[Features of parameters of cerebral hemodynamics in patients with alcoholism with different flexibility of cognitive functions].

Q3 Medicine
S A Galkin, T A Oshkina
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引用次数: 0

Abstract

Objective: To study the parameters of regional cerebral hemodynamics in patients with alcoholism with different flexibility of cognitive functions.

Material and methods: Fifty-eight patients with alcoholism were examined. The flexibility of cognitive functions was evaluated using the Stroop test. Regional cerebral hemodynamics was assessed by 4-channel rheoencephalography (REG).

Results: It was found that 77.6% (n=45) of patients have low flexibility of cognitive processes. At physiological rest, patients with low cognitive flexibility had a significantly lower value of the rheographic index on the left and right in the carotid and vertebrobasilar basins compared with patients with a high level of cognitive flexibility (p<0.05). Also, in patients with a low level of cognitive flexibility, an asymmetry of vascular tone with higher on the right in both brain basins (p=0.079 and p=0.094) was demonstrated.

Conclusions: Regardless of the flexibility of cognitive processes, in patients with alcoholism, a hypovolemic, hyper-resistant type of cerebral hemodynamics was detected during withdrawal. In patients with a low level of flexibility of cognitive functioning, more pronounced compression effects on hemodynamics and moderate interhemispheric asymmetry of the tone of the internal carotid and vertebrobasilar arteries were observed.

[具有不同认知功能灵活性的酒精中毒患者的脑血流动力学参数特征]。
目的:探讨不同认知功能灵活性酒精中毒患者脑血流动力学参数。材料与方法:对58例酒精中毒患者进行检查。采用Stroop测验评估认知功能的灵活性。采用4通道脑流变图(REG)评估局部脑血流动力学。结果:77.6% (n=45)的患者认知过程灵活性低。生理休息时,认知柔韧性低的患者颈动脉和椎基底盆左右侧流变指数明显低于认知柔韧性高的患者(pp=0.079和p=0.094)。结论:无论认知过程的灵活性如何,在酒精中毒患者中,在戒断期间检测到低血容量,高抵抗型脑血流动力学。在认知功能灵活性较低的患者中,观察到更明显的血流动力学压缩效应和内颈动脉和椎基底动脉张力的中度半球间不对称。
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来源期刊
CiteScore
1.10
自引率
0.00%
发文量
287
审稿时长
3-6 weeks
期刊介绍: Одно из старейших медицинских изданий России, основанное в 1901 году. Создание журнала связано с именами выдающихся деятелей отечественной медицины, вошедших в историю мировой психиатрии и неврологии, – С.С. Корсакова и А.Я. Кожевникова. Широкий диапазон предлагаемых журналом материалов и разнообразие форм их представления привлекают внимание научных работников и врачей, опытных и начинающих медиков, причем не только неврологов и психиатров, но и специалистов смежных областей медицины.
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