经颅多普勒超声对偏头痛急性发作期的检测意义  

Significance of Transcranial Doppler on the acute attack of migraine

作　　者：黄成锋[1] 卢常盛[1] 黄雄[1] 黎才源[1] 彭铁生[1] 陈一鸣[1] 

机构地区：[1]广东省高州市人民医院神经内科,广东高州525200

出　　处：《中国医药科学》2015年第11期154-156,共3页China Medicine And Pharmacy

摘　　要：目的探讨经颅多普勒超声在诊断偏头痛急性发作期间的应用情况。方法抽取2011年9月∽2013年9月入我院治疗的偏头痛患者71例作为观察组,取同期入院体检的非偏头痛患者70例作为对照组,两组患者入院后均行经颅多普勒超声检查,分析两组患者的检查结果。结果观察组的经颅多普勒超声检查异常率为84.29%较对照组异常率15.71%高,差异具有统计学意义（P〈0.05）。观察组患者不同年龄段的MCA、VA均于对照组存在明显差异,具有统计学意义（P〈0.05）。存在先兆偏头痛组急性发作期血流增快、正常以及减慢的发生率分别为84.85%、9.09%、6.06%,与无先兆偏头痛组相比,差异无统计学意义（P〉0.05）。结论经颅多普勒超声不仅可显示偏头痛患者血流运行处于异常状态,还能够清楚显示动脉血管变化情况,在临床诊断偏头痛急性发作期间中具有较高的应用价值。Objective To investigate the application significance of Transcranial Doppler（TCD） on the acute attack of migraine. MethodsFrom September 2011 to September 2013, 71 cases of migraine l treated in our hospital were selected as the observation group, and 70 cases of non migraine undergoing physical examination at the same period were selected as control group. All patients in two groups received examined by TCD, and the examination results were analyzed. Results The abnormal rate of TCD examination in the observation group was 84.29%, higher than that in the control group（15.71%）, and the difference was statistically significant （P〈0.05）. MCA, VAof patients in different age in observation group had significant difference compared with those in control group （P〈0.05）. The occurrence rates of blood flow speed increased, normal and slowed down in acute stage of migraine with aura group were 84.85%, 9.09%, 6.06%, respectively. Compared with migraine without aura group, there were no significant difference （P〉0.05）.ConclusionTranscranial Doppler ultrasound can not only display the abnormal blood flow of patients with migraine,but can clearly show the changes of artery, having high application value in the clinical diagnosis of acute migraine.

关 键 词：偏头痛 急性发作期 经颅多普勒超声 

分 类 号：R747.2[医药卫生—神经病学与精神病学]