创伤后颈椎挥鞭样损伤急诊诊治疗效探讨  

Discuss of Emergency Diagnosis and Treatment on Post traumatic Cervical Whiplash Injury

作　　者：柯友洋[1] 

机构地区：[1]中国人民解放军第171医院急诊科,江西九江332000

出　　处：《河北医学》2012年第4期491-493,共3页Hebei Medicine

摘　　要：目的:探讨创伤后颈椎挥鞭样损伤急诊诊治的疗效。方法:对2008年2月至2010年4月期间在我院急诊的48例创伤后颈椎挥鞭样损伤患者实施对症的急诊诊治,统计所有患者的临床症状,记录治疗后24h、2周、4周联合行为计分结果,评价急诊诊治的整体疗效。结果:48例患者经治疗颈部强直、有压痛1例,手部肩部、放射痛2例,无耳鸣,头晕、恶心,焦虑失眠及其他症状的出现,较治疗前差异显著(P<0.01);治疗前联合行为计分值为(4.36±0.03),治疗后24h、2周、4周计分值分别为(3.20±0.05)、(3.18±0.02)、(2.3±0.04),均低于治疗前,差异有统计学意义(P<0.05或P<0.01);经治疗,有效32例,显效14例,无效2例,总有效率为95.6%。结论:综合运用影像学诊断,结合创伤后颈椎挥鞭样损伤的临床表现给予患者合理的急诊诊治,神经功能恢复快,效果显著。Objective： To discuss the healing effect of emergency diagnosis and treatment on posttraumatic cervical whiplash injury.Method： 48 cases post cervical whiplash injury patients with symptomatic emergency were diagnosed and treated from Feb.2008 to Apr.2010 in our hospital,All the clinical symptoms were observed,recorded behavioral score 24 hours,2 weeks,4 weeks after treatment,and evaluate the overall effectiveness by emergency treatment.Result： In all 48 patients,1 case with tonic neck tenderness,2 cases with hand,shoulder radiating pain,all patients without tinnitus,dizziness,nausea,anxiety,insomnia and other symptoms,compared with before treatment.There＇s statistical difference（P0.01）.The combined behavioral score was（4.36＋0.03） before treatment,and it was（3.20＋0.05） 24 hours,2 weeks,4 weeks after treatment,（3.18＋0.02）,（2.3-0.04）,were lower than those before therapy,the difference has statistically significant（P0.05 or P0.01）.After treatment,effective in 32 cases,excellent in 14 cases,ineffective in 2 cases,the total effective rate was 95.6%.Conclusion：It＇s effective to diagnose and treat reasonablely according to the imaging and symptom.

关 键 词：颈椎挥鞭样损伤 急诊诊治 疗效 联合行为评分 

分 类 号：R641[医药卫生—外科学]