患上偏头痛的患者中静脉症状的患病率,临床相关值和功能影响
Yi-Hsien Tu1, Tzu-Chou Huang2, Yi-Shiang Tzeng3
1Department of Neurology, An Nan Hospital, China Medical University, Tainan, Taiwan.
Neurology
|October 15, 2025
概括
在偏头痛患者中,静脉的症状很常见,严重影响残疾和睡眠质量. 查这些症状至关重要,因为目前的前庭偏头痛诊断标准可能无法识别所有受影响的个体.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
背景情况:
- 在偏头痛患者中,前置部症状 (VS) 的研究不足,导致前置部偏头痛 (VM) 的诊断不足.
- 偏头痛是一种流行的神经系统疾病,对患者造成重大负担.
研究的目的:
- 确定偏头痛患者中VS和VM的患病率.
- 调查VS和VM的临床相关性和功能影响.
- 评估VS与残疾,睡眠质量,焦虑和抑郁症的关联.
主要方法:
- 对2801名新诊断的偏头痛患者进行横截面研究.
- 使用了头痛特征问卷,偏头痛残疾评估 (MIDAS),匹兹堡睡眠质量指数 (PSQI) 和医院焦虑和抑郁量表 (HADS).
- 定义VS基于国际静脉关疾病分类和VM基于国际头痛疾病分类,第3版.
主要成果:
- 68.4%的偏头痛患者经历了VS,头是最常见的.
- 15.2%的人符合VM的标准.
- 与没有VS的患者相比,患有VS (VM和非VM) 的患者表现出明显更大的头痛残疾 (MIDAS),更差的睡眠质量 (PSQI) 和更高的焦虑程度 (HADS-A) 和抑郁症 (HADS-D).
结论:
- 在偏头痛中,垂体症状非常普遍,并且与严重的残疾有关,无论是否符合VM标准.
- 偏头痛患者的临床评估应包括查前体症状.
- 目前的VM诊断标准可能不包括所有患有VS相关影响的患者.
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