颈椎生理曲度改变与压痛点部位分布的相关性研究

发布时间：2018-04-19 19:32

本文选题：颈椎生理曲度 + 压痛点　；参考：《中华中医药杂志》2017年11期

【摘要】：目的:探讨颈椎生理曲度(CPC)改变与压痛点分布的相关性,为临床提供实用、快捷的诊疗方法。方法:以CPC异常者150例与CPC正常者150例为研究对象,按照解剖位置从浅至深,从上至下,循序渐进查找研究对象周身压痛点较集中部位;应用两分类Logistic回归分析探讨CPC改变与各个压痛点部位的相关性。结果:22处压痛点部位中颈椎棘突区、颈椎横突区、胸锁乳突肌区、冈下窝、腰椎棘突、背伸肌群、腹直肌边缘区、髂前上棘区、髂后上棘区、肱三头肌外侧头肱骨附着处、尺神经沟、乆窝区12个压痛点部位与CPC改变相关(P0.05),是CPC改变的危险要素。结论:CPC改变与压痛点分布有一定的相关性,压痛点可作为诊疗CPC改变的重要指标。
[Abstract]:Objective: to explore the relationship between the changes of cervical physiological curvature and the distribution of tenderness points, and to provide a practical and quick method for diagnosis and treatment. Methods: 150 cases of abnormal CPC and 150 cases of normal CPC were studied. According to the anatomical position, from superficial to deep, from top to bottom, the focus of body tenderness point was found step by step. Two-classification Logistic regression analysis was used to investigate the correlation between CPC changes and tenderness points. Results the spinous process, transverse process, sternocleidomastoid muscle, inferior fossa, spinous process, extensor dorsi group, marginal area of rectus abdominis, anterior superior iliac spine, posterior superior iliac spine, lateral head of triceps brachii were attached in the middle cervical spine, transverse process area of cervical vertebrae at 22 tenderness points. Ulnar nerve sulcus, which is associated with CPC change, is the risk factor of CPC change. Conclusion there is a certain correlation between the changes of CPC and the distribution of tenderness points, and tenderness points can be used as an important index for diagnosis and treatment of CPC changes.
【作者单位】：成都中医药大学针灸推拿学院;
【分类号】：R246

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