北京生物醫(yī)學(xué)工程

基于表面肌電信號(hào)的兒童周圍性面癱針灸治療效果的評(píng)價(jià)

Evaluation of acupuncture effect on peripheral facial paralysis of children based on surface electromyography

作者：付曉虎王雪森李海天張曼王巖閆松華呂忠禮

單位：國家兒童醫(yī)學(xué)中心(北京 100045) 首都醫(yī)科大學(xué)附屬北京兒童醫(yī)院(北京 100045) 首都醫(yī)科大學(xué)生物醫(yī)學(xué)工程學(xué)院(北京 100069) 通信作者:呂忠禮 E-mail:zhongli_lu@ hotmail.com

關(guān)鍵詞：表面肌電圖; 兒童周圍性面癱; 針灸; 額肌; 頰肌

分類號(hào)：R318

出版年·卷·期（頁碼）：2020·39·4（412-417）

摘要：

目的基于表面肌電方法,評(píng)估周圍性面癱兒童針灸治療 1 個(gè)月后的治療效果。方法選取32 名周圍性面癱患兒為研究對(duì)象,在治療前和針灸治療 1 個(gè)月后,分別對(duì)受試者面部健側(cè)和患側(cè)額肌、頰肌進(jìn)行表面肌電的測試。計(jì)算出治療前后每塊肌肉肌電數(shù)據(jù)的 RMS 均值、RMS 最大值、中位頻率、平均功率頻率等參數(shù)。通過對(duì)比治療前后肌電特征參數(shù)的變化,評(píng)估針灸治療效果。結(jié)果受試兒童治療后患側(cè)頰肌與額肌 RMS 均值較治療前顯著增加,頰肌平均功率頻率顯著增加;受試兒童健側(cè)與患側(cè)頰肌中位頻率和平均功率頻率差值治療后比治療前顯著減小。結(jié)論針灸治療后,頰肌與額肌力量均有所恢復(fù),其中頰肌改善效果更好。

Objective To evaluate the therapeutic effect of acupuncture on peripheral facial paralysis children one month later based on surface electromyography ( sEMG). Methods Thirty-two children with peripheral facial paralysis were selected as the study subjects. sEMG data of the frontal and buccinator muscles for the healthy side and the affected side were measured before treatment and one month after acupuncture treatment. The root mean square ( RMS) of EMG, and the mean of RMS, the peak of RMS and the median frequency (MF) of EMG were calculated for each muscle before and after treatment. The effects of treatment were evaluated by comparing the changes of EMG parameters before and after treatment. Results Compared with the data of pretherapy, the means of RMS for buccinator muscle and frontal muscle increased significantly, and the mean power frequency ( MPF ) of buccinator muscle increased significantly. The differences of MF and MPF for buccinator muscle between the healthy side and affected side decreased significantly after treatment for the subjects. Conclusions After acupuncture, the strength of buccinator and frontal muscle was increased and the improvement effect of buccinator muscle was better.

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