[1]马江涛,张银刚,袁启令,等.颈性眩晕的发病机制、诊断和治疗研究进展[J].中医正骨,2016,28(10):32-37.
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颈性眩晕的发病机制、诊断和治疗研究进展()
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《中医正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期数:
2016年10期
页码:
32-37
栏目:
综述
出版日期:
2016-10-20

文章信息/Info

作者:
马江涛1张银刚2袁启令2武文韬2
1.河南中医药大学第二附属医院,河南 郑州 450002;
2.西安交通大学第一附属医院,陕西 西安 710061
关键词:
眩晕 椎动脉型颈椎病 交感型颈椎病 颈源性头痛 椎基底动脉供血不足 综述
摘要:
颈性眩晕以源于颈椎的眩晕和不平衡为特点,其发病机制尚不完全清楚,目前主要有6种学说分别从不同角度探讨了颈性眩晕的发病机制,包括本体感受器紊乱学说、交感神经功能刺激学说、椎基底动脉供血不足学说、与偏头痛及颈源性头痛相关的颈性眩晕学说、与颈椎失稳相关的颈性眩晕学说及体液因子学说。由于颈性眩晕患者的主诉多而客观体征少,其诊断要在排除其他可能疾病的基础上,通过进一步的相关体格检查及影像学检查来确诊。手法、封闭疗法、物理疗法及药物疗法是临床常用的治疗颈性眩晕的非手术疗法; 对于诊断明确,反复发作,严重影响日常生活和工作,且非手术治疗无效的患者,目前常采用颈椎前路或后路减压、椎间植骨融合术,通过进行椎动脉减压和恢复颈椎的稳定性进行治疗。继续努力探索颈性眩晕的发病机制,制定诊断和治疗的专家共识,是目前的当务之急。

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相似文献/References:

[1]郎伯旭,王罗丹,罗建昌,等.椎动脉寰枢段因素与颈性眩晕发病的关系[J].中医正骨,2017,29(02):28.

备注/Memo

备注/Memo:
基金项目:国家自然科学基金项目(81371987,81171761)
通讯作者:张银刚 E-mail:zyingang@mail.xjtu.edu.cn
更新日期/Last Update: 2016-10-20