颈椎病患者的颈椎曲度及腰椎曲度改变的相关性研究.pdfVIP

提 要 目的:探讨颈椎病患者颈椎曲度改变与腰椎曲度改变的相关性。方法:对 50 例颈 椎病患者（患者组）和 50 例无颈椎病患者（对照组）进行颈、腰椎侧位 X 片检查； 并进行统计学相关性分析。结果:患者组男性颈椎曲度的改变率为 86.96％，女性颈 椎曲度的改变率为 96.30％，对照组男性颈椎曲度的改变率为 41.15％，女性颈椎曲 度的改变率为 45.83％。患者组男性腰椎曲度的改变率为 82.61％，女性腰椎曲度的 改变率为 74.07％，对照组男性腰椎曲度的改变率为 53.85％，女性腰椎曲度的改变 率为54.17％。经 X2 检验和 t 检验显示：患者组与对照组在性别与年龄方面无显著性 差异（P0.05 ）。患者组患者颈椎曲度的改变率为88.00％；腰椎曲度改变率为76.00 ％，经直线相关分析显示有明显的直线相关性 （Pearson相关系数r=0.424，P0.01）, 对照组颈椎曲度的改变率为 46.00％，腰椎曲度的改变率为 24.00％，经直线相关分 析显示无明显的直线相关性（Pearson相关系数r=0.230，P0.05）；本组资料神经根 型颈椎病为 21 例，颈椎曲度的改变 17 例，腰曲改变 15 例，t 检验两组有非常显著 性差异（P0.01）。结论:颈椎病患者颈椎曲度与腰椎曲度的改变有明显的直线相关性； 对照组颈椎曲度与腰椎曲度的改变无直线相关性；并且男、女性患者颈、腰曲度改变 的出现率无明显差异；颈椎病患者的颈椎曲度大部分以Ⅰ度脊柱变直改变为主，占 84.09％，且多发于神经根型颈椎病。 关键词 颈椎病；颈椎曲度；腰椎曲度； The research of the relationship between the Changes in Cervical and lumbar curvature in patients with cervical spondylosis Specialty: Orthopaedics of TCM Author: Wang Shuqiang Tutor: Dong Jianwen Abstract Objective: To evaluate changes in patients with cervical and lumbar spine curvature associated curvature change. Methods: 50 cases of cervical disease (patient group) and 50 patients without cervical disease (control group) were neck and lumbar spine lateral X ray examination; and a statistical correlation analysis. Results: The patient group was male cervical curvature change 86.96%, female cervical curvature change rate of 96.30% in the control group change in cervical curvature was male 41.15%, female cervical curvature change rate of 45.83%. Group of male patients with lumbar curvature change rate of 82.61%, female lumbar curvature change rate of 74.07%, lumbar curvature of the male 2 control group was 53.85% change in female lumbar c