经皮神经电疗器在心肺科物理治疗中的应用

目的:介绍几个穴位透皮神经电刺激治疗于心肺系统生里反应的科研。方法:研究穴位透皮神经电刺激治疗于28 名健康正常人士在中强度跑步后静止心率恢复的效用、16 名哮喘患者及40 名慢性阻塞性肺病患者在治疗后肺功能的改变及40 名病人在开胸心脏手术术后接受治疗于心率恢复的效用。结果:在接受治疗后，哮喘患者于运动后肺功能下降的百分比明显减低；慢性阻塞性肺病患者肺功能及气喘指数也得到明显的改善；健康正常的人士于运动后心率的恢复加快了；于开胸心脏手术术后加速静止心率的恢复及减低恶心及呕吐指数。结论:穴位透皮神经电刺激治疗能减轻气管收窄及促进正常心率的恢复。

Acu-TENS and cardiopulmonary physiotherapy

Objective: This article describes various projects which investigated the effect of transcutaneouselectrical nerve stimulation applied over acupuncture point(Acu-TENS) on physiological responses of the cardiopulmonary system. Method: The projects included investigation of the effect of Acu-TENS on recovery of resting heart rate in 28 healthy subjects after running on treadmill at moderate exercise intensity. Two other studies described the effect of Acu-TENS on lung function in 16 subjects with asthma and 40 subjects with chronic obstructive airways disease (COPD). The last study explored the effect of Acu-TENS on recovery heart rate in 40 patients after acute open heart surgery. Result: These studies showed that subjects with asthma receiving Acu-TENS before, after and during exercise showed a reduced percentage drop of lung function after exercise. Acu-TENS improved lung function and dyspnoea score in subjects with COPD. Normal subjects who received Acu-TENS demonstrated a significant enhancement of heart rate recovery when compared with placebo group. Acu-TENS also facilitated return of resting heart rate and reduced nausea and vomiting index in subjects after open heart surgery. Conclusion: Acu-TENS may help to alleviate airway obstruction and enhance the recovery of normal heart rate.