应用对比增强经颅多普勒超声评估偏头痛合并脑微出血患者右向左分流的发生率

Evaluation of the incidence of right-to-left shunt in migraine patients with cerebral microhemorrhage by contrast-enhanced transcranial Doppler

目的应用对比增强经颅多普勒超声(c-TCD)评估偏头痛合并脑微出血患者右向左分流(RLS)的发生率。方法以2018年5月-2020年5月50例偏头痛并脑微出血患者为试验组,同时选取50例健康体检者为对照组,均接受c-TCD检查,对检查结果进行分析。结果试验组偏头痛并脑微出血患者的RLS阳性检出率为50.0%,高于对照组的28.0%,差异有统计学意义(P<0.05)。结论偏头痛合并脑微出血与右向左分流之间有着一定的关系,应加强患者的c-TCD检查,以为疾病确诊和治疗方案制定提供一定的参考依据。

Objective To explore the application of contrast-enhanced transcranial Doppler(c-TCD)to evaluate the incidence of right-to-left shunt(RLS)in migraine patients with cerebral microhemorrhage. Methods 50 patients with Migraine and cerebral microhemorrhage from May 2018 to May 2020 were selected as the experimental group,and 50 healthy subjects were selected as the control group. All of them were examined by c-TCD,and the results were analyzed. Results The positive rate of RLS in patients with migraine with cerebral microhemorrhage in the experimental group was 50.0%,which was higher than that in the control group(28.0%). The difference was statistically significant(P<0.05). Conclusion There is a certain relationship between migraine complicated with cerebral microhemorrhage and right-to-left shunt. C-TCD examination of patients should be strengthened to provide some reference for the diagnosis and treatment of the disease.