目的 探讨颈椎病与心律失常的关系.方法 将149例患者随机分为A组、B组和C组,A组予抗心律失常治疗,B组予颈椎病治疗,C组予联合治疗,疗程均12~14 d,疗程结束后对常规心电图、心律失常情况及治疗效果进行系统分析比较.结果 与A组总有效率(27.1%)比较,B组(90.2%)、C组(96.0%)显著升高(P＜0.01),B组和C组比较差异无统计学意义(P＞0.05);A组治疗后心律失常无显著改善(P＞0.05),B组和C组患者治疗后心律失常明显改善,且优于A组,差异有统计学意义(P＜0.05,P＜0.01).B、C组间差异无统计学意义.结论 颈椎病发作时可导致心律失常的发生,对抗心律失常药物效果不佳的患者,同时治疗颈椎病能获得较好的疗效.%Objective To investigate the relationship between cervical spondylosis and arrhythmia. Methods 149 patients were randomly divided into group A, group B and group C. Patients in group A received anti-arrhythmic treatment, group B received cervical spondylosis treatment,group C received anti-arrhythmic and cervical spondylosis treatment, and all these courses of treatment were 12 ～ 14 days. After treatment, therapeutic effects were compared among different groups. Results The total effective rate of group B was 90. 2 ％ , group C was 96. 0％ , and group A was 27. 1％. Symptom released were better in group B and C compared with A( P ＜0.01 ), but no significant difference were found between group B and C ( P ＞0. 05 ). Symptom of arrhythmia did not release obviously in group A with anti — arrhythmia treatment, however, arrhythmia were released in group B and C compared with group A( P ＜0. 05, P ＜0.0l),there was no significant difference between group B and C( P ＞0. 05 ). Conclusion Cervical spondylosis may induce arrhythmia. When anti-arrhythmia does not work in patients with arrhythmia and cervical spondylosis, anti-cervical spondylosis treatment should be considered.
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