飞行人员颈部酸痛与颈椎不稳关系的临床研究

Clinical study on relationship between neck pain and cervical instability in pilots

目的研究飞行人员常见临床症状颈部酸痛与颈椎不稳的关系,以及这种关系对预防和治疗颈部酸痛的意义。方法回顾性分析56例飞行人员颈部酸痛的动态X线表现,观察颈椎不稳情况,并与同期56例无颈部异常感觉的飞行人员比较。结果颈部酸痛患者中,10例存在节段性颈椎不稳(18%);对照组2例存在节段性颈椎不稳(4%);两组间差异显著(P<0.01)。结论颈部酸痛患者颈椎存在失稳倾向,颈椎失稳可能在颈部酸痛的发生发展过程中起重要作用。

Objective To investigate the relationship between the neck pain of pilot common syndromes and the cervical insta- bility and discuss its significance in protecting and curing neck pain. Methods The dynamic radiographs of 56 pilots with neck pain were reviewed retrospectively. Factors of cervical instability were analyzed. 56 pilots without neck pain were analyzed as control. Results In the group of pilots with neck pain, cervical instability was found in 10 cases （18%）. In the control group, cervical instability was found in 2 cases （4%）; the difference was statistically significant between the two groups. Conclusion Cervical vertebra has the tendency of instability in patients with neck pain. Cervical instability may play an important role in progression of neck pain.