重复经颅磁刺激治疗后循环短暂性脑缺血发作的疗效观察 |
| |
引用本文: | 戴晓岚. 重复经颅磁刺激治疗后循环短暂性脑缺血发作的疗效观察[J]. 中国城乡企业卫生, 2011, 0(1): 39-41 |
| |
作者姓名: | 戴晓岚 |
| |
作者单位: | 天津医科大学总医院,300052 |
| |
摘 要: | 目的探讨重复经颅磁刺激(rTMS)对后循环短暂性脑缺血发作患者血流速度的影响以及临床疗效观察。方法对132位后循环短暂性脑缺血发作受试者随机分入药物治疗组(分为对照组、阿司匹林组、丁洛地尔+阿司匹林组)和高频rTMS联合药物(丁洛地尔+阿司匹林)治疗组,并用经颅多普勒超声仪(TCD)观察其椎基底动脉脑血流速度在治疗前后的变化。结果患者入高频rTMS+药物治疗组其rT-MS后椎基底动脉,收缩期峰值血流速度(peaksystolicvelocity,Vs)较药物治疗的3组增加明显(P〈0.05),舒张末期血流速度(enddiastolicve-locity,Vd)较对照组、阿司匹林组药物治疗组增加(P〈0.05)比较丁洛地尔+阿司匹林组差异无统计学意义,平均血流速度(mean velocity,Vm)较药物治疗的3组增加,刺激过程中无明显不适。结论 rTMS能增加后循环缺血患者的脑血流,改善症状,具有临床应用价值。
|
关 键 词: | 重复经颅磁刺激 后循环短暂性脑缺血发作 |
Efficacy of repetitive transcranial magnetic stimulation in treatment with transient ischemic attack of posterior circulation |
| |
Abstract: | Objective To observet the patients with transient ischemic attack of posterior circulation, using treatment of repetitive transcranial magnetic stimulation,to explore the clinic effect of this treatment. Methods A total of 132 patients conclusion detected by TCD, were randomly divided into four groups,drug therapy (control group,asplin group,asplin+ Buflomedil group and drug therapy+ rTMS group . Use TCD before and after treatment, analyze the hemodynamic change of Vertebral Artery and. Conclusions After Rtms with Vertebral artery insufficiency, the Vs of Vertebral artery of patients used rtms+drug therapy were higher(P〈0.05 ) and the Vd were higher than the control group and asplin group(P〈0.05),while no diffenrence to asplin+ Buflomedil group .Vd of patients used rtms+drug therapy were higher thanthe others. All patients felt no discomfort. Result rTMS treatment increase Vertebral Artery Blood flow, improve clinic syptoms, has clinic value. |
| |
Keywords: | repetitive trauscranial magnetic stimulation transient ischemic attack of posterior circulation |
本文献已被 维普 等数据库收录! |
|