitude values during the lower back extension, leg extension, foot dorsiflexion process. Result: Four hundred and one patients with chronic low back pain were examined with surface electromyography, aged 16 to 85 years with an average age of (51.78 ± 13.69) years, mainly concentrated in the 51 to 60-year-old stage. Among of them 160 (39.90%) were male and 241 (60.10%) were female, and the ratio of male to female was 0.66∶1. There were 162 patients (40.40%) with bilateral onset and 239 patients (59.60%) with unilateral onset. Among them, 120 patients (29.93%) occurred on the right side, while 119 patients (29.68%) on the left side. The amplitude of EMG of the gluteus medius and the gluteus maximus was lower than that of the non-pain side in the patients with unilateral onset chronic low back pain (P<0.05 or P<0.01). But during the lower back extension, foot dorsiflexion process, the EMG average amplitude values of lumbar muscle, multifidus muscle, musculi biceps femoris, anterior tibial muscle and peroneus muscle on non-pain and pain side had no significant difference (P>0.05). Conclusion: 51—60 years of age is the high incidence of chronic low back pain. However, with increasing age, the onset of low back pain has slowed down. In the process of diagnosis and treatment of chronic low back pain patients, subjective feeling is only part of the clinical work and surface EMG level can more objectively reflect the patient's muscle function. The patients with chronic low back pain have unique EMG features.
Keywords:chronic low back pain  surface electromyography  data analysis
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