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目的 探讨体外反搏治疗椎基底动脉供血不足(VBI)的疗效。方法 体外反搏治疗椎基底动脉供血不足的前后应用TCD各检测椎动脉(VA)、基底动脉(BA)、小脑后下动脉(PINCA)、大脑后动脉(PCA)的平均流速(Vm)及脉动指数(PI)1次;CDFI各检测颅外椎动脉血流速度时间积分(VTI),平均血流速度(Vm),收缩期峰速(Vs)及血管直径 1次进行评价。结果 体外反搏治疗 VBI前后,不论是颅内血流 VA、BA、PINCA、PCA的 Vm、PI检测结果,还是颅外椎动脉的管径、VTI、VsN 的CDFI检测结果差别均有极显著性意义(P<0.01)。结论 体外反搏治疗椎基底动脉供血不足,无毒副作用,是一种安全疗效确切的较为理想的治疗方法。
Objective To investigate the efficacy of external counterpulsation in treatment of vertebrobasilar insufficiency (VBI). Methods Before and after the treatment of vertebrobasilar insufficiency with external counterpulsation, the average flow velocity (Vm) and pulse wave of vertebral artery (VA), basilar artery (BA), posterior inferior cerebellum (PINCA) and posterior cerebral artery (PCA) Index (PI) once; CDFI test of extracranial vertebral artery velocity integral time (VTI), mean velocity (Vm), systolic peak velocity (Vs) and vascular diameter of 1 evaluation. Results Before and after external counterpulsation of VBI, the results of Vm, PI, intracranial blood flow VA, BA, PINA and PCA, or diameter of extracranial vertebral artery, VTI and VsN CDFI were significantly different Significance (P <0.01). Conclusion Extracorporeal counterpulsation of vertebrobasilar insufficiency, non-toxic side effects, is a safe and effective treatment of the more ideal.