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| Clinical effect of electromyography biofeedback combined with electroacupuncture and acupoint injection in the treatment of traumatic ulnar nerve injury |
| CHEN Shi-bing ZHU Ju-qing LI Zhao-hui LIU Ai-jing HUANG Shao-na |
| Department of Rehabilitation, Qiaotou Hospital of Dongguan, Guangdong Province, Dongguan 523520, China |
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Abstract Objective To explore the clinical effect of electromyography biofeedback combined with electroacupuncture and acupoint injection in the treatment of traumatic ulnar nerve injury. Methods A retrospective analysis of 52 patients with traumatic ulnar nerve injury admitted to our department from January 2016 to August 2019 was made. They were divided into observation group and control group according to different treatment methods, with 26 cases in each group.The control group was treated with Mecobalamin Tablets orally, neuromuscular electrical stimulation, exercise therapy,electroacupuncture and acupoint injection alternately, the observation group was treated with electromyography biofeedback on this basis. After 3 course (60 days) of treatment, the shape of the hands, total active movement (TAM), and sensory recovery of patients were compared in the two groups and electrophysiological indicators such as nerve conduction velocity and wave amplitude of the affected ulnar nerve were measured. Results After treatment, the excellent and good rate in the observation group (84.62%) was higher than that in the control group (57.69%), the difference was statistically significant (P＜0.05). Before treatment, there were no significant differences in nerve conduction velocity and wave amplitude of patients between the two groups (P＞0.05); after treatment, the nerve conduction velocity and wave amplitude of patients of the two groups were higher than those before treatment, and the nerve conduction velocity and wave amplitude of the observation group after treatment were higher than those of the control group, the differences were statistically significant (P＜0.05). Conclusion Electromyography biofeedback combined with electroacupuncture and acupoint injection in the treatment of traumatic ulnar nerve injury has a good synergistic effect, which can promote the recovery of morphology and function after traumatic ulnar nerve injury.
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| [1] |
马力颖，宫树丰.近20年针灸治疗周围神经损伤实验研究的文献计量学分析[J].针灸临床杂志，2012，28（4）：48-50.
|
| [2] |
郭鑫，于天源，贾文端，等.周围神经损伤中P2Y_（12）受体-p38MAPK 通路的研究进展[J].现代生物医学进展，2016，16（31）：6186-6191.
|
| [3] |
潘卫星.针灸的神经生物学机理[J].中华中医药杂志，2018，33（10）：4281-4297.
|
| [4] |
杨朝辉，黄琴，夏小萱.手外伤后上肢功能指数量表与关节主动活动度系统评定的对比研究[J].中国康复医学杂志，2011，26（2）：128-131.
|
| [5] |
奚惠娟.肌电图在周围神经损伤诊断中的应用价值分析[J].临床医学研究与实践，2017，2（2）：106，108.
|
| [6] |
章明星，王蕊，刘阳阳，等.基于现代文献总结针灸治疗周围神经损伤选穴规律[J].北京中医药大学学报，2015，38（12）：857-864.
|
| [7] |
鞠申丹，宗蕾.从“治痿独取阳明”谈痿证的针灸治疗[J].中国针灸，2015，35（9）：956-959.
|
| [8] |
杨光，尹勇.针刺促进周围神经损伤的修复及机制研究新进展[J].云南中医中药杂志，2015，36（3）：75-77.
|
| [9] |
范刚启，陆斌.穴位注射疗法研究的现状及展望[J].中国针灸，2001，21（7）：437-439.
|
| [10] |
李军，李星，张敬伟.鼠神经生长因子穴位注射治疗周围神经损伤的有效性及安全性[J].中国老年学杂志，2018，38（19）：4699-4701.
|
| [11] |
杨艳军，朱钰.针灸配合穴位注射复方当归注射液治疗周围性面瘫15 例[J].世界最新医学信息文摘，2017，17（88）：294-295.
|
| [12] |
周爱玲，邵政一，丁斐，刘祖舜.穴位药效与血药浓度关系研究[J].中国中医基础医学杂志，1999，5（8）：51-54.
|
| [13] |
徐斌，王香，王玲玲.穴位注射疗法研究进展[J].针灸临床杂志，1997，13（10）：38-40.
|
| [14] |
党晓鹏.维生素B12对神经系统发育和生理功能的作用[J].湖南饲料，2017，（3）：30-31.
|
| [15] |
张静.肌电生物反馈法康复治疗仪的设计[J].电子设计工程，2014，22（5）：190-193.
|
| [16] |
姜艳，赵琳蕾.肌电生物反馈疗法治疗脑瘫患儿腕背屈功能障碍疗效观察[J].中国康复理论与实践，2008，（8）：767-768.
|
| [17] |
苏会萍，吴江玲，胡忠亚.肌电生物反馈疗法在康复治疗中的应用[J].实用妇科内分泌杂志（电子版），2017，4（23）：74-75.
|
|
|
|
