经颅多普勒(TCD)对椎-基底动脉供血不足性(VBI)脑血管病的病因诊断的临床研究

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	英文篇名：经颅多普勒(TCD)对椎-基底动脉供血不足性(VBI)脑血管病的病因诊断的临床研究 作者：牛春梅 关键词：椎-基底动脉供血不足 ; 经颅多普勒 ; 动脉粥样硬化 ; 脑血管病 ; 频谱形态 英文关键词：VBI;;TCD;;arteriosclerosis;;cerebrovascular disease;;pattern of waveform 中文刊名：NZYY 英文刊名：Nei Mongol Journal of Traditional Chinese Medicine 机构：宁夏石嘴山市第一人民医院功能科; 出版日期：2011-02-15 出版单位：内蒙古中医药 年：2011 期：v.30 语种：中文; 页：NZYY201103095 页数：2 CN：03 ISSN：15-1101/R 分类号：107-108

摘要

目的:探讨经颅多普勒(TCD)对椎-基底动脉供血不足(VBI)性脑血管病的诊断价值。采用CBS-IITCD仪,以2Hz、8Hz的探头分别检测椎-基底动脉各段血管的血流速度、搏动指数、频谱形态、音频信号及频谱灰度。结果:发现推动脉(VA)或基底动脉(BA)异常215例,动脉硬化110例,其中合并血管狭窄22例,总异常率为87%。结论:应用TCD检测椎-基底动脉供血不足具有安全性、无痛性、快速化、高度灵敏,并可动态检查,适时了解椎-基底动脉血流动力学情况,为椎-基底动脉供血不足的病因诊断及鉴别诊断提供了重要依据。
        Objective:To detect the valuable research on clinical diagnosis of cerebrovascular disease Of VBI by TCD. Method:The measurements included the maximal velocity in systole(V max ) ,the minimal velocity in late diastole (Vmin) ,the mean enveloped velocity (Vmean) ,the resistance index(RI) , the pulsative index(PI),pattern of waveform of VB and BA by TCD and 2r^8Hz Probes.Result: The results confirmed that blood velocity of flow was abnormity in 215 cases (87%) , among which, arteriosclerosis 110 and intracranial stenosis arteries 22.Conclusion: The TCD detection is a secure, painless, improved simple and highly sensitive way to exam timely blood velocity of flow, what s more which could provide the important evidence on clinical diagnosis of cerebrovascular disease Of VBI by TCD.

引文

[1] 焦德明,瞿立业,何晓峡.临床多普勒超声学[S].北京医科大学中国协和医科大学联合出版社,1996,114-125．
    [2] 陈丽光,崔雅君,韩蕴新.临床多普勒超声学[S].北京医科大学中国协和医科大学联合出版社,1996,559．