眩晕不同中医证候分型颈椎X线表现比较研究  

Comparative Study of X-ray Manifestation of Cervical Vertebra in Vertigo of Different Chinese Medicine Syndrome Differentiation

作　　者：郭爱菊[1] 高明[2] GUO Aiju;GAO Ming

机构地区：[1]河南省中医院放射科,河南郑州450002 [2]河南省人民医院河南省医学影像中心,河南郑州450003

出　　处：《新中医》2018年第3期95-99,共5页New Chinese Medicine

基　　金：河南省中医药科学研究专项课题(2014ZY02026)

摘　　要：目的:探讨眩晕不同中医证候分型颈椎X线摄片的表现。方法:选取2015年1月—2016年12月在河南省中医院门诊就诊和住院治疗的眩晕症患者200例作为研究对象,对所有患者进行中医证候分型,同时为患者提供颈椎五位X线摄片检查,观察不同证型患者检查结果间的差异性,比较统计从而推断颈椎X线摄片对于眩晕不同中医证候分型的应用价值。结果:200例眩晕患者,痰湿中阻证74例,占37.00%;治肝阳上亢证43例,占21.50%;气血亏虚证35例,占17.50%;肾精不足证29例,占14.50%;瘀血阻窍证19例,占0.95%。其中痰湿中阻证患者经颈椎五位X线摄片检查出现了颈椎生理曲度和稳定性改变、韧带骨化等临床症状,且椎体骨质及椎间盘退行性改变出现例数最高,且显著高于其余观察指标出现的次数,差异有统计学意义(P<0.05);与其余各组患者相比较,该类型患者X线特征明显,差异均有统计学意义(P<0.05)。结论:痰湿中阻型眩晕症患者颈椎X线表现具有特征性,可在一定程度上为医者诊断眩晕提供帮助。Objective： To discuss X-ray manifestation of cervical vertebra in vertigo of different Chinese medicine syndrome differentiation. Methods：Selected 200 cases of patients with vertigo admitted into the outpatient department and hospitalization for treatment in He＇nan Province Hospital of TCM from January,2015 to December,2016. Divided them according to Chinese medicine syndrome differentiation,provided X-ray examination of the fifth cervical vertebra for patients at the same time,and observed the differences of examination results among patients with different Chinese medicine syndrome differentiation. Compared and compiled statistics so as to deduce the application value of X-ray for vertigo of different Chinese medicine syndrome differentiation. Results：Among 200 cases of patients with vertigo,there were 74 cases of phlegm-dampness obstructing middle energizer syndrome, accounting for 37.00%; there were 43 cases of upper ascendant hyperactivity of liver yang syndrome, accounting for 21.50%; there were 35 cases of qi-blood depletion syndrome,accounting for 17.50%;there were 29 cases of kidney essence insufficiency syndrome,accounting for 14.50%;there were 19 cases of static blood obstructing orifices syndrome,accounting for 0.95%. In the examination of the fifth cervical vertebra in patients of phlegm-dampness obstructing middle energizer syndrome,there were changes in cervical vertebra physiological curve and its stability,ligament ossification,and other clinical symptoms. The occurrence of vertebral bone and disc degeneration was the most frequent,which was obviously more frequent than that of other observation indexes,the difference being significant（P〈0.05）. The X-ray features of this type of patients were more obvious when compared with those in other groups,differences being significant（P〈0.05）. Conclusion：The X-ray of the patients with vertigo of phlegm-dampness obstructing middle energizer syndrome has a characteristic manifestation,which can help doctors to diagnose vertigo to some e

关 键 词：眩晕 颈椎 X线表现 中医证候分型 

分 类 号：R441.2[医药卫生—诊断学]