轻度颅脑损伤后眩晕86例分析

Analysis of 86 cases of vertigo after mild craniocerebral injury

目的:探讨颅脑外伤后眩晕与椎基底动脉供血情况的相关性,以及脑血管扩张剂对该种眩晕的疗效。方法:选择86例早期出现眩晕症状的轻度颅脑损伤患者作为研究对象,分析临床相关资料和检查结果,对颅脑损伤治疗同时加用眩晕停、盐酸氟桂利嗪胶囊(西比灵)、倍他司丁药物治疗的反应情况等。结果:78例(90.70%)患者有颈椎病或颈椎退行性变,76例(88.37%)患者经过TCD检查提示其椎基底动脉血流缓慢,3种脑血管扩张剂药物治疗均明显患者眩晕。结论:轻型颅脑损伤后眩晕多由颈椎病引起的椎基底动脉供血不足引起,选择性脑血管扩张剂对此治疗有效。

Objective:To investigate the correlation between vertigo after craniocerebral injury and vertebrobasilar artery blood supply,and the therapeutic effect of cerebrovascular dilators on vertigo.Methods:86 cases with mild traumatic brain injury of the early symptoms of dizziness,analyzed clinically relevant history,dizzy of time,duration,inducement,cranial CT and MR,cervical vertebra X-ray,MR and TCD data and test results,for the treatment of craniocerebral injury with vertigo stop at the same time,flunarizine hydrochloride capsules(west)than spirit,the reaction of betahistine medication situation,etc.Results:78 cases(90.70%)patients with cervical spondylosis or degeneration of cervical vertebra,76 cases(88.37%)patients with TCD examination prompt vertebral basilar artery blood stream is slow,three kinds of cerebrovascular dilator drugs treatment were significantly in patients with vertigo analysis of the above factors,find the light dizziness after craniocerebral injury many defect caused by cervical spondylosis of vertebral basilar artery.Conclusion:Vertigo after mild craniocerebral injury is mainly caused by vertebrobasilar artery insufficiency caused by cervical spondylopathy.Selective cerebrovascular dilators are effective in this treatment.