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枕颈部压痛点、痛性结节与紧张型头痛的诊治
引用本文:刘立明,朱才兴,成忠实.枕颈部压痛点、痛性结节与紧张型头痛的诊治[J].中国康复理论与实践,2003,9(12):737-738.
作者姓名:刘立明  朱才兴  成忠实
作者单位:100853,北京市,中国人民解放军总医院康复体疗科
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
文章编号:1006-9771(2003)12-0737-02
修稿时间:2003年10月13

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.Management of tension-type headache with pressure pain point and painful tubercle in occiput-neck part[J].Chinese Journal of Rehabilitation Theory and Practice,2003,9(12):737-738.
Authors:LIU Li-ming  ZHU Cai-xing  CHENG Zhong-shi
Institution:LIU Li-ming,ZHU Cai-xing,CHENG Zhong-shi. The General Hospital of the PLA,Beijing 100853,China
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.
Keywords:pressure pain point  painful tubercle  occiput-neck muscle  massage therapy  
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