以'标本'理论探讨耳鸣患者中渚、翳风的压痛反应及压痛阈值

摘要

目的:观察耳鸣患者中渚、翳风压痛反应及压痛阈,研究其在耳鸣时的敏感性,为临床诊治耳鸣提供选穴依据.方法:选取耳鸣患者104例,非耳鸣者30例,对中渚、翳风进行按压,记录压痛反应阳性频次,并采用压痛测试仪对中渚、翳风压痛阈进行测量.结果:压痛频次:耳鸣组中渚、翳风的压痛频次大于非耳鸣组,有极显著性差异(P＜0. 01);不同侧别耳鸣患者比较双侧中渚、翳风压痛频次均高于左侧或右侧,有极显著性差异(P＜0. 01);左、右侧压痛频次无显著性差异(P＞0. 05).压痛阈:耳鸣组中渚、翳风压痛阈小于非耳鸣组,有显著性差异(P＜0. 05);右耳鸣患者左侧中渚压痛阈小于右侧,有显著性差异(P＜0. 05),左耳鸣和双耳鸣患者左、右侧中渚压痛阈均无显著性差异(P＞0. 05);左耳鸣患者左侧翳风压痛阈小于右侧,有显著性差异(P＜0. 05);右耳鸣和双耳鸣患者翳风左、右侧压痛阈均无显著性差异(P＞0. 05);不同侧别耳鸣患者翳风压痛阈均小于中渚,有极显著性差异(P＜0. 01).结论:耳鸣患者中渚、翳风压痛频次较高,压痛阈较低,说明中渚、翳风是耳鸣的敏感反应穴,不同侧别耳鸣患者翳风压痛阈均小于中渚,说明翳风较中渚更敏感.不同侧别耳鸣患者中渚、翳风均以双侧压痛多见,双耳鸣患者中渚、翳风均反应在双侧,单耳鸣患者中渚、翳风压痛阈以双侧反应为主.%Objective:To observe the tenderness and pain threshold of SJ3 and SJ17 in tinnitus patients, thus to provide reference for the clinical treatment of tinnitus. Methods:104 tinnitus patients and 30 non-tinnitus patients were selected as study subjects, tenderness frequency and pain threshold of SJ3 and SJ17 were measured and recorded. Results:In terms of tenderness frequency, it was significantly higher in the tinnitus group than that of the non-tinnitus group (P ＜ 0. 01); bilateral tenderness frequency was significantly more than just one side(P ＜0. 01); however, there was no statistic difference between left and right side of the tenderness frequency (P ＞ 0. 05). In terms of pain threshold, it was significantly lower in the tinnitus group than that of the non-tinnitus group (P ＜0. 05); pain threshold of SJ3 was significantly lower on the right side in the left tinnitus patients(P ＜0. 05); there was no significant difference between the left side and right side of the patients with left tinnitus or bilateral tinnitus in terms of pain threshold of SJ3(P ＞0. 05); the pain threshold of left SJ17 was significantly lower in patients with left tinnitus(P ＜0. 05); there was no significant difference between the left side and right side in patients with right tinnitus or bilateral tinnitus in terms of pain threshold of SJ17 (P＞0. 05); the pain threshold of SJ17 was significantly lower than that of SJ3 (P ＜ 0. 01). Conclusion: Tenderness frequency of SJ3 and SJ17 are higher in tinnitus patients, which shows that the two points are the specific reaction points. Pain threshold of SJ17 is lower that of SJ3, which shows SJ17 is more sensitive. Tenderness are seen in both sides no matter the tinnitus is on one side or on both sides.