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1.南京中医药大学附属南京中医院针灸科,江苏南京 210022
2.江苏省老年学学会老年营养专业委员会
马素凡,南京中医药大学硕士研究生。E-mail:2436106943@qq.com
张彩荣,主任中医师。E-mail:fsyy00297@njucm.edu.cn
收稿:2022-12-02,
网络首发:2023-08-02,
纸质出版:2023-10-12
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马素凡,吕万勇,朱茜扬等.电针阳明经腧穴治疗肌少症:随机对照试验[J].中国针灸,2023,43(10):1114-1117.
MA Su-fan,LV Wan-yong,ZHU Qian-yang,et al.Electroacupuncture at acupoints of yangming meridians for sarcopenia: a randomized controlled trial[J].Chinese Acupuncture & Moxibustion,2023,43(10):1114-1117.
马素凡,吕万勇,朱茜扬等.电针阳明经腧穴治疗肌少症:随机对照试验[J].中国针灸,2023,43(10):1114-1117. DOI: 10.13703/j.0255-2930.20221202-k0001.
MA Su-fan,LV Wan-yong,ZHU Qian-yang,et al.Electroacupuncture at acupoints of yangming meridians for sarcopenia: a randomized controlled trial[J].Chinese Acupuncture & Moxibustion,2023,43(10):1114-1117. DOI: 10.13703/j.0255-2930.20221202-k0001.
目的
2
观察电针阳明经腧穴治疗肌少症的临床疗效。
方法
2
将60例肌少症患者随机分为观察组和对照组,每组30例。对照组患者予肌少症常规营养疗法。观察组在对照组基础上针刺双侧臂臑、曲池、足三里、阳陵泉等穴,同侧曲池、足三里连接电针,予断续波,频率2 Hz,电流强度1~10 mA,每周2次,每次间隔3 d。两组均治疗12周。分别于治疗前后观察两组患者四肢骨骼肌质量指数(ASMI)、握力、6 m步行时间、体脂率及体水分率。
结果
2
治疗后,两组患者ASMI及握力较治疗前提高、6 m步行时间较治疗前缩短(
P
<
0.05),观察组患者体脂率较治疗前降低、体水分率较治疗前升高(
P
<
0.05);观察组患者ASMI、握力、体水分率高于对照组(
P
<
0.05),6 m步行时间短于对照组、体脂率低于对照组(
P
<
0.05)。
结论
2
电针阳明经腧穴可有效改善肌少症患者骨骼肌质量、肌肉功能、体脂率及体水分率,使肌肉、脂肪分布更趋合理。
Objective
2
To observe the clinical effect of electroacupuncture at acupoints of
yangming
meridians for sarcopenia.
Methods
2
A total of 60 patients with sarcopenia were randomized into an observation group and a control group
30 cases in each group. In the control group
conventional nutrition intervention for sarcopenia was adopted. In the observation group
on the basis of the treatment in the control group
acupuncture was applied at bilateral Binao (LI 14)
Quchi (LI 11)
Zusanli (ST 36)
Yanglingquan (GB 34)
etc.
ipsilateral Quchi (LI 11) and Zusanli (ST 36) were connected to electroacupuncture
with discontinuous wave
2 Hz in frequency
1-10 mA in intensity
2 times a week
with a interval of 3 days. A total of 12-week treatment was required in the two groups. Before and after treatment
the appendicular skeletal muscle mass index (ASMI)
grip strength
6 m-walking time
body fat percentage and body moisture percentage were observed in the two groups.
Results
2
Compared with those before treatment
after treatment
ASMI and grip strength were increased while 6 m-walking time was shortened in the two groups (
P
<
0.05); body fat percentage was decreased while body moisture percentage was increased in the observation group (
P
<
0.05). After treatment
in the observation group
ASMI
grip strength and body moisture percentage were increased (
P
<
0.05)
6 m-walking time was shortened and body fat percentage was decreased (
P
<
0.05) compared with those in the control group.
