颈源性头痛与颈椎曲度的相关性研究  

RELATIONSHIP BETWEEN CERVICOGENIC HEADACHE AND CERVICAL SPINE CURVATURE

作　　者：王善金[1] 张学利[1] 夏英鹏[1] 王云力[1] 刘献强[1] 

机构地区：[1]天津市人民医院脊柱外科,天津300121

出　　处：《中国疼痛医学杂志》2008年第5期260-262,共3页Chinese Journal of Pain Medicine

摘　　要：目的:探讨颈源性头痛患者疼痛程度与颈椎曲度变化的相关性。方法:选择颈源性头痛患者126例,对头痛进行VAS评分,摄颈椎正侧位片,测量颈曲弓深、颈椎曲率、颈曲夹角,与头痛评分进行相关性统计分析。结果:颈源性头痛多见于女性(72.2%),中老年多发(73.8%),颈椎曲度异常发生率高(65.9%),不同疼痛程度之间颈椎弓深、曲率、夹角比较有统计学意义(P<0.05),头痛积分与弓深、曲率、夹角呈明显负相关(P<0.01)。结论:颈源性头痛程度越重,颈椎曲度越小,曲度异常可能是头痛严重程度的一个潜在因素,治疗上当重视改善颈椎曲度。Objective：To explore the relationship between the pain intensity of cervicogenic headache （CEH） and the change of cervical curvature. Methods： 126 cases with CEH were admitted to the research. All patients were asked to quantify the pain level on a VAS form, X-ray measurement included cervical curvature depth, curvature index, curvature angle. Results：CEH occurs most frequently in fe- male （72.2%） and elderly （73.8%）. The incidence of cervial curvature abnormality was high （65. 9% ）. There were significant difference （P 〈 0.05 ） on cervical curvature depth, curvature index, curvature angle among different pain level （mild, moderate, severe）. And there was a negative relationship of VAS scores with cervical curvature depth, curvature index, curvature angle （ P 〈 0.01 ）. Conclusion ： The more severvity of the cervicogenic headache was, the smaller of the cervical curvature would be. Cervical curvature abnormality maybe a potential influencing factor on pain intensity. Improving the curvature should be importance to treat the serious CEH.

关 键 词：颈源性头痛 颈椎曲度 曲度测量 

分 类 号：R681.55[医药卫生—骨科学]