前庭周围性眩晕患者椎-基底动脉系统血流动力学变化及其临床意义  

Hemodynamic Changes and Clinical Significance of Vertebrobasilar System in Patients with Peripheral Vestibular Vertigo

作　　者：韩敬哲[1] 纪叶[2] 曹端华[1] 王婷婷 司志华[1] HAN Jingzhe;JI Ye;CAO Duanhua;WANG Tingting;SI Zhihua(Department of Neurology,Harrison International Peace Hospital,Hengshui 053000,China;Department of Neurological Function Examination,Harrison International Peace Hospital,Hengshui 053000,China)

机构地区：[1]河北省哈励逊国际和平医院神经内一科,河北省衡水市053000 [2]河北省哈励逊国际和平医院神经功能检查科,河北省衡水市053000

出　　处：《实用心脑肺血管病杂志》2021年第1期41-44,共4页Practical Journal of Cardiac Cerebral Pneumal and Vascular Disease

基　　金：2019年度河北省医学科学研究课题(20191782)。

摘　　要：背景目前,国内外关于前庭周围性眩晕患者椎-基底动脉系统血流动力学异常的研究报道少见。目的分析前庭周围性眩晕患者椎-基底动脉系统血流动力学变化及其临床意义。方法选取2018年5月—2020年2月哈励逊国际和平医院神经内一科门诊及住院部收治的105例前庭周围性眩晕患者。比较本组患者急性期与恢复期双侧椎动脉血流动力学指标〔包括平均血流速度(Vm)和血流量(fv)〕及有无椎-基底动脉系统脑梗死患者双侧椎动脉急性期与恢复期血流动力学指标变化值〔包括平均血流速度变化值(ΔVm)和血流量变化值(Δfv)〕。结果本组患者中继发椎-基底动脉系统脑梗死11例(10.48%)。本组患者急性期双侧椎动脉Vm、fv均小于恢复期(P<0.05)。有椎-基底动脉系统脑梗死患者左侧椎动脉ΔVm、Δfv及右侧椎动脉ΔVm大于无椎-基底动脉系统脑梗死患者(P<0.05)。结论前庭周围性眩晕患者存在椎-基底动脉系统血流动力学改变,且椎-基底动脉系统血流动力学异常可能与患者继发椎-基底动脉系统脑梗死有关,这对前庭周围性眩晕的诊治及患者预后的改善具有重要意义。Background At present,there are few reports on the abnormal hemodynamics of vertebrobasilar system in patients with perivestibular vestibular vertigo in domestic and foreign.Objective To analyze the hemodynamic changes and clinical significance of vertebrobasilar system in patients with peripheral vestibular vertigo.Methods One hundred and five patients with peripheral vestibular vertigo admitted to outpatient and inpatient of the Neuroglogy Department of Harrison International Peace Hospital from May 2018 to February 2020 were selected.We compared the hemodynamic indexes of bilateral vertebral arteries〔including mean velocity(Vm)and blood flow volume(fv)〕in this group of patients in the acute phase and the recovery phase.And bilateral vertebral artery hemodynamic changes in the acute and recovery phases〔including the mean velocity change(ΔVm)and blood flow volume change(Δfv)〕were compared between patients with and without vertebrobasilar system cerebral infarction.Results There were 11 cases(10.48%)of secondary vertebrobasilar system cerebral infarctoin.In this group,the Vm and fv of bilateral vertebral arteries in acute stage were smaller than those in recovery stage(P<0.05).TheΔVm andΔfv of left vertebral artery andΔVm of right vertebral artery in patients with vertebrobasilar system cerebral infarction were larger than those of patients without vertebrobasilar system cerebral infarction(P<0.05).Conclusion There are hemodynamic changes in the vertebrobasilar system in patients with peripheral vestibular vertigo,and the abnormal hemodynamics of vertebrobasilar system may be related to secondary vertebrobasilar system cerebral infarction,which is of great significance for the diagnosis and treatment of peripheral vestibular vertigo and the improvement of prognosis.

关 键 词：前庭周围性眩晕 椎-基底动脉系统 脑梗死 血流动力学 

分 类 号：R255.3[医药卫生—中医内科学]