不同中医证型眩晕经颅多普勒超声检查特征与脑动脉血流的变化关系  

Relationship between Characteristics of Transcranial Doppler Ultrasonography and Changes of Cerebral Arterial Blood Flow in Different Traditional Chinese Medicine Syndromes of Vertigo

作　　者：袁建兴[1] 丁颖颖[1] YUAN Jianxing;Ding Yingying(Rugao Hospital of Traditional Chinese Medicine,Rugao Jiangsu 226500,China)

机构地区：[1]如皋市中医院,江苏如皋226500

出　　处：《四川中医》2022年第11期72-76,共5页Journal of Sichuan of Traditional Chinese Medicine

摘　　要：目的:探讨不同中医证型眩晕经颅多普勒超声检查特征与脑动脉血流的变化关系。方法:选取2020年12月至2021年12月我院收治的182例眩晕患者作为研究对象,根据中医辨证分型将该182例眩晕患者分为肝阳上亢组(n=49)、痰湿中阻组(n=23)、瘀血阻窍组(n=18)、气血亏虚组(n=79)及肾精不足组(n=13),并另选体检健康者50例作为对照组,均予多普勒超声检查,观察不同中医证候类型患者多普勒超声检查特征与脑动脉血流变化的关系。结果:(1)各中医证候类型患者与对照组左右椎动脉、基底动脉及大脑中动脉血流情况对比,差异均有统计学意义(P<0.05)。(2)与瘀血阻窍组相比,肝阳上亢组患者左右椎动脉、左右大脑中动脉Vs、Vm水平较高,而Vd、PI值较低,基底动脉Vs、Vd、Vm水平较高,而PI值较低(均P<0.05),痰湿中阻组患者左右椎动脉、基底动脉Vs、Vm、Vd水平较高,而PI值较低,左右大脑中动脉Vs、Vm水平较高,而Vd、PI值较低(均P<0.05),气血亏虚组患者左右椎动脉、基底动脉、左右大脑中动脉Vs、Vm、Vd水平较高,而PI值较低(均P<0.05),肾精不足组患者左右椎动脉Vs、Vd水平较高,而PI值较低,基底动脉Vs、Vm、PI值均较低,而Vd水平较高,左右大脑中动脉Vs、Vm较高,而Vd水平及PI值较低(均P<0.05)。(3)与肝阳上亢组相比,痰湿中阻组、气血亏虚组、肾精不足组患者左右椎动脉、基底动脉Vs、Vm、PI值均较低,而Vd值均较高(均P<0.05),痰湿中阻组患者左右大脑中动脉Vm、PI值均较低,而Vd值较高(均P<0.05),气血亏虚组及肾精不足组大脑中动脉Vs、Vm、PI值均较低,而Vd水平较高(均P<0.05)。(4)与痰湿中阻组相比,气血亏虚组患者左右椎动脉、基底动脉Vs、Vm、Vd、PI值均较低,大脑中动脉Vs、Vm、PI值均较低,而Vd水平较高(均P<0.05),肾精不足组患者左右椎动脉、左右大脑中动脉Vs、Vm、Vd水平较低,而PI值较高,基底动脉Vs、Vm、Vd、PI值�Objective:To explore the relationship between the characteristics of transcranial Doppler ultrasonography and changes of cerebral arterial blood flow in vertigo of different TCM syndromes.Methods:182 patients with vertigo who were treated in the hospital from December 2020 to December 2021 were selected as the research subjects,and they were divided into a liver-Yang hyperactivity group(n=49),a phlegm-dampness retention group(n=23),a blood stasis blocking orifice group(n=18),a Qi and blood deficiency group(n=79),and a kidney-essence deficiency group(n=13)according to TCM syndrome differentiation.Another 50 healthy subjects with physical examination were enrolled as a controlled group.Doppler ultrasonography was performed on all subjects,and the relationship between the characteristics of Doppler ultrasonography and the changes of cerebral arterial blood flow in patients with different TCM syndromes was observed.Results:(1)The blood flow status of the left and right vertebral arteries,basilar artery and middle cerebral artery in patients with various TCM syndromes were significantly different from those in the controlled group(P<0.05).(2)Compared with the blood stasis blocking orifice group,the levels of Vs and Vm of left and right vertebral arteries and left and right middle cerebral arteries in the liver-Yang hyperactivity group were higher while the Vd and PI were lower,and the levels of Vs,Vd and Vm of basilar artery were higher while the PI was lower(all P<0.05),the left and right vertebral arteries and basilar artery Vs,Vm and Vd were higher in the phlegm-dampness retention group while the PI was lower,and the left and right middle cerebral arteries Vs and Vm were higher while Vd and PI were lower(all P<0.05),the left and right vertebral arteries,basilar artery and left and right middle cerebral arteries had higher levels of Vs,Vm and Vd and lower PI in the Qi and blood deficiency group(all P<0.05),and the left and right vertebral arteries Vs and Vd were higher while the PI was lower,the basilar artery Vs,Vm

关 键 词：眩晕 中医证候类型 经颅多普勒超声 脑动脉血流 

分 类 号：R255.3[医药卫生—中医内科学]