CAJ | 학술논문

目的探讨轻、中型颅脑外伤患者颈性眩晕的发生情况及其机制.方法全部患者早期分别行颈椎X线和TCD检查.部分患者行计算机断层螺旋扫描(SET)检查.结果先行单因素分析,然后对单因素分析有意义的自变量进行多因素非条件Logistic回归分析,了解检查异常的自变量与发生颈性眩晕的关系.结果 312例轻、中型颅脑外伤患者中并发颈性眩晕84例.单因素分析颈椎X线异常、SCT异常、TCD巾度以上异常组颈性眩晕发生率差异有统计学意义.通过回归分析发现,SCT表现异常及TCD中度以上异常是颈性眩晕发生的独立危险因素,发现单项异常者有可能并发颈性眩晕,若二者以上同时异常,就应高度重视可能并发颈性眩晕.结论颈椎SCT异常和TCD中度以上异常的轻、中型颅脑外伤患者极有可能并发颈性眩晕.颈椎SCT和TCD检查可预测是否发生颈性眩晕.
목적 탐토경、중형로뇌외상환자경성현훈적발생정황급기궤제.방법 전부환자조기분별행경추X선화TCD검사.부분환자행계산궤단층라선소묘(SET)검사.결과선행단인소분석,연후대단인소분석유의의적자변량진행다인소비조건Logistic회귀분석,료해검사이상적자변량여발생경성현훈적관계.결과 312례경、중형로뇌외상환자중병발경성현훈84례.단인소분석경추X선이상、SCT이상、TCD건도이상이상조경성현훈발생솔차이유통계학의의.통과회귀분석발현,SCT표현이상급TCD중도이상이상시경성현훈발생적독립위험인소,발현단항이상자유가능병발경성현훈,약이자이상동시이상,취응고도중시가능병발경성현훈.결론 경추SCT이상화TCD중도이상이상적경、중형로뇌외상환자겁유가능병발경성현훈.경추SCT화TCD검사가예측시부발생경성현훈.
Objective To investigate the occurrence of cervical vertigo in patients with mild or moderate head injury and the related mechanism. Methods 312 cases suffering from mild or moderate head injury were examined by cervical spine X-ray and transcranial Doppler (TCD), or spinal computed tomography (SCT) in some. The examination results were analyzed by single factor analysis first, then the independent variables which had statistical meaning were analyzed by unconditional multivariate Logistic regression analysis to find out the relationship between abnormity of their results and cervical vertigo. Results By single factor analysis, the abnormity of cervical spine X-ray, SCT and over moderate abnormity of TCD had statistical significance with cervical vertigo. Logistic regression analysis indicated that the abnormity of SCT and over moderate abnormity of TCD had statistical significance with cervical vertigo. Cervical vertigo may be occurred when one of the two examination results were abnormaL, and it must be attached importance to when both examination results were abnormal. Conclusion The patients suffering from mild and moderate head injury accompanied with cervical spine SCT abnorrnity, or over moderate abnormity of TCD indicating insufficient blood in the vertebrae-base arteries may greatly have cervical vertigo. SCT and TCD may forecast whether cervical vertigo occurs in the patients with mild or moderate head injury.