摘要
目的 分析探讨青、老年椎动脉型颈椎病的临床特点和不同的发病机制。方法 对青年组(58例)、老年组(96例)患者的临床表现、颈椎X线、经颅彩色多普勒超声(TCD)、脑电图(EEG)、治疗及预后进行对比分析。结果①颈椎X线:老年组以椎间隙变窄、骨质增生、软组织钙化为著(P<0.025);青年组以曲度不自然为著(P<0.025)。②TCD检查:老年组显示左侧椎动脉的收缩峰期血流速度和基底动脉的平均血流速度明显缓慢(P<0.05),提示有动脉狭窄;青年组的血流速度快,提示有血管痉挛。③青年组的治疗和预后明显较老年组好(P<0.005)。④两组临床表现和脑电图无明显差异。结论 青、老年椎动脉型颈椎病患者发病存在不同的病理机制,应区别对待;青年患者以曲度变直、神经根易激惹、血管痉挛为主,应及时纠正不良工作习惯,减少神经根刺激;老年患者椎间隙狭窄、骨质钙化增生压迫神经,神经根激惹轻,以动脉狭窄为主,治疗效果差,易复发,应采取牵引、理疗等综合治疗。
Objective To analyze and explore the clinical characteristics and pathogenic mechanism of juvenile and senile cervical spondy-losis of vertebral artery type.Methods 154 patients were divided into juvenile group and senile group; clinical manifestation, X - ray of cervical vertebral, transcranial color doppler (TCD), electroencephalography (EEG), treatments and prognoses were detected.Results Both clinical manifestations and EEG were not a remarkable difference between groups.The differences were statistically significant in X - rays, TCD, treatments and prognoses.Conclusion Two groups exist different pathogenic mechanism, so ought to be treated distinguishingly. Juvenile patients should rectify ill working habit; senile ones should adopt comprehensive methods.
出处
《河南实用神经疾病杂志》
2004年第3期2-4,共3页
Henan Journal of Practical Nervous Diseases
