世界中医药2017，Vol.12Issue(9)：2039-2042,4.DOI:10.3969/j.issn.1673-7202.2017.09.013
颈根部扳机点按压法在神经根型颈椎病诊断与治疗中的应用
Application of Cervical Roots Trigger Point Pressing Method in the Diagnosis and Treatment of Cervical Spondylotic Radiculopathy
摘要
Abstract
Objective:To put forward an examination method of special signs to rapidly identify and diagnose cervical spondylotic radiculopathy and extraspinal diseases by cervical roots trigger point pressing for neck shoulder and limb pain,and to explore its clinical positive rate and the significance of examination method in clinical practice.Methods:The clinical physical examination data of 200 patients with cervical spondylotic radiculopathy who were received and treated in Pain Treatment Center of Navy General Hospital from June 2013 to May 2016 were retrospectively studied.The positive rates of trigger point pressure test method,intervertebral foramen extrusion test,and brachial plexus pull test method before and after treatment were compared,and they were also compared with the results of electromyography.Results:Among the three special signs examination methods before treatment,the positive rate of cervical roots trigger point pressing method was highest of 96.5％,and brachial plexus pull test method of 33.98％.The trigger point pressure test method had a celatively higher agreement rate with the results of electromyography.Conclusion:Cervical roots trigger point pressing method has a high positive rate in clinical application with easy and quick operation,and can better reflect the conditions of patients with cervical spondylotic radiculopathy.This method can quickly screen patients in outpatient work,and guide the follow-up check,as well as plays a key role in the treatment,which is worthy of promotion.关键词
颈根部扳机点按压试验/椎管内外病变/体征检查/治疗作用Key words
Cervical roots trigger point pressure test/Pathological changes in the intra-vertebral canal and extra-vertebral canal/Physical examination/Curative effect分类
医药卫生引用本文复制引用
付本升,丁宇,乔晋琳,杜薇,张静,崔洪鹏,钟毓贤,田苏淮..颈根部扳机点按压法在神经根型颈椎病诊断与治疗中的应用[J].世界中医药,2017,12(9):2039-2042,4.基金项目
北京市科学技术委员会资助课题“首都临床特色应用研究”专项(Z131107002213058) （Z131107002213058）
