| 颈椎病患者寰枢关节骨错缝的临床诊治价值的研究 |
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Received:June 07, 2016
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| 作者 | Author | 单位 | Unit | E-Mail |
| 张明才 |
ZHANG Ming-cai |
上海中医药大学附属曙光医院骨伤科研究所, 上海 201203 |
Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China |
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| 石印玉 |
SHI Yin-yu |
上海中医药大学附属曙光医院骨伤科研究所, 上海 201203 |
Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China |
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| 陈东煜 |
CHEN Dong-yu |
上海中医药大学附属曙光医院骨伤科研究所, 上海 201203 |
Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China |
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| 黄仕荣 |
HUANG Shi-rong |
上海中医药大学附属曙光医院骨伤科研究所, 上海 201203 |
Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China |
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| 王翔 |
WANG Xiang |
上海中医药大学附属曙光医院骨伤科研究所, 上海 201203 |
Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China |
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| 元唯安 |
YUAN Wei-an |
上海中医药大学附属曙光医院骨伤科研究所, 上海 201203 |
Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China |
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| 陈博 |
CHEN Bo |
上海中医药大学附属曙光医院骨伤科研究所, 上海 201203 |
Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China |
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| 王辉昊 |
WANG Hui-hao |
上海中医药大学附属曙光医院骨伤科研究所, 上海 201203 |
Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China |
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| 詹红生 |
ZHAN Hong-sheng |
上海中医药大学附属曙光医院骨伤科研究所, 上海 201203 |
Shuguang Hospital Affiliated to Shanghai University of Traditional Chinese Medicine, Shanghai 201203, China |
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| 期刊信息：《中国骨伤》2016年29卷，第10期，第898-902页 |
| DOI：10.3969/j.issn.1003-0034.2016.10.006 |
| 基金项目:国家自然基金项目（编号：81473702，81001528）；上海市科委重点项目（编号：14401970402） |
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目的：探讨寰枢关节骨错缝对颈椎病发病的作用，为临床中医手法诊治颈椎病提供思路。
方法：研究设颈椎病和无颈椎病两组，其中颈椎病组（来源于2006年3月至2008年12月曙光医院骨伤科门诊）患者333例，男119例，女214例，平均年龄（48.11±12.21）岁；无颈椎病组受试者73例（来源于上海中医药大学在校大学生、曙光医院研究生和进修生及部分社区人员），男18例，女55例，平均年龄（45.99±11.47）岁。对两组受试者的颈椎开口位X线片进行寰枢关节位置关系观测，比较两组中寰枢关节骨错缝的发生率的差异性，并对两组寰枢关节骨错缝的临床特点进行分析比较。
结果：与无颈椎病组相比，颈椎病组患者寰枢关节骨错缝的发生率高达81.38%（271/333），二者之间差异具有统计学意义（P=0.000<0.01）；且颈椎病组寰枢关节骨错缝的分型较复杂和多样化，其中单纯平移错缝占50.55%（137/271），单纯旋转错缝占7.01%（19/271），平移合并旋转错缝占42.44%（115/271）。
结论：寰枢关节骨错缝是各型颈椎病常见X线征象，且寰枢关节骨错缝形式较复杂和多样化，临床应重视寰枢关节骨错缝分型的研究，并按照不同临床分型，对寰枢关节进行定性、定点、定向手法矫正，将对颈椎病的临床防治具有重要指导意义。 |
| [关键词]:颈椎病 寰枢关节 骨错缝 手法 |
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| Study on the clinical value of cervical spondylosis with articulatio atlantoepistrophica sublaxation |
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Abstract:
Objective:To explore the effect of articulatio atlantoepistrophica sublaxation on the pathogenesis of cervical spondylosis,and provide a thread for diagnosis and treatment of cervical spondylosis with manipulation.
Methods:There were two groups in the study,which were non-cervical spondylosis group and cervical spondylosis group. There were 333 patients in cervical spondylosis group,included 119 males and 214 females with the mean age of(48.11±12.21) years old. The patients were recruited from clinic service of orthopaedics in Shuguang Hospital between March 2006 and December 2008. There were 73 subjects in non-cervical spondylosis group,included 18 males and 55 females with the mean of(45.99±11.47) years old. The subjects were recruited from undergraduate students,postgraduate,advanced study persons,and community personnel. The position relation of the atlanto-axial joint was observed by cervical X-rays with opening position,and the incidence rate of articulatio atlantoepistrophica sublaxation was compared between two groups,and their clinical characteristics were analyzed.
Results:The incidence of articulatio atlantoepistrophica sublaxation in cervical spondylosis group was 81.38%(271/333)and was more than non-cervical spondylosis group(P<0.01). Furthermore,the pattern of the articulatio atlantoepistrophica sublaxation in cervical spondylosis group was complicated and diversified,which was 50.55% (137/271)with single moving sublaxation,7.01%(19/271) with revolving sublaxation,42.44%(115/271) with single moving and revolving sublaxation.
Conclusion:The articulatio atlantoepistrophica sublaxation may be a X-ray diagnostic indication to the cervical spondylosis,which should be grouping-studied in clinic. It will provide guidance for the diagnosis and treatment of cervical spondylosis. |
| KEYWORDS:Cervical spondylosis Articulatio Atlantoepistrophica Sublaxation Manipulation |
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| 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,陈东煜,黄仕荣,王翔,元唯安,陈博,王辉昊,詹红生.颈椎病患者寰枢关节骨错缝的临床诊治价值的研究[J].中国骨伤,2016,29(10):898~902 |
| 英文格式: | ZHANG Ming-cai,SHI Yin-yu,CHEN Dong-yu,HUANG Shi-rong,WANG Xiang,YUAN Wei-an,CHEN Bo,WANG Hui-hao,ZHAN Hong-sheng.Study on the clinical value of cervical spondylosis with articulatio atlantoepistrophica sublaxation[J].zhongguo gu shang / China J Orthop Trauma ,2016,29(10):898~902 |
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