经颅多普勒在儿童偏头痛诊断中的应用  

Application of Transcranial Doplerintdiagnosis of Migraine in Children

作　　者：林雅男[1] 陶哲[1] LIN Yanan;TAO Zhe(Dalian Children'Hospital,Dalian 116001,China)

机构地区：[1]大连市儿童医院,辽宁大连116001

出　　处：《中国医药指南》2021年第3期37-38,共2页Guide of China Medicine

摘　　要：目的探讨应用经颅多普勒(TCD)检查对儿童偏头痛的诊断价值。方法选择2019年1月至2020年1月前来我院治疗偏头痛的76例患儿作为研究对象,经颅多普勒血液分析仪进行检测分析,检测部位包含颞窗与枕窗,分别检测受试者大脑前动脉、中动脉、后动脉,颈内动脉终末段、椎动脉和基底动脉。结果所有患者均行TCD检查,随着血管痉挛程度的不同,收缩峰速度加快,其中大脑中动脉占51.32%(39/76),大脑前动脉占28.95%(28/76),基底动脉占11.84%(9/76)。76例患儿中32例复查TCD结果恢复正常,2个月内无复发。结论与既往问诊方式比较,TCD的应用可以有效提高儿童偏头痛诊断结果的可靠性。Objective To evaluate the diagnostic value of transcranial Doppler(TCD)examination in children with migraine.Methods All 76 children who came to our hospital from January 2019 to January 2020 to treat migraine were selected as the subjects,transcranial Doppler blood analyzer,including temporal window and occipital window,to detect the anterior,middle and posterior cerebral arteries,end segment of the internal carotid artery,vertebral artery and basilar artery.Results All patients underwent TCD examination.With different degrees of vasospasm,the systolic peak speed increased,of which the middle cerebral artery accounted for 51.32%(39/76),the anterior cerebral artery accounted for 28.95%(28/76),and the basilar artery accounted for 11.84%(9/76).TCD results of 32 of 76 children returned to normal after reexamination,and there was no recurrence within 2 months.Conclusion Compared with previous consultation methods,the application of TCD can effectively improve the reliability of children's migraine diagnosis results.

关 键 词：经颅多普勒 儿童偏头痛 诊断 

分 类 号：R747.2[医药卫生—神经病学与精神病学]