血管性帕金森综合征和帕金森病颈动脉彩色超声及经颅多普勒检查临床分析  

Clinical analysis of color Doppler flow imaging and transcranial Doppler examination for vascular Parkinsonism and Parkinson's disease

作　　者：谈世东 强朝晖 TAN Shidong;QIANG Chaohui(Department of Neurology,the Second People's Hospital of Wuhu,Wuhu 241000,China)

机构地区：[1]芜湖市第二人民医院,安徽芜湖241000

出　　处：《中国实用神经疾病杂志》2020年第5期411-415,共5页Chinese Journal of Practical Nervous Diseases

基　　金：芜湖市科技惠民计划(编号:2016hm18)。

摘　　要：目的通过颈动脉彩色超声及经颅多普勒对血管性帕金森综合征(VP)和帕金森病(PD)患者的脑血流进行对比分析,探讨二者的发病机制。方法28例血管性金森综合征,32例帕金森病患者均行颈动脉彩色超声、经颅多谱勒检查,以病变血管、血管狭窄程度的超声分级作为评价颈动脉硬化程度的指标。结果颈动脉彩色超声及经颅多谱勒显示两者的动脉硬化斑块致血管狭窄程度分级差异有统计学意义(P<0.05),VP组各血管的异常率显著高于PD组(P<0.05)。结论颈动脉彩色超声及经颅多谱勒有助于鉴别PD和VD,为揭示二者的发病机制提供临床依据。Objective To investigate the pathogenesis of vascular Parkinsonism(VP)and Parkinson's disease(PD)by color Doppler flow imaging and transcranial Doppler.Methods 28 cases of VP and 32 cases of PD were treated with color Doppler flow imaging and transcranial Doppler.The ultrasonic classification of the diseased vessels and the degree of stenosis of the vessels was used as an indicator of the degree of carotid atherosclerosis.Results Color Doppler flow imaging and transcranial Doppler showed that there were significant differences in the degree of stenosis between atherosclerotic plaques(P<0.05).The abnormal rate of each group was significantly higher than that of PD group.Conclusion Color Doppler flow imaging and transcranial Doppler can help to identify PD and VD.

关 键 词：血管性帕金森综合征 帕金森病 颈动脉彩色超声 经颅多普勒 鉴别诊断 

分 类 号：R742.5[医药卫生—神经病学与精神病学]