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[脑血管供血不足的初始表现(临床-脑电图研究)]

[Initial manifestations of cerebrovascular insufficiency (clinico-electrographic studies)].

作者信息

Shmidt E V, Vereshchagin N V, Suchkova I A, Chukhrova V A

出版信息

Zh Nevropatol Psikhiatr Im S S Korsakova. 1977;77(11):1615-21.

PMID:413295
Abstract

Fifty patients with the clinical diagnosis of initial manifestations of the deficiency of the brain blood supply and 30 normal persons of the corresponding age (the control group) were studied. The main group consisted of patients from 40-67 years. Along with the similar clinical study rheoencephalographic and electroencephalographic studies with the aid of various functional samples were conducted. The initial manifestations of the inadequacy in the brain blood supply frequently developed on the background of cerebral atherosclerosis of a different type of expressiveness, hypertensive disease and their combination, vegetovascular dystonia. With the help of the functional samples the peculiarities of reactivity of the vascular system were established in these patients. The antiorthostatic and nitroglycerin samples appeared to be informative. The combined REG and EEG registrations demonstrated in these patients signs of a deficit of brain blood supply causing in a number of cases changes in its functional states. The clinical (seldom electrographic) changes are of a reversible character and regress during the treatment of the main vascular disease. The obtained data permit to recommend the method of functional electrography (REG and EEG) in order to reveal the initial forms of brain vascular diseases. These patients must be supervised by a dispansary.

摘要

对50例临床诊断为脑供血不足初始表现的患者和30名相应年龄的正常人(对照组)进行了研究。主要研究组由年龄在40至67岁之间的患者组成。除了进行类似的临床研究外,还借助各种功能试验进行了脑血流图和脑电图研究。脑供血不足的初始表现常常发生在不同程度的脑动脉粥样硬化、高血压病及其合并症、植物神经血管性张力障碍的背景下。借助功能试验确定了这些患者血管系统反应性的特点。立位-卧位试验和硝酸甘油试验似乎很有意义。脑血流图(REG)和脑电图(EEG)联合记录显示,这些患者存在脑供血不足的迹象,在许多情况下导致其功能状态发生改变。临床(很少有脑电图的)变化具有可逆性,在主要血管疾病的治疗过程中会消退。所获得的数据允许推荐功能电描记法(REG和EEG)用于揭示脑血管疾病的初始形式。这些患者必须由门诊部进行监护。

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