本文關(guān)鍵詞： 椎動(dòng)脈型頸椎病 椎-基底動(dòng)脈 經(jīng)顱內(nèi)多普勒 數(shù)字化攝影　出處：《黑龍江中醫(yī)藥大學(xué)》2017年碩士論文　論文類型：學(xué)位論文

【摘要】：椎動(dòng)脈型頸椎病是當(dāng)代骨科的常見病和多發(fā)病,根據(jù)國內(nèi)外專家學(xué)者報(bào)道,椎動(dòng)脈型頸椎病僅次于神經(jīng)根型頸椎病,其發(fā)病年齡也高于其它頸椎病[1]。其發(fā)病特點(diǎn)主要與頭部旋轉(zhuǎn)有關(guān)的眩暈,伴有眩暈、事物模糊、耳鳴等癥狀,嚴(yán)重的病人甚至猝然暈倒、不醒人事,危及健康及生命。目的:通過經(jīng)顱彩色多普勒超聲(TCD)與數(shù)字化X射線攝影系統(tǒng)(DR)對椎動(dòng)脈型頸椎病患者的觀察,探析CSA影響椎-基底動(dòng)脈平均血流速度(Vm)的因素。方法:本研究選擇病例均來自2016年01月—2017年01月黑龍江中醫(yī)藥大學(xué)附屬第一醫(yī)院骨傷二科門診符合上述診斷標(biāo)準(zhǔn)患者100例,行TCD及DR檢查。觀察雙側(cè)椎-基底動(dòng)脈的平均血流速度(Vm)與頸椎的位移程度,椎間隙狹窄,鉤椎關(guān)節(jié)間隙狹窄,頸椎結(jié)構(gòu)變化(曲線變直、成角、后凸、滑脫),椎間孔縮小的關(guān)系。結(jié)果:通過100例椎動(dòng)脈型頸椎病的患者的實(shí)驗(yàn)分析,應(yīng)用經(jīng)顱內(nèi)多普勒(TCD)和數(shù)字化攝影(DR)的檢查最終發(fā)現(xiàn),椎間隙狹窄、椎間孔縮小、鉤椎關(guān)節(jié)間隙的狹窄、生理曲度以及頸椎的位移程度這幾種因素的改變都具有相關(guān)性,并且得出頸椎的位移程度與椎動(dòng)脈型頸椎病椎-基底動(dòng)脈的血流速度之間存在明顯的統(tǒng)計(jì)學(xué)差異,結(jié)論:1.本研究發(fā)現(xiàn),椎動(dòng)脈型頸椎病的患者普遍存在頸椎位移失穩(wěn)的異常變化,其變化形式也比較復(fù)雜呈階段性,提示臨床醫(yī)生在治療椎動(dòng)脈型頸椎病患者時(shí)應(yīng)多考慮維持頸椎的穩(wěn)定性,讓患者佩戴圍領(lǐng)。2.從數(shù)據(jù)分析,頸椎的位移程度與椎動(dòng)脈型頸椎病椎-基底動(dòng)脈的血流速度之間相關(guān)性最強(qiáng)。3.本研究的結(jié)果對臨床工作有良好的指導(dǎo)意義,經(jīng)顱內(nèi)多普勒(TCD)和數(shù)字化攝影(DR),是臨床診斷的重要客觀指標(biāo),具有較高的診斷價(jià)值。
[Abstract]:Vertebral artery type cervical spondylosis is a common and frequent disease in contemporary orthopaedics. According to the reports of experts and scholars at home and abroad, vertebral artery type cervical spondylosis is second only to nerve root type cervical spondylosis. Its onset age is also higher than that of other cervical spondylosis [1]. The main characteristics of the disease are vertigo associated with head rotation, accompanied by vertigo, blurred things, tinnitus and other symptoms, severe patients even suddenly fainted, unconscious, Objective: to observe the patients with cervical spondylosis of vertebral artery type by transcranial color Doppler ultrasound (TCD) and digital X-ray imaging system (DRR). Methods: from January 2016 to January 2017, all the patients were selected from the second department of bone injury of the first affiliated Hospital of Heilongjiang University of traditional Chinese Medicine to meet the above diagnostic criteria. TCD and Dr were performed. The mean blood flow velocity (Vm) of bilateral vertebrobasilar artery and the degree of cervical vertebrae displacement, intervertebral space stenosis, hook joint space stenosis, cervical spine structure changes (curve straightening, angulation, kyphosis) were observed. Results: through the experimental analysis of 100 patients with cervical spondylosis of vertebral artery type, we found that the intervertebral space was narrow and the intervertebral foramina was narrowed by using TCD and DRD. The changes in the stenosis of the articular space, the degree of physiological curvature and the degree of displacement of the cervical vertebrae are all related to each other. It is concluded that there is a significant statistical difference between the displacement of cervical vertebrae and the blood flow velocity of vertebrobasilar artery in vertebral artery type cervical spondylosis. The patients with cervical spondylosis of vertebral artery type generally have abnormal changes of displacement instability of cervical vertebrae, and the change forms are complex and phased, which suggests that the clinicians should consider maintaining the stability of cervical vertebrae when treating patients with cervical spondylosis of vertebral artery type. From the data analysis, the degree of cervical vertebrae displacement and the blood flow velocity of vertebrobasilar artery in patients with cervical spondylosis of vertebral artery type were the strongest. 3. The results of this study have good guiding significance for clinical work. Transintracranial Doppler imaging (TCD) and digital digital imaging (DRV) are important objective indexes in clinical diagnosis and have high diagnostic value.
【學(xué)位授予單位】：黑龍江中醫(yī)藥大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R681.55

