摘要
目的:观察颈源性耳鸣患者胸锁乳突肌区穴位软组织张力,研究颈源性耳鸣颈肩部肌肉的上下、左右失衡情况及其对耳鸣的影响,为针灸治疗颈源性耳鸣提供科学依据。方法:选取颈源性耳鸣患者40例,健康者30例,应用软组织张力仪对颈源性耳鸣患者及健康者的颈部胸锁乳突肌区穴位(完骨、扶突、气舍)进行软组织张力位移值测量并记录。结果:耳鸣组与健康对照组左、右侧胸锁乳突肌区软组织张力位移值组内比较:左耳鸣患者左侧(患侧)完骨软组织张力值低于右侧(健侧),差异有统计学意义(P<0.05);扶突、气舍左、右侧软组织张力位移值比较,差异均无统计学意义(P>0.05)。右耳鸣患者完骨、扶突、气舍左、右侧软组织张力位移值比较,差异均无统计学意义(P>0.05)。双耳鸣患者左、右侧颈部3穴软组织张力位移值比较,差异均无统计学意义(P>0.05)。健康对照组左、右侧颈部3穴软组织张力比较,差异均无统计学意义(P>0.05)。耳鸣组与健康对照组胸锁乳突肌区软组织张力位移值组间比较:左耳鸣患者与健康对照组胸锁乳突肌区软组织张力位移值组间比较:左耳鸣患者左侧(患侧)完骨、扶突软组织张力位移值小于健康对照组,差异有统计学意义(P<0.05);左耳鸣患者气舍左侧软组织张力位移值与健康对照组比较,差异均无统计学意义(P>0.05);左耳鸣患者右侧(健侧)3穴软组织张力位移值与健康对照组比较,差异均无统计学意义(P>0.05)。右耳鸣患者与健康对照组胸锁乳突肌区软组织张力位移值组间比较:右耳鸣患者左侧(健侧)胸锁乳突肌区3穴软组织张力位移值分别与健康对照组比较,差异均无统计学意义(P>0.05);右耳鸣患者右侧(患侧)完骨软组织张力位移值均低于健康对照组,差异有统计学意义(P<0.05)。双耳鸣患者与健康对照组胸锁乳突肌区软组织张力位移值比较:双耳鸣患者左、右侧完骨、扶突软组织张力位移值均小于健康对照组,差异有统计学意义(P<0.05)。双耳鸣患者左、右侧气舍软组织张力位移值与健康对照组比较,差异均无统计学意义(P>0.05)。结论:单侧颈源性耳鸣患者患侧颈部上部软组织张力位移值低于健侧;颈源性耳鸣患者患侧颈部上部软组织张力位移值低于健康对照组,表明颈源性耳鸣患者颈部左右失衡、且偏于患侧,上下失衡、且偏于上部,提示临床治疗颈源性耳鸣需关注患侧颈部上部软组织的松解治疗及两侧颈部肌肉的平衡调节。
Objective:To observe the soft tissue tension of sternocleidomastoid muscle,and to study left and right imbalances of neck and shoulder muscles of cervical tinnitus and their correlation with tinnitus,thus to provide scientific evidence for acupuncture treating cervical tinnitus.Methods:40 patients with cervical tinnitus were selected into the tinnitus group and 30 healthy people were taken as the control.Soft tissue tension meter was used to measure the soft tissue tension of Wangu(GB12),Futu(LI18)and Qishe(ST11)around sternocleidomastoid muscle.Results:In terms of the comparison within the group,for the patients with tinnitus on life ear,the soft tissue tension displacement value of GB12 was lower in the left side compared to that in right side(P<0.05).There were no statistical differences in soft tissue tension displacement values of LI18 and ST11 between the left side and the right side(P>0.05).There were no statistical differences in soft tissue tension displacement values of the three points between the right side and the left side in the patients with right ear tinnitus and both ears tinnitus,no differences were also seen in the healthy control group(P>0.05).In terms of the comparison between the two groups,for patients with left ear tinnitus,the left soft tissue tension displacement values of GB12 and LI18 were lower compared to those of the healthy control group(P<0.05),and no difference was seen in ST11;there were no statistical differences in the three points on the right side between the two groups.For the patients with right ear tinnitus,there were no significant differences in the tension displacement values in the three points on the left side between the right ear tinnitus group and the healthy control group(P>0.05);whereas value of the right side GB12 was lower compared to that in the healthy control group(P<0.05).The soft tissue displacement values of GB12 and LI18 were lower in the both ears tinnitus group that those in the healthy control group(P<0.05);no difference was seen in the value of ST11(P>0.05).Conclusion:Patients with unilateral cervical tinnitus have lower values of soft tissue tension displacement in the affected upper neck than those in the uninjured side and those of the healthy people.Patients with cervical tinnitus affected the soft tissue tension and displacement in the upper part of the affected neck,which shows that clinical treatment should be paid attention to softening the soft tissue of the upper neck and balancing the bilateral muscles of the neck.
作者
付茜茜
马圆
解秸萍
陈陆泉
FU Qianqian;MA Yuan;XIE Jieping;CHEN Luquan(Beijing University of Chinese Medicine, Beijing 100029, China;Beijing Tongren Hospital, Beijing 100730, China)
出处
《针灸临床杂志》
2020年第3期5-10,共6页
Journal of Clinical Acupuncture and Moxibustion
关键词
颈源性耳鸣
软组织张力
胸锁乳突肌
Cervical tinnitus
Soft tissue tension
Sternocleidomastoid muscle
