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)。(2)TCD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 Spondylosis of Vertebral Artery type. Methods 154 patients were divided into juvenile group and senile group. Clinical manifestation, X-ray of cervical vertebrae, transcranial color Doppler (TCD), Electroencephalography (EEG), treatments and prognoses were compared and analyzed. Results Both clinical manifestations and EEG were not different between groups. The differences were statistically significant in X-rays, TCD, treatments and prognoses. Conclusions Two groups exist different pathogenic mechanism, so they ought to be treated distinguishingly. Juvenile patients should rectify ill working habit j senile ones should adopt comprehensive methods, such as traction and physiotherapy.
出处
《神经疾病与精神卫生》
2003年第4期273-274,共2页
Journal of Neuroscience and Mental Health
关键词
青年人
老年人
椎动脉型颈椎病
对照研究
Juvenile Senile Cervical Spondylosis of Vertebral Artery type (CSA)