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 泮金亮;;淺議椎動(dòng)脈型頸椎病的診斷標(biāo)準(zhǔn)[J];中醫(yī)正骨;2016年08期

2 孫潤潔;田亮;朱博雯;秦曉光;;針灸治療椎動(dòng)脈型頸椎病隨機(jī)對照臨床研究文獻(xiàn)的Meta分析[J];中醫(yī)臨床研究;2015年32期

3 張軼;李勇;田明;班海燕;;李氏醒腦通絡(luò)法治療椎動(dòng)脈型頸椎病60例臨床觀察[J];云南中醫(yī)中藥雜志;2015年07期

4 劉兆豐;程紅;;天麻素注射液聯(lián)合星狀神經(jīng)節(jié)阻滯治療椎動(dòng)脈型頸椎病[J];中外醫(yī)學(xué)研究;2015年18期

5 童正一;葉潔;許金海;尹萌辰;莫偉;莫文;;頸椎運(yùn)動(dòng)負(fù)荷試驗(yàn)對不同中醫(yī)證型頸性眩暈患者血流動(dòng)力學(xué)指標(biāo)的影響[J];中國中醫(yī)急癥;2015年06期

6 盧愛琴;朱艷玲;;自擬頸舒湯結(jié)合牽引治療椎動(dòng)脈型頸椎病臨床觀察[J];中國民間療法;2015年05期

7 卓嘎;;經(jīng)顱多普勒對椎基底動(dòng)脈缺血性疾病的診斷價(jià)值[J];現(xiàn)代醫(yī)藥衛(wèi)生;2013年10期

8 李滿意;婁玉鈐;;五體痹的源流[J];風(fēng)濕病與關(guān)節(jié)炎;2013年04期

9 陳騰;姚新苗;;椎動(dòng)脈型頸椎病的發(fā)病機(jī)制及治療進(jìn)展[J];黑龍江中醫(yī)藥;2013年01期

10 石向明;王輝;劉創(chuàng)建;張強(qiáng);郭文梅;;椎動(dòng)脈型頸椎病患者狹窄椎動(dòng)脈與正常椎動(dòng)脈的血流動(dòng)力學(xué)差異[J];頸腰痛雜志;2012年04期

，

本文編號：1545632