腹部偏头痛的临床特征:从662名患者的系统审查和数据总结
Ke Ding1,2, Hanlu Xiang1,2, Mengjie Huo2,3
1Graduate School of Hebei Medical University, Shijiazhuang, Hebei, China.
Frontiers in neurology
|February 16, 2026
概括
腹部偏头痛 (AM) 是一种具有自主症状的复发性腹部疼痛综合征. 早期诊断和针对偏头痛的治疗方法,如三药,有望改善患者的治疗结果.
科学领域:
- 神经学 神经学
- 胃肠病学 胃肠病学
- 儿科 儿科 儿科
背景情况:
- 腹部偏头痛 (AM) 是腹部疼痛和自主特征的插曲性综合征,影响儿童和成人.
- 诊断是临床的,需要排除有机疾病,没有标准化的治疗,往往导致诊断不足和生活质量降低.
研究的目的:
- 分析临床特征,诊断和治疗方法以及儿童和成人患者的AM的结果.
- 根据一系列大型病例,提供对这种具有挑战性的疾病管理的见解.
主要方法:
- 根据PRISMA指南进行了一次系统的文献审查.
- 从病例报告和AM临床研究中提取和分析了到2025年6月发表的AM的数据.
主要成果:
- 该研究包括662名患者 (629名儿童,33名成年人),女性与男性的比例为1.6:1.
- 诊断延迟是显著的 (儿童为3.1年,成人为4.0年). 常见的症状包括周疼痛,恶心,吐和头痛.
- 类药物表现出高急性疗效 (98.04%),抗药 (95.0%),β抑制剂 (100%) 和抗组胺剂 (92.8%) 等预防性治疗非常有效,尽管这些需要前性验证.
结论:
- 腹部偏头痛表现出临床异质性,但与偏头痛疾病具有共同特征.
- 早期诊断和管理,可能利用偏头痛特异性药物,可以改善结果.
- 提高对非胃肠道症状和偏头痛病史的认识对于准确的AM诊断至关重要.
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