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偏头痛与胃肠道疾病之间存在关联吗?

Is there an Association between Migraine and Gastrointestinal Disorders?

作者信息

Doulberis Michael, Saleh Christian, Beyenburg Stefan

机构信息

Department of Internal Medicine, Bürgerspital Hospital of Solothurn, Solothurn, Switzerland.

Department of Neurology, Centre Hospitalier de Luxembourg, Luxembourg, Luxembourg.

出版信息

J Clin Neurol. 2017 Jul;13(3):215-226. doi: 10.3988/jcn.2017.13.3.215.

Abstract

Migraine is a primary episodic headache disorder that represents a substantial burden and disability worldwide. Its pathogenesis is multifactorial and remains hitherto poorly elucidated. An interesting but less-well-known association is that between migraine and gastrointestinal disorders. We have reviewed the literature for relevant papers reporting on the clinical association between migraine and gastrointestinal symptoms. Several studies have shown different gastrointestinal diseases to be associated with migraine, but the underlining pathophysiology remains elusive. The data gathered and analyzed have shown great variability across studies, making it impossible to draw definitive conclusions. Further research is required to elucidate this potential relationship. An understanding of the relationship between migraine and gastrointestinal disorders is of great clinical importance for prompt diagnosis and treatment.

摘要

偏头痛是一种原发性发作性头痛疾病,在全球范围内造成了沉重负担和残疾。其发病机制是多因素的,迄今仍未得到充分阐明。一个有趣但不太为人所知的关联是偏头痛与胃肠道疾病之间的关联。我们查阅了文献,寻找有关偏头痛与胃肠道症状临床关联的相关论文。几项研究表明,不同的胃肠道疾病与偏头痛有关,但潜在的病理生理学仍不清楚。收集和分析的数据在各项研究中显示出很大的差异,因此无法得出明确的结论。需要进一步研究以阐明这种潜在关系。了解偏头痛与胃肠道疾病之间的关系对于及时诊断和治疗具有重要的临床意义。

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The Gut-brain Connection and Episodic Migraine: an Update.肠道-大脑连接与发作性偏头痛:最新进展。
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本文引用的文献

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Allergens might trigger migraine attacks.过敏原可能引发偏头痛发作。
Acta Neurol Belg. 2017 Mar;117(1):91-95. doi: 10.1007/s13760-016-0645-y. Epub 2016 May 3.
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Cluster belly: a variant of irritable bowel syndrome.聚集性腹痛:肠易激综合征的一种变体
Headache. 2014 Nov-Dec;54(10):1644-6. doi: 10.1111/head.12429. Epub 2014 Jul 18.
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Celiac disease and migraine: is there a common backstage?乳糜泻与偏头痛:是否存在共同的幕后机制?
Int J Colorectal Dis. 2014 Dec;29(12):1571. doi: 10.1007/s00384-014-1923-x. Epub 2014 Jun 26.

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