颈椎生理曲度异常对颈源性头痛发病的影响

Influence of abnormal physiological curvature of cervical vertebrae on the incidence of cervicogenic headache

目的探讨颈椎生理曲度异常在颈源性头痛发病中的作用。方法选择2016年3～12月承德医学院附属医院颈源性头痛患者60例和无颈源性头痛患者60例,分别为观察组和对照组。两组均行颈椎侧位的X线摄片,观察两组颈椎曲度的异常情况,并对两组颈椎生理曲度异常发生率差异进行分析;将观察组颈椎曲度情况进行分型,行疼痛视觉模拟评分(VAS),并统计分析。结果观察组颈椎曲度异常发生率明显高于对照组、颈曲值低于对照组(P <0.05),观察组颈椎曲度异常患者VAS评分明显高于正常者(P <0.05),且随着颈椎曲度变小,VAS评分增高。结论颈椎曲度越小,颈源性头痛程度越重,生理曲度异常可能是颈源性头痛发病的一个重要因素。

Objective To explore the influence of abnormal physiological curvature of cervical vertebrae on the incidence of cervicogenic headache. Methods A total of 60 patients with cervicogenic headache and 60 patients without neck headache admitted to the Affiliated Hospital of Chengde Medical College were selected from March to December 2016. The patients were divided into two groups, observation group and control group, respectively. Two groups of were performed X-ray film on the side of the cervical spine. The abnormal situation of cervical curvature in the two groups was observed, and the difference of the incidence of abnormal curvature of the cervical spine between the two groups was analyzed. The cervical curvature of the observation group was typed. The visual analogue scale (VAS) of pain in the observation group was analyzed statistically. Results The incidence of abnormal cervical curvature in the observation group was significantly higher than that in the control group and cervical curvature index was lower than that in the control group (P < 0.05). In the observation group, the VAS scores of the abnormal physiological curvature of cervical vertebrae patients were significantly higher than those of the normal cervical curvature patients (P < 0.05). As the cervical curvature becomes smaller, the VAS scores were higher. Conclusion The smaller the cervical physiological curvature, the heavier the cervicogenic headache. Abnormal physiological curvature may be an important factor in the pathogenesis of cervicogenic headache.