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[血管性头痛:循环、血液流变学、电生理学及心理学方面]

[Vascular headache: circulatory, hemorrheologic, electrophysiologic and psychological aspects].

作者信息

Bartko D, Turcáni P, Traubner P, Drsková A, Janco S, Kondás M, Zúzi M, Vyjidáková M, Ceslová T, Danisová J

出版信息

Cesk Neurol Neurochir. 1989 Mar;52(2):103-9.

PMID:2743451
Abstract

The aim of the work was to analyze circulatory, rheological, electrophysiological and psychological characteristics of patients with vascular headache, mostly migraine and vasomotor cephalea. The group was formed by 69 patients, mean age 40.4 +/- 9.0 years. It was revealed that: 1. there were no significant changes in rheological properties of blood in the following six parameters: coagulation, viscosity of plasma and blood, platelzo aggregation, of circulating aggregates, 2. there were no significant changes in rCBF (FF,SF,AF and ISI) parameters in the group of patients with bilateral headache but a rising rCBF in unilateral headache, 3. there was a significant reduction of the "peak frequency" in supratrochlear arteries and a significant increase of the flow rate in the intracerebral arteries (a.cerebralis media, a.cerebralis anterior), 42.4% of the patients displayed abnormal but non-specific EEg changes, 5. there was a significant increase of the amplitude of P1 and N2 waves of visual evoked potentials and a non-significant shortening of the latency of wave N1, 6. significant changes were recorded in some psychological parameters, in particular an increase of the score of depressivity, anxiety and neuroticism.

摘要

这项工作的目的是分析血管性头痛患者,主要是偏头痛和血管舒缩性头痛患者的循环、流变学、电生理和心理特征。该组由69名患者组成,平均年龄40.4±9.0岁。结果显示:1. 血液的以下六个参数的流变学特性无显著变化:凝血、血浆和血液粘度、血小板聚集、循环聚集体;2. 双侧头痛患者组的rCBF(FF、SF、AF和ISI)参数无显著变化,但单侧头痛患者的rCBF升高;3. 滑车上动脉的“峰值频率”显著降低,脑内动脉(大脑中动脉、大脑前动脉)的血流速度显著增加;4. 42.4%的患者表现出异常但非特异性的脑电图变化;5. 视觉诱发电位的P1和N2波幅显著增加,N1波潜伏期无显著缩短;6. 一些心理参数有显著变化,特别是抑郁、焦虑和神经质得分增加。

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