颈椎病血流动力学特点和转归的对比分析

Comparative Analysis of Hemodynamic Characteristics and Prognosis of Cervical Spondylosis

目的:探讨青年型和老年型颈椎病患者的血流动力学特点和疗效转归。方法:188例颈椎病患者按年龄分为青年组90例,老年组98例,两组患者采用综合治疗措施(药物治疗和物理治疗),治疗前后采用彩色多普勒超声检测椎动脉。比较患者症状、体征、血流动力学指标。结果:经治疗后双侧椎动脉,青年组PSV、EDV、FV、RI、PI比治疗前均明显改善(P<0.01),老年组PSV、FV比治疗前均明显改善(P<0.01),EDV、RI、PI比治疗前均改善(P<0.05)。治疗前后老年组FV、RI与青年组比较均有明显差异(P<0.01)。结论:用彩色多普勒进行血流动力学检测椎动脉可作为颈椎病诊断和疗效评价的重要依据。

[ABSTRACT]Objective:To investigate the hemodynamic characteristics and therapeutic outcomes of young and elderly patients with cervical spondylosis. Methods: 188 cases of cervical spondylosis by age divided 90 cases of youth group, elderly group (98 cases), two groups of patients with comprehensive treatment (drug therapy and physical therapy), before and after the treatment by color Doppler ultrasound in the diagnosis of vertebral artery. Compare the symptoms, signs, hemodynamic indexes of the patients. Results: After treatment of bilateral vertebral artery, youth group, the PSV, EDV, FV, RI, PI than before treatment were significantly improved (P<0.01), PSV in aged group, FV than before treatment were significantly improved (P<0.01), EDV and RI, PI than before treatment were improved (P<0.05). Before and after treatment, there were significant differences in FV, RI and youth groups (P<0.01). Conclusion:Color Doppler flow measurement of vertebral artery can be used as an important basis for diagnosis and treatment of cervical spondylosis.