作　　者： (何剑波）; (苏国义）; (林定坤）;

机构地区： 广州中医药大学

出　　处： 《中华中医药杂志》 2017年第8期3812-3815,共4页

摘　　要： 目的:回顾性分析未成年人颈痛与颈椎曲度的相关性。方法:纳入自2016年1月至8月在广东省中医院就诊的未成年人颈痛患者179例,年龄4-18岁,其中男97例,女82例。采用VAS评分法评估颈痛程度;采用Borden法测量颈椎曲度;对颈痛程度、颈痛时间与颈椎曲度进行相关性分析。结果:179例颈痛患者中颈椎曲度形态多样,包括曲度正常、减小、变直、反弓、上直下曲、上曲下直、S形以及增大,所占比例分别为23.46%、21.23%、28.49%、14.52%、8.38%、1.12%、2.23%和0.56%。反弓组的VAS评分明显高于其他组(P<0.05)。颈痛程度与颈椎曲度呈弱负相关(r=-0.243);颈痛时间与颈椎曲度不相关(r=-0.050)。结论:未成年人颈痛患者中颈椎曲度大多会有异常改变;曲度反弓者的疼痛程度偏高;疼痛程度与颈椎曲度间呈弱负相关;颈痛时间与颈椎曲度无相关性;在治疗未成年人颈痛时应注意对异常颈椎曲度的纠正。 Objective: To retrospectively analyze the correlation of neck pain with cervical curvature in juveniles.Methods: A total of 179 cases of juveniles with neck pain who were included into Guangdong Provincial Hospital of Chinese Medicine from January, 2016 to August, 2016, were collected into this study, among which there were 97 males and 82 females aged between 4 to 18 years old. The neck pain degree was measured by visual analogue scale(VAS). The cervical curvature degree was determined by Borden method. Then, the correlation of neck pain degree with cervical curvature degree as well as the neck pain duration with cervical curvature degree was analyzed. Results: The results of cervical curvature of 179 cases of juveniles with neck pain showed variety, including normal, decrease, straight, bow, up straight down bow, upbowdown straight, S and increase, the proportion of which were respective 23.46%, 21.23%, 28.49%, 14.52%, 8.38%, 1.12%, 2.23% and 0.56%. The results of VAS score showed that the bow group was higher than the other groups, and there was statistical difference(P<0.05). The correlation of neck pain degree with cervical curvature degree showed a weak negative correlation(r=-0.243). And, there was no correlation between neck pain duration and cervical curvature degree(r=-0.050). Conclusion: The risk of abnormal cervical curvature is increasing as the neck pain attacked the juveniles. The neck pain degree shows the highest when the cervical curvature is bow. The neck pain degree is slightly and negatively correlated with cervical curve. There is no correlation between pain duration and cervical curvature. Much attention and treatment should be paid to the abnormal cervical curvature in juveniles with neck pain.

关 键 词： 未成年人颈痛 颈椎曲度 疼痛视觉模拟评分 疼痛时间 相关性