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哈尔滨医药  2021, Vol. 41 Issue (5): 43-44    
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经颅多普勒超声诊断血管性头痛的价值及脑血流量变化观察
刘颖
河南省驻马店西平县人民医院功能检查科,河南 驻马店463900
Value of Transcranial Dopplerultrasonography in the Diagnosis of Vascular Headache and Observation on Changes of Cerebral Blood Flow
Liu Ying
Department of Functional Inspection,Xiping County People’s Hospital,Zhumadian 463900,China
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摘要 目的 探讨经颅多普勒超声诊断血管性头痛的临床价值及脑血流量变化的影响。方法 选取162例血管性头痛患者作为观察组,选取同期60例健康人为对照组,对比观察血管性头痛患者基底动脉、大脑前动脉、大脑中动脉、椎动脉、大脑后动脉的血管情况及血流变化等。结果 观察组患者基底动脉、大脑前动脉、大脑中动脉、椎动脉、大脑后动脉的平均血流速度均显著高于对照组(P<0.001);血管性头痛患者血管椎动脉异常率最高,达到97.53%,基底动脉异常率最低,为51.23%,血管异常类型以血流速度加快为主,血管杂音出现的情况最少。结论 在经颅多普勒超声下,可清晰检查血管性头痛患者脑部血管平均血流速度与脑部血流变化情况,在血管性头痛的诊断中具有较高的诊断价值。
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刘颖
关键词 经颅多普勒超声血管性头痛诊断脑血流量    
AbstractObjective To analyze and explore the diagnostic value of transcranial Doppler ultrasonography on vascular headache,and to observe the changes of cerebral blood flow by means of transcranial Doppler examination for patients with vascular headache. Methods 162 patients with vascular headache admitted to were selected as the observation group,and another 60 healthy people during the same period were selected as the control group.A 2MHz probe was used to probe the vascular conditions and blood flow changes of anterior cerebral artery,middle cerebral artery,posterior cerebral artery,basilar artery and vertebral artery of patients. Results The average blood flow velocities of anterior cerebral artery,middle cerebral artery,posterior cerebral artery,basilar artery and vertebral artery of the observation group were significantly higher than those of the control group(P<0.001).The abnormal rate of vascular vertebral artery in patients with vascular headache was the highest,reaching 97.53%.The abnormal rate of basilar artery was the lowest,accounting for 51.23%.The type of vascular abnormality was mainly the acceleration of blood flow,and the occurrence of vascular murmur was the least. Conclusion The average blood flow velocities of cerebral blood vessels of patients with vascular headache are significantly higher than those of healthy people.Transcranial Doppler ultrasonography can accurately detect the changes of cerebral blood flow of patients with vascular headache,and has a higher diagnostic value in the diagnosis of vascular headache.
Key wordsTranscranial Doppler ultrasonography    Vascular headache    Diagnosis    Cerebral blood flow
收稿日期: 2020-11-09     
PACS:  R445.1  
引用本文:   
刘颖. 经颅多普勒超声诊断血管性头痛的价值及脑血流量变化观察[J]. 哈尔滨医药, 2021, 41(5): 43-44.
Liu Ying. Value of Transcranial Dopplerultrasonography in the Diagnosis of Vascular Headache and Observation on Changes of Cerebral Blood Flow. journal1, 2021, 41(5): 43-44.
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