摘要
应用经颅多普勒（ＴＣＤ）检查对一些缺血性脑血管病所致眩晕进行鉴别诊断。方法：对椎基底动脉短暂缺血性眩晕（Ａ组）、偏头痛（Ｂ组）、过度换气综合征（Ｃ组）和高血压病（Ｄ组）等病例，进行经颅多普勒常规检查（ＴＣＤ－Ｒ）、过度换气１ｍｉｎ（ＴＣＤ－ＨＶ）和自主屏气 １ｍｉｎ（ＴＣＤ－Ｂ）检查，测定椎基基底动脉的收缩期峰流速（Ｖｓ）和舒张期末峰流速（Ｖｄ）。结果：Ａ组、Ｂ组和Ｄ组的三项测试中Ｖｓ和Ｖｄ皆降低，以Ｄ组最为明显，Ａ组、Ｂ组降低的程度相似，而Ｃ组则无明显降低。Ａ组的Ｖｓ在ＴＣＤ－Ｂ测试中异常发生率高于Ｂ组及Ｃ组，明显低于Ｄ组；在ＴＣＤ－ＨＶ测试中低于Ｄ组和Ｃ组，高于Ｂ组，在ＴＣＤ－Ｒ测试中明显低于Ｄ组而与Ｂ组和Ｃ组无差异。Ａ组的Ｖｄ异常率，在ＴＣＤ－Ｒ测试中低于Ｄ组而与Ｂ组、Ｃ组无明显差异。结论：ＴＣＤ检查有助于对缺血性脑血管病所致眩晕的鉴别诊断。
Objective: To diagnose differentially the vetigo induced by some ischemic cerebrovascular disorder. Method:Patients with vertebrobasilar artery transient ischemic vertigo (group A),migraine (group B), hyperventilation syndrome (group C ), hypertension (group D ) are measured by using TCD functional examination which included blood peak velocity of systolic (Vs) and diastolic (Vd) end-period of vertibrobasilar artery of routine TCD (TCD-R),one minute hyperventilation TCD (TCD-HV) and one minute voluntary apnea TCD (TCD-B) respectively. Result:It showed that the Vs,Vd are decreased under the three conditions in A,B and D groups. The most apparent decrease are obversed in D group. The values of the decrease are similar between group A and B. No changes are found in C group. The abnormal Vs incidences of TCD-B measurement in group A are higher than those in group B and C,but significant lower than those in group D;and in TCD-HV test lower than group D and C,higher than group B;in TCD-R test,lower than group D,and no difference with group B and C. The abnormal incidences of Vd in group A are lower than group D and higher than group B in TCD-B test. In TCD-HV test,the group A abnormol incidences are lower than group D but higher than group B and C.In TCD-R test, the abnormal incidences are lower than group D and no difference between group B and C. Conclusion: The TCD measuremen is useful for differential diagnosis of vertigo induced by ischemic cerebrovascular disorders.
出处
《临床耳鼻咽喉科杂志》
CSCD
1999年第4期159-160,共2页
Journal of Clinical Otorhinolaryngology
关键词
眩晕
经颅多普勒检查
脑血管疾病
Vertigo
Transcranial doppler
Ischemic cerebrovascular disorder
