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[1]馬江濤,張銀剛,袁啟令,等.頸性眩暈的發(fā)病機制、診斷和治療研究進展[J].中醫(yī)正骨,2016,28(10):32-37.
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頸性眩暈的發(fā)病機制、診斷和治療研究進展()
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《中醫(yī)正骨》[ISSN:1001-6015/CN:41-1162/R]

卷:
第28卷
期數(shù):
2016年10期
頁碼:
32-37
欄目:
綜述
出版日期:
2016-10-20

文章信息/Info

作者:
馬江濤1張銀剛2袁啟令2武文韜2
1.河南中醫(yī)藥大學第二附屬醫(yī)院,河南 鄭州 450002;
2.西安交通大學第一附屬醫(yī)院,陜西 西安 710061
關鍵詞:
眩暈 椎動脈型頸椎病 交感型頸椎病 頸源性頭痛 椎基底動脈供血不足 綜述
摘要:
頸性眩暈以源于頸椎的眩暈和不平衡為特點,其發(fā)病機制尚不完全清楚,目前主要有6種學說分別從不同角度探討了頸性眩暈的發(fā)病機制,包括本體感受器紊亂學說、交感神經功能刺激學說、椎基底動脈供血不足學說、與偏頭痛及頸源性頭痛相關的頸性眩暈學說、與頸椎失穩(wěn)相關的頸性眩暈學說及體液因子學說。由于頸性眩暈患者的主訴多而客觀體征少,其診斷要在排除其他可能疾病的基礎上,通過進一步的相關體格檢查及影像學檢查來確診。手法、封閉療法、物理療法及藥物療法是臨床常用的治療頸性眩暈的非手術療法; 對于診斷明確,反復發(fā)作,嚴重影響日常生活和工作,且非手術治療無效的患者,目前常采用頸椎前路或后路減壓、椎間植骨融合術,通過進行椎動脈減壓和恢復頸椎的穩(wěn)定性進行治療。繼續(xù)努力探索頸性眩暈的發(fā)病機制,制定診斷和治療的專家共識,是目前的當務之急。

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相似文獻/References:

[1]郎伯旭,王羅丹,羅建昌,等.椎動脈寰樞段因素與頸性眩暈發(fā)病的關系[J].中醫(yī)正骨,2017,29(02):28.

備注/Memo

備注/Memo:
基金項目:國家自然科學基金項目(81371987,81171761)
通訊作者:張銀剛 E-mail:[email protected]
更新日期/Last Update: 2016-10-20