未成年人颈痛与颈椎曲度相关性的回顾分析

发布时间：2018-10-14 11:14

【摘要】：目的:回顾性分析未成年人颈痛与颈椎曲度的相关性。方法:纳入自2016年1月至8月在广东省中医院就诊的未成年人颈痛患者179例,年龄4-18岁,其中男97例,女82例。采用VAS评分法评估颈痛程度;采用Borden法测量颈椎曲度;对颈痛程度、颈痛时间与颈椎曲度进行相关性分析。结果:179例颈痛患者中颈椎曲度形态多样,包括曲度正常、减小、变直、反弓、上直下曲、上曲下直、S形以及增大,所占比例分别为23.46%、21.23%、28.49%、14.52%、8.38%、1.12%、2.23%和0.56%。反弓组的VAS评分明显高于其他组(P0.05)。颈痛程度与颈椎曲度呈弱负相关(r=-0.243);颈痛时间与颈椎曲度不相关(r=-0.050)。结论:未成年人颈痛患者中颈椎曲度大多会有异常改变;曲度反弓者的疼痛程度偏高;疼痛程度与颈椎曲度间呈弱负相关;颈痛时间与颈椎曲度无相关性;在治疗未成年人颈痛时应注意对异常颈椎曲度的纠正。
[Abstract]:Objective: to analyze retrospectively the correlation between cervical pain and cervical curvature in minors. Methods: 179 cases of juvenile neck pain, aged 4-18 years, were enrolled from January to August 2016 in Guangdong Provincial Hospital of traditional Chinese Medicine (97 males and 82 females). The degree of cervical pain was evaluated by VAS scoring method, the cervical curvature was measured by Borden method, and the correlation between cervical pain degree, cervical pain time and cervical curvature was analyzed. Results: in 179 patients with cervical pain, the cervical curvature was varied, including normal curvature, reduction, straightness, reverse arch, upper straight and lower curvature, upper and lower curvature, S shape and enlargement. The percentage of cervical curvature was 23.46 and 21.232.2328.492,8.388.38 and 0.56%, respectively. The VAS score in the reverse arch group was significantly higher than that in the other groups (P0.05). There was a weak negative correlation between cervical pain and cervical curvature (r = 0.243), but no correlation between cervical pain duration and cervical curvature (r = 0.050). Conclusion: most of the patients with minor cervical pain have abnormal changes in cervical curvature, the degree of pain is higher in the patients with reverse curvature, there is a weak negative correlation between the degree of pain and the degree of cervical curvature, and there is no correlation between the time of cervical pain and the degree of cervical curvature. In the treatment of juvenile neck pain, attention should be paid to the correction of abnormal cervical curvature.
【作者单位】：广州中医药大学;广东省中医院;
【基金】：基金资助:中医药健康服务发展专项-青少年脊椎评估与保健技术效果评价(No.2016KT1093)~~
【分类号】：R274.9

【参考文献】