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随着脑血管病人的不断增多,椎一基底动脉供血不足(VBI)成了近年来门诊及住院的常见病。本文对103例VBI的病因、顾危险因素、年龄特点进行分析,发病年龄50~86岁,均突然眩晕、视物旋转、行走步态不稳。伴恶心、呕吐44.6%,耳鸣耳聋33%,构音障碍19.4%,一例肢体无力10.6%,85.4%头位及体位改变诱发。本组103例均有不同程度的动脉硬化,87例颈椎X线摄片符合颈椎病改变,40例伴有高血压病。经扩溶,抗眩晕,改善脑循环,钙离子拮抗剂,颈椎牵引等治疗,66%24小时内症状缓解,95%72小时内缓解。
With the increasing number of patients with cerebrovascular disease, vertebrobasilar insufficiency (VBI) has become a common disease in outpatients and inpatients in recent years. In this paper, 103 cases of VBI etiology, risk factors, age characteristics of analysis, the age of onset of 50 to 86 years old, were suddenly dizzy, depending on the material rotation, walking gait instability. With nausea and vomiting 44.6%, tinnitus and deafness 33%, dysarthria 19.4%, a case of limb weakness 10.6%, 85.4% head and position changes induced. The group of 103 patients had varying degrees of atherosclerosis, 87 cases of cervical X-ray consistent with cervical spondylosis changes, 40 cases associated with hypertension. The symptoms were relieved in 66% within 24 hours and remitted within 72 hours after 95% of the patients were treated with treatment of dissolving, anti-dizziness, improving cerebral circulation, calcium antagonists and cervical traction.