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目的 探讨非侵袭性远端肢体缺血后适应(NRLIP)对后循环缺血功能恢复的影响.方法 将160例后循环缺血眩晕患者随机分为NRLIP组(80例)和对照组(80例).入组患者给予常规内科治疗,NR-LIP组加用NRLIP.采用欧洲头晕评估量表(EEV)评价入院时及入院治疗7 d后的神经功能,同时检测患者血清超敏C-反应蛋白(hs-CRP)、纤维蛋白原(FIB)、D-二聚体(D-D)及血糖(FPG)水平.结果 NRLIP组治疗第7 d EEV评分及hs-CRP、D-D、FIB水平显著低于入院时(均P0.05);对照组治疗第7 d时EEV评分显著低于入院时(P0.05).NRLIP组及对照组入院时EEV评分及hs-CRP、D-D、FIB、FPG水平差异无统计学意义(均P>0.05).与对照组比较,NRLIP组治疗第7 d时hs-CRP水平显著降低,NRLIP组EEV评分、hs-CRP及FIB水平差值显著升高(均P0.05).患者均无明显不良反应.结论 NRLIP对后循环缺血患者神经功能改善起到一定的促进作用.“,”Objective To explore the effects of non-invasive remote limb ischemic postconditioning(NRLIP) on the neurological function recovery of posterior circulation ischemia(PCI).Methods One hundred and sixty PCI patients with vertigo were randomly divided into NRLIP group(80 cases)and control group(80 cases).All the patients accepted regular treatment and NRLIP group patients treated with NRLIP besides regular treatment.European evaluation of vertigo(EEV)scale was employed to assess the neurological function at the time of admission and at 7 d after admission.And the levels of serum high sensitivity C-reactive protein(hs-CRP), fibrinogen(FIB), D-dipolymer(D-D)and fasting plasma glucose(FPG)were measured.Results EEV value and the levels of hs-CRP, D-D and FIB in NRLIP group at 7 d after treatment were significantly decreased than those at admission(all P0.05).EEV value in control group at 7 d after treatment were significantly decreased than that at admission(P0.05).EEV value and the levels of hs-CRP,D-D,FIB and FPG at admission had no statistical significance between NRLIP group and control group(all P>0.05).Compared with control group, hs-CRP level in NRLIP group at 7 d after treatment was significantly decreased(P<0.01), the difference value of EEV and FIB in NRLIP group were significantly increased(all P0.05).No obvious adverse effect was observed on all patients.Conclusion NRLIP has a facilitating effect on the neurological functional recovery of PCI.