胸锁乳突肌扳机点疼痛部位及其性别因素分析

南方医科大学学报 ›› 2005, Vol. 25 ›› Issue (01): 111-113.

胸锁乳突肌扳机点疼痛部位及其性别因素分析

黄宇琦¹, 高彦平², 徐海涛², 曹庆阳³, 原林⁴, 李义凯²

1. 南方医科大学南方医院肝胆外科, 广东广州510515;
2. 南方医科大学中医系骨伤科, 广东广州510515;
3. 南方医科大学广州市华兴康复医院, 广东广州510510;
4. 南方医科大学临床解剖研究所, 广东广州510515

出版日期:2005-01-20 发布日期:2005-01-20
基金资助:
收稿日期:2004-8-26。
作者简介:黄宇琦(1969- ),男,1992年毕业于第一军医大学,博士研究生,主治医师,电话:020-61647957
通讯作者:李义凯,电话:020-61648255,E-mail:ortho@fimmu.com

Pain sites in the sternocleidomastoid muscle trigger points and the gender-related factors

HUANG Yu-qi¹, GAO Yan-ping², XU Hai-tao², CAO Qing-yang³, YUAN lin⁴, LI Yi-kai²

1. 南方医科大学南方医院肝胆外科, 广东广州510515;
2. 南方医科大学中医系骨伤科, 广东广州510515;
3. 南方医科大学广州市华兴康复医院, 广东广州510510;
4. 南方医科大学临床解剖研究所, 广东广州510515

Online:2005-01-20 Published:2005-01-20

摘要/Abstract

摘要： 目的研究胸锁乳突肌乳突部扳机点疼痛分布特征及其性别因素。方法采用定量按压法,按其乳突附着部的前、中、后三部分,对不同年龄段男女健康受试者胸锁乳突肌乳突部的扳机点进行检查,采取VAS疼痛量化评分评定疼痛程度。结果 (1)老年男性组VAS疼痛评分为5.226±0.331,老年女性组VAS疼痛评分为5.531±0.379;组别间差异无显著性(P>0.05);(2)青年男性组VAS疼痛评分为2.940±0.331,青年女性组VAS疼痛评分为3.982±0.405;组别间差异无显著性(P>0.05);(3)胸锁乳突肌在乳突前与乳突中、乳突中与乳突后的疼痛比较差异有显著性(P<0.05);乳突前与乳突后差异无显著性(P>0.05)。结论胸锁乳突肌乳突部扳机压痛在性别间差异无显著性,胸锁乳突肌乳突部扳机点疼痛以乳突前和乳突后最为明显。

Abstract: Objective To study gender-related factors in the painful sites and degree of pains in the trigger points of the sternocleidomastoid muscle. Methods The trigger points of the sternocleidomastoid muscle of healthy volunteers of either gender with different ages were examined by measurable pressure using the right thumb, and the pain degree was assessed with visual analog scale (VAS). Result The VAS score was 5.226±0.331 in senior male subjects and 5.531±0.379 in senior female subjects, without significant differences between them (P>0.05). Nor was significant difference detected between the scores of young male and female subjects (2.940±0.331 vs 3.982±0.405, P>0.05). In terms of the pain severity, the difference was significant between the medial and anterior areas and between the medial and posterior areas of the mastoid process (P<0.05), but not between the anterior and posterior areas of the mastoid process (P>0.05). Conclusion There is no significant gender-related difference in the pain in the trigger points of the sternocleidomastoid muscle elicited by compression with the right thumb. The anterior and posterior areas of the mastoid process are relatively sensitive to compression pain.

中图分类号:

R441.1

黄宇琦¹, 高彦平², 徐海涛², 曹庆阳³, 原林⁴, 李义凯². 胸锁乳突肌扳机点疼痛部位及其性别因素分析[J]. 南方医科大学学报, 2005, 25(01): 111-113.

HUANG Yu-qi¹, GAO Yan-ping², XU Hai-tao², CAO Qing-yang³, YUAN lin⁴, LI Yi-kai². Pain sites in the sternocleidomastoid muscle trigger points and the gender-related factors[J]. Journal of Southern Medical University, 2005, 25(01): 111-113.

参考文献

[1] 王岩松.姚猛.肌筋膜扳机点的研究进展[J].哈尔滨医科大学学报,2001,35(3):230-1.Wang YS, Yao M. The progress of the myofascial trigger point[J].J Harbin Med Univ, 2001, 35(3): 230-1.
[2] 郭世绂.骨科临床解剖学[M].济南:山东科学技术出版社,2001.28-72.
[3] McMillan AS, Blasberg B. Pain pressure threshold in pain jaw muscles following trigger point injection[J]. J Orofac Pain, 1994, 8(4):384-90.
[4] Bovim G, Schrader S. Neck pain in the general population [J]. Spine,1994, 19(12): 1307-11.
[5] 陈俐.疼痛与性别差异[J].国外医学·护理学分册,1996,15(3):119.Chen L. The connection between pains and the difference of sex[J].Foreig Med Nurs Sect, 1996, 15(3): 119.
[6] 赵燕平,马绪臣.疼痛的性别差异[J].中华口腔医学杂志,2002,37(4):312-4.Zhao XP, Ma XC. The difference of sex in pains[J]. Chin J Stomatol, 2002, 37(4): 312-4.
[7] Hsuech TC, Chang PT, Kuan TS, et al. The immediate effectiveness of electrical stimulation and electrical muscle stimulation on trigger points [J]. Am J Phys Med Rehabil, 1997, 76: 471-6.
[8] Hsieh CYJ, Hong CZ, Adams AH, et al. Inter examiner reliability of the palpation on trigger points in the trunk and tower limb muscles [J]. Arch Phys Med Rehabil, 2000, 81: 258-64.
[9] 李义凯,穆伟华,王爱华.肌筋膜及扳机点[J].颈腰痛杂志,2002,23(1):80-1.Li YK, Mu WH, Wang AH. Myofascial and trigger point [J]. J Cer Lum, 2002, 23(1): 80-1.
[10] Simons DC, Travell JG, Simons LS. Myofascial pain and dysfunction: the trigger point manual [M]. Vol 1, upper half of body. 2nd ed.: Baltimore, Williams & Wilkins, USA. 1999. 11-235.
[11] Hong CZ. Myofascial triger point infection [J]. Crit Rev Rehabil Med, 1993, 5: 203-17.
[12] Borg-Stein J, Simons DG. Focused review: myofascial point [J].Arch Phys Med Rehabil, 2002, 83: S40-9.
[13] Rhind YM,Bird NA ,Wright V. A comparison of clinical assessment of disease activity in arthritis[J]. Ann Rheum Dis, 1980, 39: 135-7.
[14] Price DD, Bush FM, Long S, et al. A comparison of pain measurement characteristics of mechanical visual analogue and simple numerical rating scale[J]. Pain, 1994, 56: 217-26.