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背景:青少年头痛患者中颈椎曲度异常的检出率较高,提示颈椎曲度异常可能是引发青少年颈源性头痛和头晕等临床症候群的潜在病因,其相关性研究有待深入研究。目的:探讨颈椎曲度异常与青少年头痛等临床症状、体征的相关性,并探索有效的治疗方法。设计:以诊断为依据的病例对照研究。地点和对象:选择1999-06/2002-02解放军空军总医院神经内科门诊12～35岁头痛头晕并有颈椎曲度异常的患者120例,男43例,女77例,分为轻度异常41例,中度异常40例,重度异常39例,平均年龄(25±6)岁。干预:对所有患者询问头痛病程、病史、测量血压和进行神经科体检、给予脑电图、经颅血管彩色超声检查,并对其中100例给予牵引、手法按摩等综合治疗。主要观察指标:颈椎曲度异常和伴随位置结构异常的分类;分析比较颈椎曲度异常轻、中、重三组病程、临床症状(头痛程度、头晕、晕厥、记忆力减退等)的阳性积分;异常体征(血压、Hoffmann征、闭目难立征)的阳性积分;脑电图、经颅血管彩色超声检查的阳性积分;对颈椎曲度异常与临床症状、体征进行相关分析;并对其中100例接受治疗者的疗效进行了比较。结果:颈椎位置结构异常:120例颈椎曲度异常头痛患者中89例为颈椎反向,29例颈椎变直,2例过曲;同时合并其他各类颈椎位置结构异常,依次为序列差、侧?
BACKGROUND: The detection rate of cervical curvature abnormalities in young patients with headache is high, suggesting that abnormal cervical curvature may be the underlying cause of clinical syndromes such as cervical headache and dizziness. The correlation study needs further study. Objective: To explore the correlation between clinical symptoms and signs of cervical curvature abnormality and adolescent headache, and to explore effective treatment. Design: A case-control study based on diagnosis. Location and subject: Select 1999-06 / 2002-02 People’s Liberation Army Air Force General Hospital neurology outpatient 12 to 35-year-old headache dizziness and cervical curvature abnormalities in 120 patients, 43 males and 77 females, divided into mild abnormalities 41 Cases, 40 cases of moderate abnormalities, severe abnormalities in 39 cases, mean age (25 ± 6) years old. Intervention: All patients were asked about the course of headache, history, blood pressure measurement and neurological examination, EEG, transcranial vascular color ultrasound, and 100 cases were given traction, manual massage and other comprehensive treatment. MAIN OUTCOME MEASURES: Classification of cervical curvature abnormalities and accompanying structural abnormalities; analysis of positive points of disease course, clinical symptoms (headache, dizziness, fainting, memory loss, etc.) in the mild, moderate, and severe cervical curvature; Positive points of signs (blood pressure, Hoffmann sign, closed eye refractory); EEG, transcranial color ultrasound; positive correlation between cervical curvature abnormalities and clinical symptoms and signs; and 100 cases The efficacy of treatment was compared. Results: The location of the cervical spine was structurally abnormal. Among the 120 patients with abnormal cervical curvature, 89 were in the reverse direction of the cervical spine, 29 in the cervical spine were straightened and 2 in the other patients had excessive curvature. Meanwhile, the positions of other cervical spine structures were abnormal, ?