老年眩晕患者颈部及颅内血管病变的临床特点分析

Analysis of clinical characteristics of cervical and intracranial vascular lesions in elderly patients with vertigo

目的:探讨老年眩晕患者颈部及颅内血管病变的临床特点.方法:选取2012-04/2014-04我院收治的老年眩晕患者74例作为研究组,选取同期门诊无眩晕老年患者40例作为对照组,两组患者均采用彩色多普勒超声诊断仪检查并诊断其颈部及颅内血管情况.结果:研究组患者颈部及颅内血管狭窄共36例,其中颈总动脉(CCA)、颈内动脉(ICA)狭窄6例;椎动脉(VA)狭窄2例;大脑前动脉(ACA)、大脑中动脉(MCA)狭隘10例;大脑前动脉(PCA)、椎基底动脉(V-BA)狭隘18例.对照组颈部及颅内血管狭窄共8例,ICA、CCA狭窄1例,ACA、MCA狭隘2例,PCA、V-BA狭隘5例.组间差异有统计学意义(P<0.05).结论:经彩色多普勒超声诊断发现,老年眩晕患者颈颅血管血流动力学异常较普通老年患者明显较高.

AIM: To investigate the clinical characteristics of cervical and intracranial vascular lesions in aged patients with vertigo. METHODS:A total of 74 aged patients with vertigo in our hospital from April 2012 to April 2014 were selected as obser?vation group, and a total of 40 elderly patients without vertigo at the same period as control group. Two groups of patients check by color Doppler ultrasound and diagnosed the cervical and intracra?nial blood tube. RESULTS:Among 36 patients with cervical and intracranial vascular stenosis in observation group, 6 cases were diagnosed as common carotid artery ( CCA ) and internal carotid artery ( ICA) stenosis, 2 cases as vertebral artery ( VA) stenosis, 10 cases as anterior cerebral artery ( ACA ) and cerebral artery ( MCA) stenosis, and 18 cases as anterior cerebral artery ( PCA) and vertebral basilar artery ( V?BA) stenosis. In control group, 8 cases were diagnosed as cervical and intracranial vascular steno?sis, 1 cases as CCA and ICA stenosis, 2 cases as ACA and MCA stenosis, 5 cases as V?BA and PCA stenosis. The difference between the two groups was statistically significant ( P<0. 05 ) . CONCLUSION: By the diagnosis of color Doppler ultrasound, incidence of the blood flow dynamics abnormalities of elderly patients with vertigo was significantly higher than that of the ordinary elderly patients.