宫脊椎病患者宫头的风险
Tzu-Pu Chang1,2, Zheyu Wang3, Xin-Xian Lee4,5
1Department of Neurology/Neuro-medical Scientific Center, Taichung Tzu Chi Hospital, Buddhist Tzu Chi Medical Foundation, Taichung, Taiwan.
JAMA otolaryngology-- head & neck surgery
|December 14, 2023
概括
宫脊椎病略微增加了头风险,但它仍然不常见. 临床医生应谨慎诊断的宫原因,即使有宫脊椎病史.
科学领域:
- 神经学 神经学
- 流行病学 流行病学
- 公共卫生 公共卫生
背景情况:
- 宫脊椎病有争议地与头有关.
- 许多专家认为这是一个常见的原因,而其他人则质疑这种联系.
研究的目的:
- 为了比较宫脊椎病患者的头风险与匹配的对照.
- 使用倾向得分匹配 (PSM) 进行可靠的比较.
主要方法:
- 一项队列研究分析了台湾国家健康保险研究数据库的索赔.
- 包括60岁以上的新诊断的宫或腰椎脊椎病患者 (2010-2015年).
- 随访队列1年来跟踪头的诊断.
主要成果:
- 分析了3638名患有椎脊髓炎的患者和3638名匹配的腰椎脊髓炎对照.
- 宫脊椎病患者表现出1.20的的相对风险 (95% CI,1.03-1.39).
- 一年内的发病率为10.2%的椎脊椎病,对照组为8.6%.
结论:
- 数据支持头和椎椎病之间的关联.
- 然而,这种小的发病率差异表明,由于椎椎病的头是不常见的.
- 临床医生在将头归因于椎椎病时应谨慎行事.
相关概念视频
Equilibrium and Balance
4.7K
The inner ear assumes dual functionalities of auditory perception and equilibrium maintenance. The vestibule is the organ responsible for balance. This organ contains mechanoreceptors, specifically hair cells, endowed with stereocilia, which aid in deciphering information regarding the position and motion of our heads. Two intrinsic components, the utricle and saccule, help perceive head position, while the semicircular canals track head movement. Neurological messages initiated in the...
4.7K
Alterations in Blood Pressure
1.2K
Alterations in blood pressure, such as hypertension (high blood pressure) and hypotension (low blood pressure), significantly affect human health. Understanding these conditions' classifications, causes, and symptoms is essential for effective management and treatment.
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
Hypertension (High blood pressure)
Hypertension occurs when blood pressure readings consistently exceed the normal range. It is diagnosed when systolic blood pressure (the top number, indicating pressure while the heart...
1.2K
Cardiac Catheterization IV: Nursing Management
24
Nursing responsibilities before cardiac catheterization include:Assess for allergies and establish baseline health status.Before cardiac catheterization, assess the patient for allergies to contrast dye. Perform a comprehensive baseline assessment, including vital signs, heart and breath sounds, and a neurovascular assessment of the extremities, noting distal pulses, skin color, and temperature. Instruct the patient to fast for 8-12 hours before the procedure. Evaluate baseline laboratory...
24
Arteries of the Head and Neck
1.3K
The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
1.3K


