摘要
颈性眩晕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阐释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、偏头痛相关颈性眩晕、颈椎失稳相关颈性眩晕、体液因子学说。由于颈性眩晕临床特点是以患者的主诉为主,因此诊断必须在排除其他疾病后结合体格检查与影像学检查方可诊断。在治疗上中医采取辨证论治、专病专方、推拿、牵引、针灸治疗;西医采用保守、封闭、物理、药物、手术治疗。
The pathogenesis of cervical vertigo is not fully clear, at present there are 6 kinds of main theories respectively explained from different angles the pathogenesis of cervical vertigo, including the theory of proprioceptive disorder, sympathetic nerve stimulation theory, theory of vertebral basilar artery blood supply deficiency, migraine cervical vertigo, cervical instability of related theory of cervical vertigo, humoral factors. Due to the clinical features of cervical vertigo, the main complaint is the patient, so the diagnosis must be combined with physical examination and imaging examination after other diseases are excluded. In the treatment of TCM syndrome differentiation, special prescription, massage, traction, acupuncture treatment;Western medicine adopts conservative, closed, physical, medicine, surgical treatment.
作者
周峻
熊振成
李文浩
董春科
谭明生
ZHOU Jun;XIONG Zhen-cheng;LI Wen-hao;DONG Chun-ke;TAN Ming-sheng(China-Japan Friendship Hospital,Beijing 100029,China;Beijing University of Chinese Medicine,Beijing 100029,China)
出处
《时珍国医国药》
CAS
CSCD
北大核心
2019年第4期951-954,共4页
Lishizhen Medicine and Materia Medica Research
基金
国家自然科学基金(81173423
81873141)
北京市科技计划首都临床特色应用研究项目(Z16110000516009)
关键词
颈性眩晕
发病机制
诊断
治疗
Cervical vertigo
Pathogenesis
Diagnose
Treatment
