伴有胸痛的颈椎病患者的临床人口学特征

F. Hafez, A. Yusuf, J. Nessa, Taslima Hoq Moonmoon, A. S. Reza, D. Parvin
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引用次数: 1

摘要

背景:非心源性胸痛的患病率估计超过所有胸痛病例的65.0%。目的:本研究的目的是了解以胸痛为表现的颈椎病患者的临床人口学特征和调查结果。方法:本横断面研究于2012年7月至2013年6月在孟加拉国达卡国立心血管疾病研究所(NICVD)物理医学与康复部进行,为期一年。通过详细的病史、临床检查和相关调查作出诊断。结果:本组患者中,女性患者(60%)居多,尤其是低龄患者(41.67%)。城市人群(68.75%)和富裕人群(41.67%)受影响较大;有焦虑抑郁心境者占50%,以屈颈姿势工作者占45.83%。所有患者均出现胸痛(100%)及其他相关症状,如上臂疼痛(41.67%)、左上肢麻刺感(22.91%)、肩痛(25.0%)和肩胛骨痛(16.67%)。所有(100%)患者心电图检查正常。另一方面,他们(100.0%)在颈椎x线上有一些发现;临床表现为颈部运动疼痛(75.0%)。对颈神经根病的一项特异性试验“刺激操作”阳性(22.91%)。结论:颈椎间盘病变引起的胸痛被广泛报道,但仍未得到充分认识。因此,对患者胸痛的仔细评估可能会节省患者入院和各种昂贵的侵入性手术的时间。现代医学研究进展,2018;5(2):55-59
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Clinico-Demographic Characteristics of Cervical Spondylosis Patients Presented with Chest Pain
Background:  The prevalence of non-cardiac chest pain is estimated to be more than 65.0% of all cases with chest pain.Objective: The objective of the present study was to see the clinic-demographics characteristics and investigational findings of cervical spondylosis patients presented with chest pain.Methodology: This cross-sectional study was carried out in the department of Physical Medicine & Rehabilitation at National Institute of Cardiovascular Disease (NICVD), Dhaka, Bangladesh from July 2012 to June 2013 for a period of one year. The diagnosis was made by detailed history, clinical examination and relevant investigations.Result: In this study, female (60%) were much more sufferer especially in much younger age group (41.67%). People from urban area (68.75%) and affluent status (41.67%) were more affected; also who were in anxiety-depressed state of mind (50%) and those who worked by neck bending posture (45.83%). All patients presented with chest pain (100%) & other associated symptoms like arm pain (41.67%), tingling sensation of left upper limb (22.91%), shoulder pain (25.0%) and scapular pain (16.67%). All (100%) patients had normal ECG finding. On the other hand, they (100.0%) had some finding in cervical spine X-ray; clinically the patient had painful neck movement (75.0%). A specific test for cervical radiculopathy “spurling maneuver” was positive in (22.91%).Conclusion: Through chest pain due to cervical disc disease widely reported but remains under recognized. So careful evaluation of patient for chest pain might have saved the patient for admission and various expensive invasive procedure.Journal of Current and Advance Medical Research 2018;5(2):55-59
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