颈椎失稳与青年颈性眩晕发病关系的临床的分析研究.pdfVIP

颈椎失稳与青年颈性眩晕发病关系的临床研究 以 C4-5 发生率最高，明显高于其他节段，具有显著性差异（P0.05 ）。在 两组 X 线中有关椎间隙变窄、钩椎关节增生、椎体前后骨质增生及软组 织钙化的发生率，中老年组均明显高于青年组，存在显著性差异(P0.05) 。 青年组与中老年组的颈椎曲度改变的发生率分别为 89.3%、91.2%，无显 著性差异（P0.05 ）。3. 青年组主要表现为头晕，中老年组则主要表现为 眩晕，严重者可见头晕伴发作性眩晕。头痛及颈肩部疼痛不适在两组均 广泛存在，其中青年组颈肩部疼痛不适的发生率高于中老年组，但无显 著性差异（P0.05 ）。眼、耳功能障碍、自主神经紊乱及神经根刺激症状 在中老年组的发病率均明显高于青年组，具有显著性差异（P0.05 ）。脊 髓受压症状在两组的发生率均较低。结论：1. 颈椎失稳与青年颈性眩晕 的发病之间存在着密切联系。发生不稳定的节段以 C4-5 最常见。颈椎曲 度的改变是早期最主要的代偿性改变。2. 在青年颈性眩晕中，颈部周围 肌肉等软组织损伤引起的主动控制系统功能障碍是引起颈椎失稳的主要 原因，退行性改变作为次要因素参与其中。3. 青年颈性眩晕患者的临床 症状以头晕为主，常伴有头颈肩部疼痛、活动受限等局部不适症状。神 经根受刺激及脊髓受压等相关症状均不明显。 关键词 青年； 颈性眩晕； 颈椎失稳 1 Clinical research on the relationship between cervical instability and the pathogenesis of youth cervical vertigo Speciality: Orthopedics of TCM Author: Li Ning Tutor: Prof Dong JianWen Abstract Objectives: 1. to explore the function of cervical instability in the pathogenesis of youth cervical vertigo, by measuring and analyzing the cervical imaging data of youth cervical vertigo group and neck symptoms group. 2. to summarize the characteristics of cervical instability on youth cervical vertigo and provide the help for clinical diagnosis and treatment of youth cervical vertigo, by analyzing the clinical manifestations and imaging data of youth , middle-aged patients suffered by cervical vertigo. Methods: Sixty-two patients diagnosed as cervical vertigo were divided into youth group (16-40years) and middle-aged group (40years) according to different ages. Thirty-one young patients (16-40years) suffered by neck discomfort, such as the pain and limited mobility of neck and shoulder, were selected into the symptomatic group in the