Department of Reproductive Health and Midwifery, Shahid Beheshti Medical Science University, Tehran, Iran.
Clin Exp Hypertens. 2010 May;32(3):159-65. doi: 10.3109/10641960903254489.
The Objective of this study was to assess possible association of history of migraine with pre-eclampsia (PE). This was a retrospective study to compare history of migraine in 90 women affected by PE with 90 women without PE as the control group. They recruited by a nonrandomized consecutive sampling method. Data were collected by a questionnaire including demographic, medical, obstetrics, and migraine assessment sections. Data were analyzed using SPSS. Results showed an increased risk of PE in women with history of migraine (odds ratio: 2.87; p < 0.05). Result demonstrated that migraine history in the case group is 14/4% and in control group is 5/6%. Gestational age (GA) at delivery and weight of neonate (WN) were significantly lower compared to control (GA: 37.3 +/- 2.6 vs. 38.7+/- 1.3 weeks T test; P < 0.01) (WN: 2930 +/- 690 vs. 3330 +/- 420; T test; P < 0.0). Cesarean section was more frequent in the PE group compared to the control group [37 (42%) vs. 14 (15.6%)]; chi square; p < 0.01]. The association of migraine with PE is the result of some similar mechanism leading to endothelial dysfunction. Frequent reports of an association between migraine and PE in different populations suggest a history of migraine as a risk factor for PE/gestational hypertension (GH).
本研究旨在评估偏头痛病史与先兆子痫(PE)之间的可能关联。这是一项回顾性研究,比较了 90 例 PE 患者和 90 例无 PE 的对照组偏头痛病史。采用非随机连续抽样方法招募患者。通过包括人口统计学、医学、产科和偏头痛评估部分的问卷收集数据。使用 SPSS 进行数据分析。结果显示,偏头痛病史与 PE 风险增加相关(优势比:2.87;p < 0.05)。结果表明,病例组的偏头痛史为 14/4%,对照组为 5/6%。与对照组相比,分娩时的胎龄(GA)和新生儿体重(WN)明显较低(GA:37.3 +/- 2.6 与 38.7+/- 1.3 周 T 检验;P < 0.01)(WN:2930 +/- 690 与 3330 +/- 420;T 检验;P < 0.0)。PE 组剖宫产率明显高于对照组[37(42%)与 14(15.6%)];卡方检验;p < 0.01]。偏头痛与 PE 之间的关联是某些导致内皮功能障碍的相似机制的结果。偏头痛与 PE 在不同人群中频繁报告存在关联,提示偏头痛病史是 PE/妊娠高血压(GH)的危险因素。