胸锁乳突肌筋膜痛的解剖学及其临床研究

发布时间：2018-04-24 21:42

本文选题：胸锁乳突肌 + 乳突　；参考：《第一军医大学》2005年博士论文

【摘要】：头痛是临床常见的症候之一,分类繁多,病因尤为复杂。胸锁乳突肌肌筋膜扳机点的存在是头痛一个重要的因素。但与人们所认识的颈源性头痛不同的是肌筋膜性疼痛不累及颈椎的骨性结构及颈椎间盘,只是与颈部的肌肉和筋膜有关。因此,对头痛者,不应忽略对枕颈部肌肉,特别是胸锁乳突肌肌筋膜扳机点的详细检查。第一部分胸锁乳突肌筋膜扳机点疼痛流行病学研究材料和方法选择37名健康中老年人为研究对象,年龄为50—84岁,平均年龄为64岁。选择35例健康在校大学生为对照组,年龄为19—30岁,平均年龄23岁。按胸锁乳突肌在乳突部附着的情况,选择乳突前、乳突中和乳突后三个常见的扳机点部位。通过压力传感器的监测,并用VAS疼痛量化表进行评分。结果老年男性的VAS疼痛评分(5.226±0.331)与老年女性的(5.531±0.379)的评分结果无显著性差异(p0.05);青年男性的VAS疼痛评分(2.940±0.331)与青年女性的(3.982±0.405)的评分结果无显著性差异(p0.05)。中老年组压痛评分为5.358±2.309,青年组压痛评分为3.357±1.956。两
[Abstract]:Headache is one of the common symptoms in clinic. The presence of the myofascial trigger of sternocleidomastoid muscle is an important factor in headache. But what is different from the known cervical headache is that myofascial pain does not involve the bony structure of the cervical vertebrae and the cervical intervertebral disc, but is only related to the cervical muscles and fascia. Therefore, the detailed examination of the occipitocervical muscle, especially the fascia trigger of sternocleidomastoid muscle, should not be neglected in patients with headache. Part I Epidemiological study on the pain of fascia trigger of sternocleidomastoid muscle Materials and methods A total of 37 healthy adults aged 50 to 84 years, with an average age of 64 years, were selected. 35 healthy college students were selected as control group, aged 19-30 years, with an average age of 23 years. According to the attachment of the sternocleidomastoid muscle in the mastoid part, three common trigger points were selected: before mastoid, mastoid and after mastoid. The pressure sensor was used to monitor and score with the VAS pain quantification table. Result There was no significant difference in VAS pain score between the aged male (5.226 卤0.331) and the elderly female (5.531 卤0.379), but there was no significant difference between the young male (2.940 卤0.331) and the young female (3.982 卤0.405). The tenderness score was 5.358 卤2.309 in the aged group and 3.357 卤1.956 in the young group. Two
【学位授予单位】：第一军医大学
【学位级别】：博士
【学位授予年份】：2005
【分类号】：R322

【参考文献】