中英文的颈椎病ppt课件

,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,*,单击此处编辑母版标题样式,单击此处编辑母版文本样式,第二级,第三级,第四级,第五级,*,Category and treatment of,Cervical Spondylosis,颈椎病的分型与治疗,Definition,颈椎病的定义,Cervical spondylosis,.It is due to cervical disc degeneration,neck injury or,mechanics,dysequilibrium,caused by long-term,muscular strain.It also because constrict or irritate,cervical nerve root,spinal cord,vertebral artery or sympathetic nerve.These causes will lead neck,shoulder,back and arm pain and numbness,even lead paralysis and so:a series of clinical symptoms.,颈椎病又称颈椎综合症，是由于颈椎间盘退行性改变，颈部损伤或长期劳损造成颈脊柱内外力平衡失调，压迫或刺激颈神经根、脊髓、椎动脉或交感神经，引起颈部及肩背手臂的麻木疼痛，甚至瘫痪等一系列临床症状的综合病症。,This disease is more common in the elderly.Their cervical disc degeneration,cervical osteoarthritis and other,pathological changes,leading to constrict and irritate cervical nerve root,spinal cord or vertebral artery,then,Cervical spondylosis appears.,本病多见于中老年人，由于颈椎间盘发生退行性改变、颈椎骨质增生等病变，导致颈部神经根、脊髓或椎动脉受到压迫或刺激，出现本病。,Diagnosis and,Category,诊断与分型,Cervical spondylosis,classify,four categories:,1.C,ervical spondylotic radiculopathy,2.C,ervical spondylotic myelopathy,3.,Vertebral artery type of cervical spondylosis,4.Sympathetic cervical spondylosis,Because,different places of,cervical disc herniation,constriction cause different types clinical symptoms.,颈椎病由于颈椎间盘突出，压迫的部位不同而造成不同的临床症状，以此分为神经根型、脊髓型、椎动脉型和交感型颈椎病。,Massage Treatment,推拿治疗,Relieve neck muscle spasm,adjust cervical segmental unusual angular displacement,reduce disc burden;release nerves and vascular mechanical constriction and irritation.Acupoints:,occiput posterior,neck,scapular region,chest and back,Fengchi(GB20),Cervical Jiaji(EX-B2),Jianjing(GB21),，,Tianzhong(SL11),c,ashi point etc,Approach:O,ne finger Zen pushing,pressure,manipulation,traction manipulation,pushing,manipulation,grasping manipulation,cervical,pulling manipulation,.,治则,:,缓解颈肌痉挛，调整颈椎节段异常位移或成角，降低椎间盘负荷；减少，消除神经、血管机械性压迫和刺激。,取穴,:,枕后部、颈项部、肩胛部、胸背部，风池、颈夹脊、肩井、天宗、阿是穴等。,手法,:,一指禅推法、按压法、拔伸法、推法、拿法、颈椎扳法等。,1.cervicalspondylotic radiculopathy,神经根型颈椎病,Symptom:,neck unilateral pain,presents electric shock-like,radiat,ing,from,nect root to the shoulder,to upper arm and forearm and finger,with numbness feelling.,Arm feeling of heaviness,numbness,hold things easy to fall.Patients,neck without pain feeling.,Limited mobility and stiffness in the neck;,cervical vertebrae,transverse process,anterior,with radioactive tenderness,and scapula,interior,tenderness.,此型多表现为颈部单侧疼痛、可呈电击样，由颈根部向,肩、上臂、前臂和手指,放射，且有麻木感。,上肢沉重，酸软无力，持物易坠落。患者颈部可无疼痛感。,颈部活动受限、僵硬，颈椎横突前侧有放射性压痛，肩胛骨内侧压痛。,Brachial plexus traction test positive,or holes among,cervical vertebras,extrusion test positive.,Medicalimageology,test:X-ray shows:cervical vertebraes and uncovertebral jointhyperplasia,disc space narrow,reduce cervical lordosis,disappear,or anti-bow,体格检查的表现：臂丛神经牵拉试验阳性，颈椎间孔挤压或叩顶试验阳性。,影像学检查：,X,线示：颈椎椎体及钩椎关节增生，椎间隙变窄，,颈椎生理曲度减小,、消失或反弓。,Massage Treatment,推拿治疗,Treatment:rely mainly on,relieving,nerve root constriction,and,circle,massage with gentle approach along the radioactive nerve pain place to ease the pain.,Approach:Keep a patient seated,relax the neck muscles.Doctor,s two hands press patient,s forehead and mastoid,posterior border,upward strain patient,s,head and neck for a while,then cervical stretch and flexion slowly 5-10 times.,治疗：以神经根减压为主，以轻柔手法沿放射性神经疼痛部位循经推拿，缓解疼痛。,手法：患者坐于凳上，颈部肌肉放松。术者立于其背后，两手分别抵住患者额部及乳突后缘，两手协调将患者头颈上提片刻，再缓慢屈伸颈部,5-10,次。,2.cervical spondylotic myelopathy,脊髓型颈椎病,Patients show slowly progressive lower extremity numbness,chills,pain,。,Unsteady gait,weakness,trip over easily,unable to over obstacles,patient may feel,“,feet step on cotton,”,患者多表现为缓慢进行性双下肢麻木、发冷、疼痛。,走路欠稳、无力、易绊倒，不能跨越障碍物，诉,“,脚踩棉花,”,感。,Physical examination,：,muscle,tension,increases.tendon hyperreflexia,pyramidal tract signs positive,Medicalimageology,test,：,X-ray results similar with that of the nerve root type cervical spondylosis.CT shows cervical disc degeneration.,MRI examination shows constrictive segment spinal cord has signal changes,its wave-like pressure trace.,体格检查：肌张力增高，腱反射亢进，锥体束征阳性。,影像学检查：,X,线结果类似于神经根型颈椎病。,CT,可见颈椎间盘变性。,MRI,检查显示受压节段脊髓有信号改变，,脊髓受压呈波浪样压迹,。,Massage treatment,推拿治疗,Treatment,：,main purpose is to relieve spinal constriction,Note:,treatment only to relieve neck muscle tension,be careful to use heavy,manipulation,such as,pulling manipulation,pulling out method,etc.,治疗：以脊髓减压为主要治疗目的。,注意，治疗时以单纯缓解颈部肌肉紧张痉挛为主，慎用重手法，如扳法、拔伸等。,3.Vertebral arterial insufficiency of cervical spondylosis,椎动脉型颈椎病,Patients shows a unilateral occipital nuchal or neck and shoulder,paroxysmal,pain,vertigo,and vision week,tinnitus,etc.,Positional vertigo,that is when the head move to a position,inducing vertigo,or easy to suddenly fall.,患者多表现出单侧枕项部或颈肩部发作性疼痛，伴眩晕及视力减弱、耳鸣等。,体位性眩晕，即常因头部活动到某一位置时诱发眩晕，易猝然摔倒。,THANK YOU,SUCCESS,2024/10/23,13,可编辑,Medicalimageology,test,：,detection of vertebral artery blood flow and carotid artery angiography can indicate whether the blood pressure,tortuous,thinning or block.X-ray can show vertebrae unstable and,l,uschka,joint,side,hyperplasia,影像