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中文摘要：
目的：探讨青少年颈痛的病理机制,观察旋转托扳手法治疗青少年颈痛患者恢复情况和临床结果。方法：回顾性分析2005年3月～2009年2月门诊收治的9～25岁93例颈痛患者的临床资料,治疗采用根据孙树椿颈椎病治疗手法整理的旋转托扳手法,每周治疗3次,治疗周期为2周。嘱患者练习颈部屈伸旋转功能锻炼。结果：根据《中医病证诊断疗效标准》颈椎病的疗效标准,治疗结果：治愈51（54.84%）、好转40（43.01%）、未愈2（2.15%）。X线复查椎体旋转9例、侧弯2例;齿状突偏歪2例;颈椎曲度变直、反张5例;前屈不稳4例、后伸不稳3例。结论：学龄青少年颈痛是一种颈部力学系统平衡失调的病理状态,病理变化是可逆的,与颈椎病退行性病变的性质有本质的不同。因此,应称之为青少年颈椎失稳综合征。通过中医旋转托扳手法治疗,配合颈部功能锻炼,对本病有良好疗效。
英文摘要：
Objective：To explore the pathological mechanism of adolescent cervicodynia,and to observe the curative effect of rotating-holding-pulling manipulation in treating the disease.Methods：From March 2005 to February 2009,ninety-three patients from 9 to 25 years with cervicodynia were retrospectively reviewed.Based on Sun Shuchun＇s treatment for cervical spondylosis,the subjects were treated with rotating-holding-pulling manipulation three times a week for 2 weeks.Meanwhile,neck flexion and rotation exercises were requested.Results：According to Criteria of diagnosis and therapeutic effect of diseases and syndromes in traditional Chinese medicine of cervical spondylosis,51 patients were cured（54.84%）,40 were improved（43.01%）,and 2 uncured（2.15%）.X-ray reexamination results showed that there was vertebral rotation in 9 cases,lateral bending in 2 cases,odontoid process tilting in 2 cases,cervical curvature straightened or with abnormal curvature in 5 cases,antexion instability in 4 cases,and extension instability in 3 cases.Conclusion：The pathology of cervicodynia in adolescents is the imbalance of mechanical system in cervical vertebrae,and the process is reversible,which is substantially different from the cervical degenerative disease.Therefore,we strongly suggest that it be called the juvenile cervical spine instability syndrome.Through the treatment of the rotating-holding-pulling manipulation of traditional Chinese medicine along with the neck functional exercise,the effect is excellent.
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