椎动脉型颈椎病经颅多普勒检测与临床分析

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1、椎动脉型颈椎病经颅多普勒检测与临床分析［摘耍］日的：探讨椎动脉型颈椎病发作间歇期经颅多普勒(TCD)检测结果与临床关系。方法：2010年1月〜2011年1月在开封市第一人民医院体检科进行健康体检时行TCD检测2799人中发现椎动脉型颈椎病患者468例，排除如高血压、糖尿病、脑动脉硬化、出血性及缺血性脑血管病、前日饮酒等可致脑血管收缩期血流速度改变的因素，选取418例作为研究对象，同时按照年龄分层抽取同期行TCD检测的健康者356例作为对照组。使用SPSS16.0软件包对TCD检测结果进行统计学处理。结果：

2、观察组418例中，颈内动脉系统收缩期血流速度异常者131例；椎动脉(VA)收缩期血流速度异常者386例、基底动脉(BA)收缩期血流速度异常者356例。由统计学分析可知，在去除年龄因素后，男、女椎动脉型颈椎病患病均与椎动脉、基底动脉TCD检测异常有关，女性患者发生VA异常的优势比高于男性患者；女性患者发生BA异常的优势比高于男性患者。结论：TCD检测可作为椎动脉型颈椎病的辅助检查手段，在椎动脉型颈椎病的鉴别诊断及健康管理中发挥作用。［关键词］椎动脉型颈椎病；发作间歇期；经颅多普勒；健康管理［中图分类号］R4

3、45.1［文献标识码］C［文章编号］1674-4721(2011)07(c)-117-03TCDinspectionandclinicalanalysisofcervicalspondyloticarteriopathy(CSA)HANL订iDepartmentofHea1thExamination,KaifengFirstPeople'sHospital,HenanProvince,Kaifeng475001,China[Abstract]Objective:Todiscusstherelationsh

4、ipbetweenTCDinspectionresultandclinicalanalysisofCSAduringtheinterictalperiod・Methods:The468pationtsdetectedwithCSAin2799casesbyTCDinspectioninhealthexaminationdepartmentofKaifengFirstpeople*shospitalduringJanuaty2010toJanuary2011physicalexamination.Elimi

5、natedthefactorscouldcausealterationofcerebrovascularsystoliebloodf1owvelocitylikehypertension,diabetesmellitus,cerebralarteriosclerosis,ischemiccerebrovasculardiseaseandalcoholconsumptiononedaybefore.Thenselected418casesasresearchobjectandstratifiedbyageo

6、verthesameperiodwhiletakingtheTCDdetectionof356healthycasesasthecontrolgroup.ThestatisticalanalysisofTCDinspectionresultswasproceedingbySPSS16.0.Results:In418casesofobservationgroup,therewere131caseswithabnormalbloodf1owvelocityofinternalcarotidarterysyst

7、ematsystoleperiod,386caseswithabnormalbloodflowvelocityofvertebralartery(VA)atsystoleperiod,and356caseswithabnormalbloodflowvelocityofbasilarartery(BA)atsystoleperiod.Statisticalanalysisshowedthataftertheremovalofagefactor,maleandfemalepatientswithCSAwere

8、allhaverelationshipwithabnormalTCDinspection.ThedominanceratiooffemalewithVAabnonnalitywashigherthanmaleandtheBAabnormalitywasinthesamecondition.Conclusion:TheTCDinspectioncoulduseasanauxiliarymeansoftheCSAexaminati