摘要
采用￣（１３３）缸吸入法测量局部大脑血流量（ｒＣＢＦ）和经颅多普勒超声（ＴＣＤ），对６４例固定一侧偏头痛患者进行了ｒＣＢＦ及脑大动脉的最大平均血流速度（ＭＦＶ）、脉动指数（ＰＩ）联合研究。发现头痛侧各动脉供血区ｒＣＢＦ与对侧各相应区无明显差异。间歇期头痛侧ＩＣＡ、ＡＣＡ、ＭＣＡ和ＰＣＡ的ＭＦＶ、ＰＩ与对侧各相对动脉比较也无显著变化。头痈发作州只有全脑平均ｒＣＢＦ低于对照组和颈内动脉的ＭＦＶ高于对照组（Ｐ＜０．０５）。研究结果倾向该症血而变化为交感─—末梢动脉阻力调节紊乱学说，而不支持ＭＣＡ扩张２０％的推理。
Regional cerebral blood flow(rCBF ),mean maximun flow velocity of cerebral main artery(MFV)and pulsating index(PI)were sttidied in 64 patients with migraine on only one side. rCBF was mea5,ured with Xel33 inhalating meathod and MFV,PI were measured by TCD. rCBF on t11e headache side changed not significantly when compared with opposite side.MFV and PI of ICA,ACA,MCA and PCA on headnche side was not different from correspond arteries on the other side during heatlache intervals. Mean rCBF was lower and MFV of ICA was higher than the con-trolled group(P<0.05).Our data suggested that migraine was caiised by disturbance of peripheral artery resistence adjusted by sympathetic nerves,not by dilation of MCV by 20%。
出处
《临床神经病学杂志》
CAS
1995年第5期265-267,共3页
Journal of Clinical Neurology
