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“骨错缝筋出槽”与颈椎病发病关系的临床研究
Hits: 2663   Download times: 1588   Received:December 12, 2012    
作者Author单位UnitE-Mail
张明才 ZHANG Ming-cai 上海中医药大学附属曙光医院石氏伤科医学中心上海市中医药研究院骨伤科研究所, 上海 200021 Shi's Medical Center of Orthopaedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM. Institute of Traumatology and Orthopaedics, Shanghai Academy of TCM, Shanghai 200021, China  
石印玉 SHI Yin-yu 上海中医药大学附属曙光医院石氏伤科医学中心上海市中医药研究院骨伤科研究所, 上海 200021 Shi's Medical Center of Orthopaedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM. Institute of Traumatology and Orthopaedics, Shanghai Academy of TCM, Shanghai 200021, China  
黄仕荣 HUANG Shi-rong 上海中医药大学附属曙光医院石氏伤科医学中心上海市中医药研究院骨伤科研究所, 上海 200021 Shi's Medical Center of Orthopaedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM. Institute of Traumatology and Orthopaedics, Shanghai Academy of TCM, Shanghai 200021, China  
陈东煜 CHEN Dong-yu 上海中医药大学附属曙光医院石氏伤科医学中心上海市中医药研究院骨伤科研究所, 上海 200021 Shi's Medical Center of Orthopaedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM. Institute of Traumatology and Orthopaedics, Shanghai Academy of TCM, Shanghai 200021, China  
陈博 CHEN Bo 上海中医药大学附属曙光医院石氏伤科医学中心上海市中医药研究院骨伤科研究所, 上海 200021 Shi's Medical Center of Orthopaedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM. Institute of Traumatology and Orthopaedics, Shanghai Academy of TCM, Shanghai 200021, China  
王翔 WANG Xiang 上海中医药大学附属曙光医院石氏伤科医学中心上海市中医药研究院骨伤科研究所, 上海 200021 Shi's Medical Center of Orthopaedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM. Institute of Traumatology and Orthopaedics, Shanghai Academy of TCM, Shanghai 200021, China  
王辉昊 WANG Hui-hao 上海中医药大学附属曙光医院石氏伤科医学中心上海市中医药研究院骨伤科研究所, 上海 200021 Shi's Medical Center of Orthopaedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM. Institute of Traumatology and Orthopaedics, Shanghai Academy of TCM, Shanghai 200021, China  
张开勇 ZHANG Kai-yong 上海中医药大学附属曙光医院石氏伤科医学中心上海市中医药研究院骨伤科研究所, 上海 200021 Shi's Medical Center of Orthopaedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM. Institute of Traumatology and Orthopaedics, Shanghai Academy of TCM, Shanghai 200021, China  
郭凯 GUO Kai 上海中医药大学附属曙光医院石氏伤科医学中心上海市中医药研究院骨伤科研究所, 上海 200021 Shi's Medical Center of Orthopaedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM. Institute of Traumatology and Orthopaedics, Shanghai Academy of TCM, Shanghai 200021, China  
詹红生 ZHAN Hong-sheng 上海中医药大学附属曙光医院石氏伤科医学中心上海市中医药研究院骨伤科研究所, 上海 200021 Shi's Medical Center of Orthopaedics and Traumatology, Shuguang Hospital Affiliated to Shanghai University of TCM. Institute of Traumatology and Orthopaedics, Shanghai Academy of TCM, Shanghai 200021, China zhanhongsheng2010@163.com 
期刊信息:《中国骨伤》2013年26卷,第7期,第557-560页
DOI:10.3969/j.issn.1003-0034.2013.07.007
基金项目:国家自然基金项目(编号:81001528,81073114);国家重点学科建设项目(编号:100508);上海市重点学科建设项目(编号:T0303);上海高校“中医脊柱病损研究”创新团队建设项目(编号:2009-26);上海卫生局中医药科研专项(编号:2010QL012B,2010L027A);上海市卫生局青年科研项目(编号:2010Y131);上海市科委“西部开发”项目(编号:10495801100)


目的: 探讨颈椎“骨错缝筋出槽”与颈椎病临床发病的关系。

方法: 将2006年3月至2011年10月曙光医院骨伤科门诊收治的符合颈椎病诊断标准的333例患者作为颈椎病组纳入研究,男119例,女214例,平均年龄(48.11±12.21)岁;健康受试者组受试者30例(来源于曙光医院研究生及进修生、社区人员),男6例,女24例,平均年龄(45.27±10.12)岁。分别从症状体征、动态触诊、X线评价3方面综合判断两组受试者颈椎“骨错缝筋出槽”的发生率。

结果: 两组的症状体征、动态触诊、影像指标方面差异有统计学意义(P<0.01);颈椎病组有87.99%(293/333)发生颈椎“骨错缝筋出槽”,与健康受试者组比较差异有统计学意义(P<0.01).

结论: 颈椎“骨错缝筋出槽”是颈椎病临床发病的关键病理环节之一,为颈椎病临床防治提供新的研究思路。
[关键词]:颈椎病  骨错缝筋出槽  脊柱  关节不稳定性
 
Study on the correlation between “Gucuofeng and Jinchucao” and cervical spondylosis
Abstract:

Objective: To explore the relation between "Gucuofeng and Jinchucao" and cervical spondylosis.

Methods: From March 2006 to October 2011,333 patients with cervical spondylosis were collected in the study as cervical spondylosis group; 30 subjects of control group come from student of Shuguang Hospital and other health volunteer. There were 119 males and 214 females with a mean age of (48.11±12.21) years in cervical spondylosis group and there were 6 males and 24 females with a mean age of (45.27±10.12) years in control group. In aspect of the symptom and sign,dynamic palpation,X-ray examination wer performed to find the incidence rate of "Gucuofeng and Jinchucao" in two groups.

Results: There was significant difference in symptom and sign,dynamic palpation,X-ray examination between two groups(P<0.01). In cervical spondylosis group,"Gucuofeng and Jinchucao" occurred in 293 cases(87.99%),there was significant difference compared with control group(P<0.01).

Conclusion: Cervical "Gucuofeng and Jinchucao" is one of pathological point of cervical spondylosis,and it can provide a guidance for the diagnosis and treatment of cervical spondylosis.
KEYWORDS:Cervical spondylosis  Gucuofeng and Jinchucao  Spine  Joint instability
 
引用本文,请按以下格式著录参考文献:
中文格式:张明才,石印玉,黄仕荣,陈东煜,陈博,王翔,王辉昊,张开勇,郭凯,詹红生.“骨错缝筋出槽”与颈椎病发病关系的临床研究[J].中国骨伤,2013,26(7):557~560
英文格式:ZHANG Ming-cai,SHI Yin-yu,HUANG Shi-rong,CHEN Dong-yu,CHEN Bo,WANG Xiang,WANG Hui-hao,ZHANG Kai-yong,GUO Kai,ZHAN Hong-sheng.Study on the correlation between “Gucuofeng and Jinchucao” and cervical spondylosis[J].zhongguo gu shang / China J Orthop Trauma ,2013,26(7):557~560
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