颈动脉斑块椎动脉型颈椎病临床特征及预后的相关性研究  

Correlation Study of Clinical Features and Prognosis of Vertebral ArteryType Cervical Spondylosis with Carotid Artery Plaque

作　　者：伍振宇 Wu Zhenyu(Department of Emergency,Zhongshan Sanxiang Hospital,Zhongshan 528400)

机构地区：[1]中山市三乡医院急诊科,广东中山528400

出　　处：《黑龙江医药》2023年第1期17-20,共4页Heilongjiang Medicine journal

基　　金：中山市医学科研基金项目(项目编号:2021A020137)。

摘　　要：目的:探讨颈动脉斑块椎动脉型颈椎病临床特征及预后的相关性。方法:选择2021年5月至2022年5月我院收治的100例椎动脉型颈椎病(CSA)患者,依据是否存在颈动脉斑块,将伴有颈动脉斑块的50例CSA患者纳入A组,将不伴颈动脉斑块者的50例CSA患者纳入B组。比较两组多项临床特征资料;比较两组症状缓解时间;比较两组治疗效果及随访期病情复发风险。结果:A组年龄大于B组,体重高于B组,发病时间长于B组,眩晕评分、头痛评分及猝倒次数均高于B组,发病间隔时间短于B组(P<0.05)。治疗后,A组症状缓解时间均长于B组(P<0.05)。A组治疗总有效率为82.00%,低于B组的96.00%(P<0.05);A组随访3个月内病情复发率为30.00%,高于B组的12.00%(P<0.05)。结论:高龄与高体重均属于颈动脉斑块CSA的危险因素,颈动脉斑块CSA发病时间相对更长,发病间隔更短,症状严重程度更高,预后结局较差,针对此类患者需及早明确其疾病类型,帮助后续相关治疗手段的制定与实施。Objective:To investigate the correlation of clinical features and prognosis of vertebral artery type cervical spondylosis with carotid artery plaque.Methods:100 patients with vertebral artery type cervical spondylosis(CSA)admitted to our hospital from May 2021 to May 2022 were selected. According to the presence of carotid artery plaque, 50 CSA patients with carotid artery plaque were included in group A, and 50 CSA patients without carotid artery plaque were included in group B. Multiple clinical features were compared between the two groups. Symptom remission time was compared between the two groups. The treatment effect and the risk of relapse during the follow-up period were compared between the two groups.Results: The age of group A was higher than that of group B, the body weight was higher than that of group B, the onset time was longer than that of group B, the vertigo score, headache score and the frequency of cataplexy were higher than that of group B, and the onset interval was shorter than that of group B( P <0.05). After treatment, the symptom remission time of group A was longer than that of group B( P <0.05). The total effective rate of group A was 82.00%, which was lower than that of group B(96.00%) ( P <0.05). The recurrence rate of group A within 3 months of follow-up was 30.00%, which was higher than 12.00% in group B( P <0.05).Conclusions: Advanced age and high body weight are both risk factors for CSA in carotid artery plaque, and the onset time of CSA in carotid artery plaque is relatively longer, the onset interval is shorter, the severity of symptoms is higher, and the prognosis is poor. For such patients, the disease type should be identified as early as possible to help the formulation and implementation of subsequent relevant treatments.

关 键 词：颈动脉斑块 椎动脉型颈椎病 临床特征 预后 相关性 

分 类 号：R681.5[医药卫生—骨科学]