小儿头痛患者的自主神经功能障碍：偏头痛与紧张型头痛
Autonomic dysfunction in pediatric patients with headache: migraine versus tension-type headache.
作者信息
Rabner Jonathan, Caruso Alessandra, Zurakowski David, Lazdowsky Lori, LeBel Alyssa
机构信息
Department of Anesthesiology, Perioperative and Pain Medicine, Boston Children's Hospital, 300 Longwood Avenue, Boston, MA, USA.
Pediatric Headache Program, Boston Children's Hospital, 9 Hope Ave, Waltham, MA, 02453, USA.
出版信息
Clin Auton Res. 2016 Dec;26(6):455-459. doi: 10.1007/s10286-016-0385-3. Epub 2016 Oct 19.
PURPOSE
To examine symptoms indicating central nervous system (CNS) autonomic dysfunction in pediatric patients with migraine and tension-type headache.
METHODS
A retrospective chart review assessed six symptoms (i.e. constipation, insomnia, dizziness, blurry vision, abnormal blood pressure, and cold and clammy palms and soles) indicating central nervous system (CNS) autonomic dysfunction in 231 patients, ages 5-18 years, diagnosed with migraine, tension-type headache (TTH), or Idiopathic Scoliosis (IS).
RESULTS
Higher frequencies of "insomnia," "dizziness," and "cold and clammy palms and soles" were found for both migraine and TTH patients compared to the IS control group (P < 0.001). Frequencies of all six symptoms were greater in TTH than migraine patients with "cold and clammy palms and soles" reaching significance (P < 0.001).
CONCLUSIONS
The need for prospective research investigating autonomic dysfunction in pediatric headache patients is discussed.
目的
研究偏头痛和紧张型头痛儿科患者中提示中枢神经系统（CNS）自主神经功能障碍的症状。
方法
一项回顾性病历审查评估了231例年龄在5至18岁、被诊断为偏头痛、紧张型头痛（TTH）或特发性脊柱侧凸（IS）的患者中提示中枢神经系统（CNS）自主神经功能障碍的六种症状（即便秘、失眠、头晕、视力模糊、血压异常以及手掌和脚底冰冷潮湿）。
结果
与IS对照组相比，偏头痛和TTH患者中“失眠”“头晕”以及“手掌和脚底冰冷潮湿”的出现频率更高（P < 0.001）。TTH患者所有六种症状的出现频率均高于偏头痛患者，其中“手掌和脚底冰冷潮湿”具有显著性差异（P < 0.001）。
结论
讨论了对儿科头痛患者自主神经功能障碍进行前瞻性研究的必要性。
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