摘要
目的:观察青少年颈椎曲度异常性颈源性头痛患者的脑血管功能障碍的状况和发生频率,并与正常人进行比较。方法:选择1999-06/2004-06解放军空军总医院收治的青少年颈椎曲度异常性颈源性头痛患者120例熏年龄小于35岁。用经颅多普勒超声对其9条颅内血管(双侧大脑前、中、后动脉、椎动脉及基底动脉)进行检测,检测内容包括平均血流速度、收缩期峰值流速、舒张期末流速、搏动指数、阻力指数和非对称指数。并以同年龄健康人40例为对照组。结果:160例受试者全部进入结果分析。①颈曲异常组受检1062条颅内血管中的平均血流速度异常128条,异常率12.1%,收缩峰值流速和舒张期末流速异常的血管数分别为142条穴13.4%雪和155条穴14.5%雪,与对照组比较差异显著穴2.2%,4.55%,2.3%,P均<0.01雪。②颈曲异常组大脑前、中动脉、椎动脉和基底动脉的平均血流速度、收缩期峰值流速和舒张期末流速均显著高于对照组(P<0.05或0.01)。③颈曲异常组左椎动脉的阻力指数显著高于对照组(0.531±0.065,0.506±0.051,t=2.514,P=0.014)。④颈曲异常组的左右成对动脉的平均血流速度差异增大,其代表值-非对称指数的异常率以及均值显著高于对照组(P<0.01)。结论:青少年颈椎曲度异常致颈源性头痛患者脑血管功能紊乱的发生率显著高于正常对照组,经颅多普勒超声异常改变有颅内动脉流速增高、降低和不对称。
AIM： To observe the condition and frequency of functional disturbance of cerebral vessels in patients with cervical headache （CEH） due to adolescents with cervical curvature abnormality, and compare with normal persons.
METHODS： One hundred and twenty patients aged less than 35 years, suffered from CEH with cervical curvature abnormality were selected from the Air Force General Hospital of Chinese PLA from June 1999 to June 2004. Transcranial Doppler sonography was performed to inspect the nine pieces of the intraeranial arteries （bilateral cerebral anterior, middle and posterior arteries, vertebral artery, and basilar artery）. The examination included the mean velocity of flow （Vm）, systolic peak velocity of flow （Vs）, diastolic velocity of flow （Vd）, pulsating index （PI）, resistent index （RI） and antisymmetry index. Forty healthy persons with same age made the control group.
RESULTS： A total of 160 eases were brought into the result analysis. ① In the total tested 1 062 cerebral vessels of CEH group, 128 rami（ 12.1% ） with abnormal Vm, 142 rami（13.4%） with abnormal Vs, 155 rami （14.5%） with abnormal end of Vd, which had significant difference as compared with the control group （2.2% ,4.55% ,2.3% ,P 〈 0.01）. ②The average values of Vm, Vs, Vd of the cerebral anterior, and middle arteries, bilateral vertebral artery, and basilar artery in the CEH group were also markedly raised as compared with the corresponding values in the control group （P 〈 0.05 or P 〈 0.01 ）. ③The RI of the left vertebral artery in the CEH group was apparently higher than the same value of the control group （0.531±0.065,0.506±0.051 ,t=2.514,P=0.014）. ④The antisymmetry index of bilateral intraeranial cerebral artery, represented the paired arteries Vm disparity, the abnormality ratio and average values in CEH group were significantly higher than the values of the control group （P 〈 0.01）.
CONCLUSION： The incidence of disorganized cerebral vessels function of adolescent CEH related to cervical curvature abnormality is markedly higher than that in the control group. Abnormal change of transeranial Doppler sonography involves increase, decrease and dissymmetry of flow rate of endocranial artery.
出处
《中国临床康复》
CSCD
北大核心
2006年第20期25-27,共3页
Chinese Journal of Clinical Rehabilitation
