Facciolla D, Mozzillo A, Nolfe G, Portoghese R, Rossi A, Ruocco A, Serra C
Riv Neurol. 1980 Nov-Dec;50(6):363-82.
After a detailed review of literature basic and clinical data on rheoencephalography (R.E.G.) the findings of 1000 patients suffering from verified brain blood supply impairment submitted to REG studies are exposed. Following parameters of REG curve have been analysed: sphygmic amplitude, sphygmic interrelations between two homologous brain regions; sphygmic speed, rise time, slope of REG curve, dicrotic incisure, random oscillations of catacrotic phase. A reduction in sphygmic speed has been observed in 70 % of cases, with changes in slope of REG curve in 90 % and reduction or disappearance of catacrotic dicrotism in 93.5 % and progressively less frequent changes in the remaining REG parameters. The obtained data have been submitted to statistical analysis. Significant associations have been observed between two or more pathological REG parameters and between the pathology of REG curve as a whole and the different invasive methods employed for assessing the cerebrovascular insufficiency such as CT, CBF studies and angiographic data. Not significant correlations between the focal REG pathology, and the focal changes of REG or of the invasive methods have been found. The systematic employment of REG study as a non invasive method for the screening of cerebral blood impairment is recommended.
在对脑电阻抗图(R.E.G.)的基础和临床文献数据进行详细综述之后,本文展示了1000例经证实存在脑供血障碍并接受脑电阻抗图研究的患者的研究结果。分析了脑电阻抗图曲线的以下参数:脉搏波幅、两个同源脑区之间的脉搏波相关性;脉搏波速度、上升时间、脑电阻抗图曲线斜率、重搏切迹、降支随机振荡。70%的病例观察到脉搏波速度降低,90%的病例脑电阻抗图曲线斜率发生变化,93.5%的病例降支重搏波降低或消失,其余脑电阻抗图参数变化频率逐渐降低。对所得数据进行了统计分析。在两个或更多病理性脑电阻抗图参数之间,以及整个脑电阻抗图曲线的病理与用于评估脑血管功能不全的不同侵入性方法(如CT、脑血流量研究和血管造影数据)之间观察到显著关联。未发现局灶性脑电阻抗图病理与脑电阻抗图局灶性变化或侵入性方法之间存在显著相关性。建议将脑电阻抗图研究作为一种无创方法系统地用于筛查脑供血障碍。