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慢性疼痛综合征及其治疗。二、触发点。

Chronic pain syndromes and their treatment. II. Trigger points.

作者信息

Wyant G M

出版信息

Can Anaesth Soc J. 1979 May;26(3):216-9. doi: 10.1007/BF03006985.

DOI:10.1007/BF03006985
PMID:466566
Abstract

Trigger points are distinct areas of focal hyperirritability which give rise to areas of refered pain in well-defined areas of the musculo-skeletal system, sometimes remote from the point itself and not related to it by anatomically definable pathways. While the vast majority of pain manifestations from trigger points are related to the musculo-skeletal system, this need not be invariably so, as has been demonstrated in two of the cases cited, where injection of trigger points in the neck relieved chronic tinnitus. In all manifestations of chronic pain it is recommended that a diligent search be made for such trigger points.

摘要

触发点是局灶性高度过敏的特定区域,会在肌肉骨骼系统的明确区域引发牵涉痛,有时这些区域离触发点本身很远,且在解剖学上无法通过可定义的途径与之相关联。虽然触发点引发的绝大多数疼痛表现都与肌肉骨骼系统有关,但情况并非总是如此,正如所引用的两个病例所示,颈部触发点注射缓解了慢性耳鸣。在所有慢性疼痛表现中,建议仔细寻找此类触发点。

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本文引用的文献

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The myofascial genesis of pain.疼痛的肌筋膜成因。
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Treatment of reno-ureteral colic by twelfth intercostal nerve block with lidocaine versus intramuscular diclofenac.利多卡因经第十二肋间神经阻滞与肌肉注射双氯芬酸治疗肾输尿管绞痛的对比研究
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Arch Phys Med Rehabil. 1973 Oct;54(10):449-53.