Sitel' A B, Fedin A I, Teterina E B, Zekiĭ O E
Zh Nevropatol Psikhiatr Im S S Korsakova. 1990;90(5):39-42.
The paper is concerned with the development and specification of diagnostic approaches to patients with the title pathology. 168 patients with vascular syndromes of cervical osteochondrosis were under observation. According to the readings of ultrasound echocardiography and ultrasound double scanning, the patients were distributed into two groups: with occlusions and hemodynamically significant stenoses (from 50 to 99%) in the vertebral arteries, and without hemodynamically significant stenoses. On comparison of these two groups of patients with the disease clinical picture the first group patients demonstrated the signs of static or dynamic ataxia of varying gravity, thus allowing confirmation of the existence of the compression form of the vertebral artery syndrome--vertebrobasilar insufficiency. The authors have elaborated a complex of the treatment measures for patients with vascular syndromes of spinal osteochondrosis, including the use of medicamentous and nontraditional means (manual therapy, acupuncture), providing a possibility of carrying out successful conservative therapy. The role of vegetative formations located in the cervical part of the spine in regulation of the cerebral blood flow has been revealed.
本文关注标题中所述病理患者诊断方法的发展与规范。对168例颈椎骨质增生血管综合征患者进行了观察。根据超声心动图和超声双重扫描结果，将患者分为两组：椎动脉存在闭塞和血流动力学显著狭窄（50%至99%）的患者，以及无血流动力学显著狭窄的患者。通过比较这两组患者的疾病临床表现，第一组患者表现出不同程度的静态或动态共济失调体征，从而证实了椎动脉综合征压迫型——椎基底动脉供血不足的存在。作者制定了一套针对脊柱骨质增生血管综合征患者的综合治疗措施，包括使用药物和非传统方法（手法治疗、针灸），为成功实施保守治疗提供了可能性。已揭示了位于颈椎部位的植物神经结构在调节脑血流中的作用。
