頸椎生理曲度改變壓痛點分布的臨床觀察
發(fā)布時間:2018-01-16 03:23
本文關(guān)鍵詞:頸椎生理曲度改變壓痛點分布的臨床觀察 出處:《時珍國醫(yī)國藥》2017年08期 論文類型:期刊論文
【摘要】:目的觀察頸椎生理曲度改變壓痛點的分布規(guī)律,為臨床診療提供依據(jù)。方法以150例頸椎生理曲度異常者為研究對象,按照解剖位置從淺至深,從上至下,循序漸進(jìn)查找研究對象周身壓痛點較集中部位,確定壓痛點的分布規(guī)律和疼痛量化評分。結(jié)果 150例患者身上共找出22處壓痛點部位,分布于頸椎局部、肩部、背腹部及四肢處。以頸椎橫突區(qū)、岡下窩、背伸肌群、腹直肌區(qū)、尺神經(jīng)溝等部位壓痛點出現(xiàn)率偏高,以頸椎橫突區(qū)和背伸肌群壓痛最明顯;壓痛點部位的出現(xiàn)位置在十四經(jīng)循行路線上皆有分布,且與相應(yīng)經(jīng)脈腧穴重合。結(jié)論頸椎生理曲度改變壓痛點分布范圍甚廣,且與經(jīng)脈腧穴密切相關(guān)。
[Abstract]:Objective to observe the distribution of tenderness points of cervical vertebrae physiological curvature change, and to provide the basis for clinical diagnosis and treatment. Methods 150 patients with abnormal cervical vertebrae physiological curvature were studied from superficial to deep, from top to bottom according to the anatomical position. The distribution of tenderness points and the quantitative score of pain were determined. Results A total of 22 tenderness points were found in 150 patients and distributed in cervical vertebrae. The incidence of tenderness was higher in the transverse process of cervical spine, inferior fossa, extensor dorsi group, rectus abdominis area, ulnar nerve sulcus and so on, especially in the transverse process of cervical vertebra and extensor dorsi group. The location of tenderness points was distributed along 14 meridians and coincided with the corresponding meridians and acupoints. Conclusion the distribution of tenderness points in cervical vertebrae is very wide and is closely related to acupoints of meridians.
【作者單位】: 成都中醫(yī)藥大學(xué)針灸推拿學(xué)院;
【分類號】:R246.9
【正文快照】: 頸椎生理曲度(cervical physiological curvature)改變是頸椎退變的早期信號和客觀指標(biāo)[1],近年來呈現(xiàn)高發(fā)率和年輕化趨勢[2]。在臨床頸椎相關(guān)疾病的的診療中,無論是主訴或客觀檢查,絕大多數(shù)病人身上都可以找到壓痛點。壓痛點已成為臨床診斷頸椎相關(guān)疾病的重要依據(jù),也是針灸臨
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