颈部疼痛程度与颈椎曲度相关性的临床观察

Association between neck pain and cervical spine curve

中文关键词:  颈部疼痛  颈椎曲度  颈椎角  数字分级法评分  相关性

英文关键词:Neck pain  Cervical curve  Cervical sagittal angle  Numeric rating scales scores  Correlation

中文摘要:

  【摘要】 目的：探讨颈部疼痛程度与颈椎曲度的相关性。方法：2009年6月～2011年4月在我院颈椎专家门诊就诊的颈部疼痛患者121例，男性56例，女性65例，年龄17～79岁，平均51.2±17.7岁。对所有患者的颈痛程度进行数字分级法（numeric rating scales，NRS）评分，根据中立位颈椎X线侧位片的颈椎曲度（颈椎角）分为4组，即前凸组、曲度变直组、反屈组和S型组，比较各组之间颈痛程度，并对颈痛程度与颈椎曲度进行相关性分析。结果：121患者中颈椎前凸37例，曲度变直26例，反屈31例，S型27例，其NRS评分分别为4.81±1.90分，5.63±3.64分，5.15±2.47分，6.81±4.65分，颈椎曲度变直组和曲度S型组患者的颈痛程度NRS评分与颈椎前凸组相比差异有显著性（P<0.05），其余各组间两两比较差异无显著性（P>0.05）。患者颈痛程度与颈椎角成弱负相关（r=－0.218，P=0.039）。结论：颈部疼痛程度与颈椎曲度有关，颈痛程度与颈椎角成弱负相关，在治疗颈椎疾患时应注意对颈椎曲度的矫正。

英文摘要:

  【Abstract】　Objective：To investigate the association between neck pain and cervical spine curve.Method：121 patients（56 males and 65 females） with neck pain in our out-patients from June 2009 to April 2011 were reviewed retrospectively.All patients had an average age of 51.2±17.7 years（range，17 to 79 years），and all cases were evaluated by Numeric rating scales（NRS） scores and grouped according to cervical curve under X-rays（lordosis，straight，kyphosis and "S" shape group）.The severity of neck pain was recorded，and its relationship with cervical curve type was analyzed.Result：Of 121 cases，37，26，31 and 27 cases were in lordosis，straight，kyphosis and "S" shape group respectively.The NRS scores were 4.81±1.90，5.63±3.64，5.15±2.47 and 6.81±4.65 for 4 groups respectively.Compared with lordosis group，patients in straight and "S" shape group had more severe neck pain（P<0.05），while other groups showed no intergroup difference（P＞0.05）.The severity of neck pain showed weak negative correlation with the cervical curve（r=－0.218，P=0.039）.Conclusion：The severity of neck pain associates with cervical spine curve，so recovery of cervical spine curve is critical in managing cervical spine disorders.