Semke G V, Stuks I Iu
Klin Med (Mosk). 1989 May;67(5):60-3.
Examination included two groups of patients with I-IIA stage essential hypertension combined with cervical osteochondrosis: with and without the vertebral syndrome. It revealed significant polymorphism of clinical symptoms, more severe course of vascular pathology, disorders of cerebral hemodynamics with decreased pulse blood filling, increased tone of arterioles, venules and veins, signs of disturbances of venous outflow and features of bioelectric brain activity indicating dysfunction of the middle structures in patients with the vertebral syndrome of cervical osteochondrosis. Since the pathogenic significance of cervical osteochondrosis is mostly realized in the presence of the vertebral syndrome, therapeutic policy should involve both antihypertensive agents and measures that control vertebrogenic pathology as well as medicamentous correction of hemodynamic cerebral disturbances.
检查包括两组患有I-IIA期原发性高血压合并颈椎骨软骨病的患者:有和没有椎骨综合征的患者。结果显示临床症状存在显著多态性,血管病变进程更严重,脑血流动力学紊乱,脉搏血充盈减少,小动脉、小静脉和静脉张力增加,静脉回流障碍迹象以及脑生物电活动特征表明颈椎骨软骨病椎骨综合征患者中脑中部结构功能障碍。由于颈椎骨软骨病的致病意义大多在存在椎骨综合征时得以体现,治疗策略应包括抗高血压药物以及控制脊椎源性病变的措施,还有对脑血流动力学紊乱进行药物纠正。