TCD在治疗后循环缺血性眩晕疗效评价中的应用价值  

Application value of TCD in the treatment of posterior circulation ischemic vertigo

作　　者：张振芳[1] 司秋霞[1] 黄静[1] 赵娜[1] 

机构地区：[1]沧州市中西医结合医院,河北沧州061001

出　　处：《中医临床研究》2015年第36期51-52,共2页Clinical Journal Of Chinese Medicine

摘　　要：目的:探讨经颅多普勒超声在治疗后循环缺血性眩晕疗效评价中的应用价值。方法:选取2014年1月—2014年5月我院神经内科住院的58例经头MRI、MRA、DWI确诊的后循环缺血性眩晕患者,随机分为实验组和对照组各29例。观察治疗前后7 d、(14±2)d,TCD的变化。结果:实验组29例PCIV患者TCD异常率为82.8%(24/29),对照组治疗前异常率为86.2%(25/29),治疗后(14±2)d扩容治疗组异常率为20.7%(6/29),对照组异常率为44.8%(13/29);提示两组治疗均可显著改善椎-基底动脉系统的血流动力学。扩容治疗组较对照组效果更为显著。结论:TCD可以客观反映脑血流的变化,为临床治疗的疗效评价提供客观依据。objective： To evaluate the application value of transcranial doppler ultrasonography （TCD） in the treatment of posterior circulmion ischemic vertigo （PCIV）. Method： 58 cases of posterior circulation ischemic vertigo, admitted to the neurology department of our hospital from January 2014 to May 2014 and diagnosed after MRI, MRA, DWI examination, were randomly divided into experimental group and control group evenly, the change of TCD was observed 7 d, （14±2） d before and after treatment. Results： Before treatment, the TCD abnormal rate of 29 patients with PCIV in experimental group was 82.76% （24/29）, the TCD abnormal rate of 29 patients with PCIV in control group was 86.21% （25/29） ; after （14±2）d treatment, the TCD abnormal rate of 29 patients with PCIV in experimental group and in control group was 20.7% （6/29） and 44.8% （13/29） respectively, which indicated that the treatment could significantly improve vertebral basilar artery blood flow dynamics, the effect of the experimental group was more significant than that of the control group. Conclusion： TCD could objectively reflect the changes of cerebral blood flow and provide objective basis for curative effect evaluation in clinical treatment.

关 键 词：经颅多普勒超声 后循环缺血性眩晕 疗效评价 

分 类 号：R255.3[医药卫生—中医内科学]