在临床工作中,我们发现颈椎病在某些人群中具有一定的高发性。那么,哪些人容易罹患颈椎病呢?
从年龄上讲,由于伴随着年龄的增长,颈椎过多的慢性劳损会引起椎间盘变性、弹性减弱,椎体边缘骨刺形成,小关节紊乱,韧带增厚、钙化等一系列退化性病理改变,因此,中老年人患颈椎病的较多。
从职业上讲,长期低头伏案工作者或头颈常向某一方向转动者易患颈椎病。这些职业包括办公室工作人员、打字员、抄写者、计算机操作人员、会计、刺绣女工、手术室护士、长期观看显微镜者、交通警察和教师等。虽然这些职业的工作量、工作强度并非很大,但由于工作姿势不当,长期低头,造成颈后肌群、韧带等组织劳损(低头时,椎间盘承受的内压较大),或头颈常偏于一侧引起局部劳损。因此这些职业的工作人员颈椎病的发病率较高。
从睡眠姿势上讲,由于人的一生中大约有1、4~1、3时间是在床上度过,当枕头过向、过低或枕的部位不当时,不良睡眠姿势持续时间较长,睡眠时不能矛以及时调整,易造成椎旁的肌肉、韧带、关节平衡失调,张力大的一侧易疲劳而产生不同程度的劳损。因此,喜欢卧高枕者及有反复“落枕”病史者易患颈椎。此外,躺着看书、看电视时头部长久单一姿势等日常生活中不良姿势过多的人,也易发生颈椎病。
有头部外伤史的患者也易患颈椎病。由于交通事故、运动性损伤导致的颈椎损伤,往往诱发颈椎病的发生。外伤后的颈椎病以年轻人较为多见。如体育活动中不适小女孩的运动,超过了颈部所能耐受的量;军事训练中失手造成的颈部意外创伤等,往往会导致损伤后的椎间盘、韧带不能修复而发病。
最后,有颈椎先天性畸形者,如先天性椎管狭窄、先天性椎体融合、颈肋和第7颈椎横突肥大等,易患颈椎病。咽喉部炎症有时也可成为诱发颈椎病症状的原因。
《哪些人易患颈椎病?》有1,312个想法
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