瓦氏动作在脑血流自动调节功能中的应用-中国卒中杂志.pdf

260 Chin J Stroke, Mar 2019, Vol 14, No.3 ·专题综述· 瓦氏动作在脑血流自动调节 功能中的应用 姜振威，胡鸣一，黄艳露，可成名，韩珂 作者单位 【摘要】 CA是指脑血流在动脉血压和脑灌注压发生改变时保持相对稳定的一个复杂的多因素过 518107 深圳 程。脑血流自动调节与多种神经系统疾病如脑血管病、帕金森病、头痛、自主神经功能障碍等疾病的 中山大学附属第七医院 发生、发展及临床预后相关。对脑血流自动调节功能有很多种评估测量方法，监测瓦氏动作所诱导 （深圳） 的血压变化更具有操作性及标准化，适用于各种人群，其安全、简单、准确的特点使其在脑血流自动 通信作者 韩珂 调节中运用十分广泛。本文重点对瓦氏动作在脑血流自动调节功能中的应用做一个综述介绍。 【关键词】 脑血流自动调节；瓦氏动作；脑血管病；帕金森病；头痛；自主神经功能障碍 hanke2580@163.com 【DOI】 - 10.3969/j.issn.1673 5765.2019.03.011 Application of Valsalva Maneuver in Cerebral Autoregulation JIANG Zhen-Wei, HU Ming-Yi, HUANG Yan-Lu, KE Cheng-Ming, HAN Ke. The Seventh Affiliated Hospital of Sun Yat-sen University, Shenzhen 518107, China Corresponding Author:HAN Ke, E-mail:hanke2580@163.com 【 】 Abstract CA is a complex multi-factor process during which cerebral blood flow can still remain relatively stable when arterial blood pressure (ABP) and cerebral perfusion pressure (CPP) occur changes. Cerebral autoregulation is related to the occurrence, development and clinical prognosis of some nervous system diseases, such as cerebrovascular disease, Parkinsons disease, headache, autonomic nervous dysfunction. There are several methods of evaluating and measuring cerebral autoregulation. Observing the change of blood pressure induced by Valsalva maneuver are more operable and standardized, which is applicable to all kinds of people. Valsalva maneuver i