后循环急性梗死部位与头晕及眩晕关系的研究  

Study on the relationship between the locations of acute infarction of posterior circulation and dizziness and vertigo

作　　者：卢新[1] 张媛媛[1] 任平香[1] 于大勇[2] 刘海芳 王茜 徐媛[4] 田雪 姜树军[5] LU Xin;ZHANG Yuanyuan;REN Pingxiang;YU Dayong;LIU Haifang;WANG Qian;XU Yuan;TIAN Xue;JIANG Shujun(Third Department of Neurology,People's Hospital of Fengrun Distrit,Tangshan 064000,China;Intensive Care Unit,People's Hospital of Fengrun Distrit,Tangshan 064000,China;Department of Pain Treatment,People's Hospital of Fengrun Distrit,Tangshan 064000,China;Department of Emergency,the Second People's Hospital of Fengrun Distrit,Tangshan 064000,China;Department of Comprehensive Treatment,the Second Medical Center of PLA General Hospitial,Beijing 100853,China)

机构地区：[1]河北省唐山市丰润区人民医院神经内三科,唐山064000 [2]河北省唐山市丰润区人民医院ICU科,唐山064000 [3]河北省唐山市丰润区人民医院疼痛科,唐山064000 [4]河北省唐山市丰润区第二人民医院急诊科,唐山064000 [5]解放军总医院第二医学中心门诊部综合治疗科,北京100853

出　　处：《中国研究型医院》2021年第2期34-39,共6页Chinese Research Hospitals

摘　　要：目的探讨后循环各部位急性梗死头晕、眩晕发生情况。方法回顾性分析2016年1月至2017年12月122例经颅脑MRI、扩散加权成像(DWI)确定为后循环急性梗死患者的病例资料。根据巴拉尼协会头晕、眩晕定义提取症状。采用χ^(2)检验观察各个梗死部位情况以及头晕、眩晕发生率。结果122例后循环急性梗死患者中,75例发生头晕或眩晕。单纯单侧小脑梗死8例,均有头晕或眩晕;单纯单侧中脑梗死伴头晕1例;单纯单侧延髓梗死8例,6例有头晕或眩晕;单纯单侧丘脑梗死12例,6例有头晕;单纯单侧脑桥梗死57例,28例有头晕或眩晕;单纯单侧枕叶或颞叶梗死6例,头晕4例;多个部位梗死30例,22例有头晕或眩晕。单纯单侧脑桥梗死患者出现头晕、眩晕情况与其他部位梗死患者比较,差异具有统计学意义(χ^(2)=22.396,P=0.033);其他各部位梗死患者之间头晕、眩晕发生率比较差异无统计学意义(χ^(2)=14.874,P=0.137);单纯单侧脑桥梗死中,脑桥旁正中梗死出现头晕、眩晕的概率与其他梗死部位比较,差异具有统计学意义(χ^(2)=52.083,P=0.000)。结论后循环急性梗死部位以单纯单侧脑桥区域发生率最高,但梗死后头晕或眩晕发生率最低。Objective To explore the relationship between acute infarction in different posterior circulation locations and the occurrence of dizziness and vertigo.Methods Case data of 122 patients,from January 2016 to December 2017,with acute infarction of the posterior circulation,determined by transcranial MRI and diffusion-weighted imaging(DWI),were retrospectively analyzed.The symptoms are extracted according to the definition of dizziness and vertigo by the Barany society.χ^(2) test was used to observe the situation of each infarct and the incidence of dizziness and vertigo.Results 75 out of 122 patients with acute infarction of the posterior circulation developed dizziness or vertigo.There are 8 cases of simple unilateral cerebellar infarction with dizziness or vertigo;1 case of simple unilateral midbrain infarction with dizziness;8 cases of simple unilateral medullary infarction,6 out of 8 cases with dizziness or vertigo;12 cases of simple unilateral thalamic infarction,6 out of 12 cases with dizziness;57 cases of simple unilateral pontine infarction,28 out of 57 cases with dizziness or vertigo;6 cases of simple unilateral occipital or temporal lobe infarction,4 out of 6 cases with dizziness;30 cases of multiple location infarction,22 out of 30 cases with dizziness or vertigo.The dizziness and vertigo of patients with unilateral pontine infarction compared with patients with infarction in other locations of the body,the difference was statistically significant(χ^(2)=22.396,P=0.033);there was no statistical difference in the incidence of dizziness and vertigo among patients with infarction in other locations of the body(χ^(2)=14.874,P=0.137);in the simple unilateral pontine infarction,the probability of dizziness and vertigo in parapontine infarction compared with other infarcts the difference was statistically significant(χ^(2)=52.083,P=0.000).Conclusion The incidence of acute infarction in the posterior circulation is highest in the simple unilateral pons area,but the incidence of dizziness or vertigo after infa

关 键 词：后循环 急性梗死 头晕 眩晕 

分 类 号：R743.33[医药卫生—神经病学与精神病学]