《中国康复理论与实践》

《中国康复理论与实践》 ›› 2003, Vol. 9 ›› Issue (09): 553-557.

• 骨科康复 • 上一篇    下一篇

颈椎推拿与脑卒中危险

陈丽贤; 王廷臣; 谢琪; 段俊峰   

  1. 广州军区广州总医院康复理疗科 广东广州市 510010
  • 收稿日期:2002-12-06 出版日期:2003-09-25 发布日期:2003-09-25

Cerebrovascular accidents associated with cervical vertebra manipulation therapy

CHEN Li-xian, WANG Ting-chen, XIE Qi, et al   

  1. Department of Rehabilitation Medicine, Guangzhou General Hospital of PLA,Guangzhou 510010, Guangdong,China
  • Received:2002-12-06 Published:2003-09-25 Online:2003-09-25

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摘要： 目的探讨与颈椎推拿相关脑卒中患者的起病特点、潜在的危险因素、并发症特点和神经性后遗症。方法 3位研究者采用相同的资料提取方法对以往64例关于颈椎推拿后脑卒中报道进行独立的回顾研究。采取描述性统计方法描述患者和并发症的特点,由连续性变量计算得出均值和标准差,采用频率和比率设计进行明确的推理。结果可能的危险因素包括:年龄、性别、偏头痛、高血压、糖尿病、避孕药、颈椎关节强直和吸烟。难以提供确凿依据帮助临床医师通过患者的病史和体检发现该患者在颈椎推拿后脑缺血的危险因素并减少意外的发生。结论推拿后脑卒中的发生具有不可预测性,可以被认为是该种疗法固有的罕见并发症。

关键词: 脑卒中, 推拿疗法, 并发症

Abstract: ObjectiveTo describe 64 cases of cerebrovascular accidents temporally associated with cervical vertebra manipulation therapy in terms of patients' characteristics, potential risk factors, nature of complication, and neurologic sequelae.MethodsThree researchers using a uniform data abstraction instrument performed an independent review of 64 previously medicine records describing cerebrovascular ischemia after cervical vertebra manipulation. Descriptive statistics were calculated for characteristics of the patients and the complications. Means and standard deviations were computed for continuous variables. Frequencies were computed for continuous variables. Frequencies and proportions were calculated for categorical variables.ResultsProposed risk factors include age, gender, migraine headaches, hypertension, diabetes, birth control pills, cervical spondylosis, and smoking. It was unable to identify factors from the clinical history and physical examination of the patient that would assist a physician attempting to isolate the patient at risk of cerebral ischemia after cervical manipulation.ConclusionsCerebrovascular accident after manipulation appear to be unpredictable and should be considered an inherent, idiosyncratic, and rare complication of this treatment approach.

Key words: cerebrovascular accidents, manipulation therapy, complication