《中国康复理论与实践》

《中国康复理论与实践》 ›› 2003, Vol. 9 ›› Issue (12): 737-738.

• 临床康复 • 上一篇    下一篇

枕颈部压痛点、痛性结节与紧张型头痛的诊治

刘立明; 朱才兴; 成忠实   

  1. 中国人民解放军总医院康复体疗科 北京市 100853
  • 收稿日期:2003-10-13 出版日期:2003-12-25 发布日期:2003-12-25

Management of tension-type headache with pressure pain point and painful tubercle in occiput-neck part

LIU Li-ming, ZHU Cai-xing, CHENG Zhong-shi   

  1. The General Hospital of the PLA, Beijing 100853, China
  • Received:2003-10-13 Published:2003-12-25 Online:2003-12-25

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摘要： 目的观察枕颈部压痛点和痛性结节在紧张型头痛(TTH)患者中的分布,探讨枕颈肌障碍在TTH发病中的机理。方法对380例TTH患者,触诊枕外隆凸下至颈棘突止中线及其旁开,记录每位患者的压痛点、痛性结节总数及部位,实施揉拿、弹拨、点按颈部压痛点及痛性结节的手法治疗。结果经1—6次治疗,治愈283例、显效58例,总显效率89.7%。结论枕颈部肌肉障碍在TTH发病机制中起重要作用,针对压痛点和痛性结节实施手法治疗可产生显著疗效。

关键词: 压痛点, 痛性结节, 枕颈肌, 手法治疗

Abstract: Objective To observe the management effect of pressure pain point and painful tubercle in occiput-neck part on tension-type headache (TTH). Methods 380 TTH patients were treated by palpating the central and both sides part from the external occipital protuberance to the spinous processes of neck; recording the total number and position of pressure pain points and painful tubercles; kneading, hitting and pressing all recorded pressure pain points and painful tubercles.Results After 1-6 times treatment, 283 were cured and 58 were effected. The efficiency ratio is 89.7%. Conclusion Muscle obstacle in occiput-neck part plays an important role in TTH. Massage therapy has a significant effect on pressure pain points and painful tubercle.

Key words: pressure pain point, painful tubercle, occiput-neck muscle, massage therapy