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本文对两组521例以头痛为主诉的病人作了TCD检查 ,发现均有不同程度的血管机能紊乱 ,有的显示动脉扩张 ,有的是动脉痉挛 ,有的则扩张痉挛并存 ,有的发生在一支血管上 ,但更多的是发生在多支血管上 ,根据血管机能紊乱规律可分为单纯型(血管机能紊乱—下略)和复杂型 ,后者又分为如下几型 :偏侧型、交叉型、双侧型、颈内动脉型、椎—基底动脉型、颅底动脉型、全颅动脉型 ,这种组合类型与血管神经的解剖生理有相关性。各主要动脉扩张比痉挛多见 ,这可能是国人脑血管机能障碍的一个特点。两组病例均以女性多见 ,可能与女性心理活动复杂有关。并以30～39岁年龄组为发病高峰 ,可能与此年龄组的人工作紧张 ,家庭和社会负荷过重有关。病程最短5天 ,最长达20年。各主要动脉机能障碍均以左侧多见 ,可能与人的左侧半球活动占优势有关。大脑是一个整体 ,复杂的精神活动中可使整个脑的供血系统机能紊乱 ,所以各主要血管的双侧同时受累比优势半球受累者更多 ,引发血管性头疼的因素是复杂的 ,除了固有的生物学因素外 ,负性情绪 ,思想负荷过重 ,头部外伤、颈椎病、环境温度变化、日晒也是常见的诱发因素。
In this paper, two groups of 521 patients with headache as the chief complaint of TCD examination were found to varying degrees of vascular dysfunction, some showed arterial dilation, some arterial spasm, while others dilated spasm co-exist, and some occurred in a Vascular, but more occurs in multivessel blood vessels, according to the law of vascular dysfunction can be divided into simple type (vascular dysfunction - slightly) and complex type, the latter is divided into the following types: hemiplegia, Crossed type, bilateral type, internal carotid artery type, vertebrobasilar artery type, skull base arterial type, and cranial artery type. The combination type is related to the anatomy and physiology of vascular nerves. Spread of all major arteries more common than spasms, which may be a feature of cerebral vascular dysfunction in China. Two groups of patients are more common in women may be related to the complexity of women’s psychological activities. And the peak age of 30 to 39 age group, may be related to people in this age group work stress, family and social overload. The shortest duration of 5 days, up to 20 years. The main arterial dysfunction were more common on the left, may be related to the dominant human left hemisphere activity. The brain is a whole, complex mental activity can make the entire brain blood supply system disorders, so both sides of the major blood vessels involved more than the dominant hemisphere who are more involved, causing vascular headache factor is complex, in addition to the inherent Biological factors, negative emotions, thoughts overload, head trauma, cervical spondylosis, changes in ambient temperature, sun exposure is also a common predisposing factor.