CAJ | 학술논문

目的：研究交感神经症状在寰枢关节紊乱及非寰枢关节紊乱中的分布特点，以指导临床诊疗。方法将256例患者分为寰枢关节紊乱和非寰枢关节紊乱2组，再根据交感神经症状评分法所得的分数分为阳性和阴性2类，最后所得数据进行统计学分析。结果256例患者诊断为寰枢关节紊乱52例，其中交感神经症状阳性51例，阳性率为98．08％；非寰枢关节紊乱204例，交感神经症状阳性24例，阳性率为11．76％。寰枢关节紊乱患者中交感神经症状的阳性率高于非寰枢关节紊乱患者交感神经症状的阳性率，差异有统计学意义（P＜0．05）。寰枢关节紊乱伴交感神经症状阳性患者评分3～17（8．64±4．28）分；非寰枢关节紊乱伴交感神经症状阳性患者评分为5～12（4．64±4．28）分。寰枢关节紊乱伴交感神经症状阳性患者症状以头晕、头痛及记忆力下降3种为最高发；非寰枢关节紊乱伴交感神经症状阳性患者症状以头晕、头痛、心慌3种症状最高发。2组伴交感神经症状阳性率比较差异有统计学意义（P＜0．01）。结论交感神经症状在是否伴有寰枢关节紊乱的颈椎病中的分布各自有其临床特点，在临床诊疗中需加以区别。
목적：연구교감신경증상재환추관절문란급비환추관절문란중적분포특점，이지도림상진료。방법장256례환자분위환추관절문란화비환추관절문란2조，재근거교감신경증상평분법소득적분수분위양성화음성2류，최후소득수거진행통계학분석。결과256례환자진단위환추관절문란52례，기중교감신경증상양성51례，양성솔위98．08％；비환추관절문란204례，교감신경증상양성24례，양성솔위11．76％。환추관절문란환자중교감신경증상적양성솔고우비환추관절문란환자교감신경증상적양성솔，차이유통계학의의（P＜0．05）。환추관절문란반교감신경증상양성환자평분3～17（8．64±4．28）분；비환추관절문란반교감신경증상양성환자평분위5～12（4．64±4．28）분。환추관절문란반교감신경증상양성환자증상이두훈、두통급기억력하강3충위최고발；비환추관절문란반교감신경증상양성환자증상이두훈、두통、심황3충증상최고발。2조반교감신경증상양성솔비교차이유통계학의의（P＜0．01）。결론교감신경증상재시부반유환추관절문란적경추병중적분포각자유기림상특점，재림상진료중수가이구별。
Objective Retrospectively study the distribution of the sympathetic symptoms of atlantoaxial joint disor-ders and non atlantoaxial joint disorder , to explore the clinical distribution characteristics and to guide clinical diagnosis and treatment.Methods 256 cases of patients were divided into atlanto-axial joint disorder and non atlanto-axial joint disorder in the two groups .According to the sympathetic nerve symptom scoring divided into masculine and feminine two categories .Finally the data were statistically analyzed.Results Among 256 cases of patients,52 cases of atlantoaxial joint disorders,including the symptoms of sympathetic positive in 51 cases,the positive rate was 98.08%;non atlantoaxial disorder 204 cases,the symp-toms of sympathetic positive in 24 cases,the positive rate 11.76%.The positive rate of sympathetic symptoms of atlantoaxial disorder patients was higher than non atlantoaxial sympathetic disorder symptoms , the difference was statistically significant (P<0.05).Atlantoaxial disorders with sympathetic symptom positive patients scores was 3~7(8.64 ±4.28) points.Non-at-lantoaxial disorders with sympathetic symptom positive patients score was 5 ~12(4.64 ±4.28) points.Dizziness,headaches and memory loss three kinds of symptoms were the highest of atlantoaxial disorders with sympathetic symptom positive patients . Dizziness,headache,palpitation were three kinds of maximum symptoms of non-atlantoaxial disorders with sympathetic symptom positive patients,there were significant statistical differences of two groups (P<0.01).Conclusion Sympathetic nerve symp-toms in whether accompanied by atlanto-axial joint disorder distribution respectively has its clinical characteristics of cervical spondylosis ,take a difference in the clinical diagnosis and treatment .