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西比灵治疗椎基底动脉供血不足的TCD和rCBF研究
引用本文:陈道文,李作汉,狄晴,叶民,王传民,石春霞.西比灵治疗椎基底动脉供血不足的TCD和rCBF研究[J].脑与神经疾病杂志,2001,9(2):87-89.
作者姓名:陈道文  李作汉  狄晴  叶民  王传民  石春霞
作者单位:1. 南京脑科医院神经科,
2. 南京鼓楼医院高压氧治疗中心
基金项目:本课题获西安杨森西比灵临床研究经费资助
摘    要:目的:研究椎基底动脉供血不足(VBI)患者服用西比灵治疗后脑血流动力学和脑血流量变化。方法:22例VBI患者西比灵治疗前及治疗4周后分别行经颅多普勒(TCD)和133氙吸入法局部脑血流量(rCBF)检测。结果:西比灵治疗后椎基底动脉系统血流速增快,但与治疗前相比无显著差异(P>0.05);治疗后全脑血流量增高,其中脑干、小脑区脑血流量明显高于治疗前(P<0.05)。结论;西比灵能改善VBI患者脑循环,治疗VBI安全有效。

关 键 词:椎基底动脉供血不足  西比灵  经颅多普勒  局部脑血流量
修稿时间:2000年11月20

Treatment of vertebrobasilar insufficiency with flunarizine Study on TCD and rCBF
CHEN Dao Wen,LI Zuo Han,DI Qing,et al..Treatment of vertebrobasilar insufficiency with flunarizine Study on TCD and rCBF[J].Journal of Brain and Nervous Diseases,2001,9(2):87-89.
Authors:CHEN Dao Wen  LI Zuo Han  DI Qing  
Affiliation:CHEN Dao Wen,LI Zuo Han,DI Qing,et al. Department of Neurology,Nangjing Brain Hospital,Nanjing,210029
Abstract:Objective: To evaluate the effect of flunarizine on cerebral blood hemodynamics and cerebral blood flow in patients with vertebrobasilar insufficiency (VBI). Methods: Tanscranial doppler (TCD) and regional cerebral blood flow (rCBF) with[133] Xe inhalation were investigated respectively before and after 4 weeks flunarizine treatment in 22 VBI patients. Results:Compared to before treatment, the velocity of vertebral and basilar arteries was increased by flunarizine treatment, but the increase was not significant (P>0.05). Flunarizine induced a elevation of cerebral blood flow parameters, especially in brainstem-cerebellum area (P<0.05). Conclusion: Flunarizine improves cerebrovascular circulation and it's an effective drug for VBI.
Keywords:Vertebrobasilar insufficiency Flunarizine Tanscranial doppler Regional cerebral blood flow
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