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偏头痛发作的缓解:睡眠与恢复阶段。

Resolution of migraine attacks: sleep and the recovery phase.

作者信息

Blau J N

出版信息

J Neurol Neurosurg Psychiatry. 1982 Mar;45(3):223-6. doi: 10.1136/jnnp.45.3.223.

DOI:10.1136/jnnp.45.3.223
PMID:7086442
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC491341/
Abstract

A study of 50 migraineurs has confirmed previous observations that sleep is a common way of ending the headache phase. 14 subjects could shorten attacks by going to sleep during the day for an average of 2 1/2 hours. Different methods used by patients to aid falling asleep are described. 47 of the 50 subjects had symptoms after the headache had gone--here called the recovery phase which can double the length of individual attacks. It is suggested that prodromata, some symptoms of the headache and recovery phases, as well as the therapeutic effect of sleep, indicate that migraine is primarily a neurological rather than a vascular disorder.

摘要

一项针对50名偏头痛患者的研究证实了之前的观察结果,即睡眠是结束头痛阶段的常见方式。14名受试者通过白天平均睡2个半小时能够缩短发作时间。文中描述了患者用来帮助入睡的不同方法。50名受试者中有47名在头痛消失后出现了症状——这里称之为恢复期,恢复期可能会使个体发作时间延长一倍。有人提出,前驱症状、头痛和恢复期的一些症状以及睡眠的治疗效果表明,偏头痛主要是一种神经疾病而非血管疾病。

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本文引用的文献

1
Migraine prodromes separated from the aura: complete migraine.与先兆分离的偏头痛前驱症状:完全性偏头痛。
Br Med J. 1980 Sep 6;281(6241):658-60. doi: 10.1136/bmj.281.6241.658.
2
The pathophysiology of vegetative symptoms in migraine.偏头痛中 vegetative 症状的病理生理学 。(注:这里的“vegetative”可能在医学语境中有特定含义,比如“植物神经的”等,需结合更详细的医学知识准确理解其确切意思。)
Lancet. 1981 Aug 29;2(8244):445-6. doi: 10.1016/s0140-6736(81)90777-7.
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Migraine--research.偏头痛——研究
Br Med J. 1971 Jun 26;2(5764):751-4. doi: 10.1136/bmj.2.5764.751.
4
Observations on the treatment of an acute attack of migraine.偏头痛急性发作的治疗观察
Res Clin Stud Headache. 1978;6:141-6.
5
Sleep is for tissue restoration.睡眠有助于组织修复。
J R Coll Physicians Lond. 1977 Jul;11(4):376-88.