Conclusion
2
Electroacupuncture at acupoints of
yangming
meridians can effectively improve the skeletal muscle mass
muscle function
body fat percentage and body moisture percentage in patients with sarcopenia
and make the distribution of muscle and
fat more reasonable.
Rosenberg IH . Sarcopenia: origins and clinical relevance [J ] . J Nutr , 1997 , 127 ( 5 Suppl ): 990S - 991S .
Janssen I . The epidemiology of sarcopenia [J ] . Clin Geriatr Med , 2011 , 27 ( 3 ): 355 - 363 .
Tieland M , Trouwborst I , Clark BC . Skeletal muscle performance and ageing [J ] . J Cachexia Sarcopenia Muscle , 2018 , 9 ( 1 ): 3 - 19 .
Batsis JA , MacKenzie TA , Barre LK , et al . Sarcopenia, sarcopenic obesity and mortality in older adults: results from the National Health and Nutrition Examination Survey Ⅲ [J ] . Eur J Clin Nutr , 2014 , 68 ( 9 ): 1001 - 1007 .
Sousa AS , Guerra RS , Fonseca I , et al . Financial impact of sarcopenia on hospitalization costs [J ] . Eur J Clin Nutr , 2016 , 70 ( 9 ): 1046 - 1051 .
Papadopoulou SK . Sarcopenia: a contemporary health problem among older adult populations [J ] . Nutrients , 2020 , 12 ( 5 ): 1293 .
Yan MY , Wang RG , Liu SY , et al . The mechanism of electroacupuncture at Zusanli promotes macrophage polarization during the fibrotic process in contused skeletal muscle [J ] . Eur Surg Res , 2019 , 60 ( 5/6 ): 196 - 207 .
马长春 , 徐平 , 魏媛 , 等 . 预防性电针对不同月龄大鼠骨骼肌形态和腓肠肌中AKT、mTOR、p70S6K蛋白表达的影响 [J ] . 中国老年学杂志 , 2016 , 36 ( 19 ): 4683 - 4686 .
丁海丽 , 黄增浩 , 任在方 , 等 . 针刺对大鼠运动性骨骼肌损伤内质网应激的干预作用及机制 [J ] . 中国应用生理学杂志 , 2021 , 37 ( 4 ): 359 - 364 .
陈玄 , 叶笑然 , 黄晓卿 . 电针对大鼠失神经支配骨骼肌萎缩及IGF-1/PI3K/AKT表达的影响 [J ] . 中国针灸 , 2018 , 38 ( 12 ): 1311 - 1317 .
Wang LL , Shan L , Du L , et al . Comparison of electroacupuncture and body acupuncture on gastrocnemius muscle tone in children with spastic cerebral palsy: a single blinded, randomized controlled pilot trial [J ] . Chin J Integr Med , 2020 , 26 ( 1 ): 14 - 19 .
Chen LK , Liu LK , Woo J , et al . Sarcopenia in Asia: consensus report of the Asian Working Group for Sarcopenia [J ] . J Am Med Dir Assoc , 2014 , 15 ( 2 ): 95 - 101 .
Bao WX , Sun Y , Zhang TF , et al . Exercise programs for muscle mass, muscle strength and physical performance in older adults with sarcopenia: a systematic review and meta-analysis [J ] . Aging Dis , 2020 , 11 ( 4 ): 863 - 873 .
张建博 , 魏瑞鹏 , 杨虹 , 等 . 同时电针拮抗肌与主动肌对中风后上肢痉挛患者运动功能的影响 [J ] . 中国针灸 , 2022 , 42 ( 4 ): 381 - 384 .
王保叶 . 低频断续波电针治疗脑卒中下肢痉挛性瘫痪疗效观察 [D ] . 哈尔滨 : 黑龙江中医药大学 , 2019 .
McGillicuddy FC , Harford KA , Reynolds CM , et al . Lack of interleukin-1 receptor I (IL-1RI) protects mice from high-fat diet-induced adipose tissue inflammation coincident with improved glucose homeostasis [J ] . Diabetes , 2011 , 60 ( 6 ): 1688 - 1698 .
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