晚发型偏头痛与青年偏头痛临床特点的比较  

Comparison of clinical features in late-onset migraine and younger migraine

作　　者：苏歆[1] 陈春富[1] 张君[1] 李继川[1] 

机构地区：[1]山东大学附属省立医院神经内科,济南在读硕士250021

出　　处：《临床神经病学杂志》2013年第1期25-27,共3页Journal of Clinical Neurology

摘　　要：目的比较晚发型偏头痛和青年偏头痛患者的临床特点。方法对40例晚发型偏头痛患者(晚发型组)和40例青年偏头痛患者(青年组)的临床资料进行收集和比较。结果晚发型组19例(47.5%)发病有明显诱因,青年组3例(7.5%)有明显诱因,差异有统计学意义(P<0.05)。晚发型组中先兆型偏头痛6例(15.0%),无先兆型33例(82.5%),偏瘫型1例(2.5%);青年组先兆型偏头痛15例(37.5%),无先兆型25例(62.5%)。晚发型组中先兆型比率显著低于青年组(P<0.05)。晚发型组单侧头痛及额部头痛的比率及头痛程度显著低于青年组,双侧头痛及全头痛的比率显著高于青年组(均P<0.05)。晚发型组伴面色苍白、厌食及口干的比率显著高于青年组(均P<0.05)。晚发型组头痛性质、持续时间、发作频率及缓解因素与青年组比较,差异无统计学意义。结论与青年偏头痛相比,晚发型偏头痛患者发作有诱因的比率高,出现先兆症状少,头痛程度轻,多为双侧及全头痛;易合并自主神经症状。Objective To comparison the clinical features in late-onset migraine and younger migraine. Methods The clinical date of 40 late-onset migraine patients （ late-onset group） and 40 younger migraine patients （younger group） were collected and compared. Results The onset with inducing factors late-onset group was 19 cases （47.5%） and in younger group was 3 cases （7.5%） ; the differences was statically significant （P 〈0. 05）. In late-onset group,the migraine with aura was in 6 cases （15.0%）, and without aura in 33 cases （82. 5% ）, cerebral palsy in 1 case （2.5%）. In younger group,15 cases （37.5%） had migraine with aura migraine in 15 cases （ 37.5% ） and without aura in 25 cases （ 62.5% ）. The rate of migraine with aura in late-onset group was significantly lower than younger group （ P 〈 0. 05 ）. The rates of unilateral headache, frontal part headache and headache degree in late-onset group were significantly lower than younger group, the rates of bilateral headache and whole headache were significantly nigher than younger group （ all P 〈 0.05 ）. The rates of pallor, anorexia and dry mouth in late-onset group were significantly increased than younger group （all P 〈 0.05 ）. There were no statically differences in properties of headache, duration time and relieving factors between late-onset group and younger group. Conclusions Compared with the younger migraine, late-onset migraine patients have more inducing factors, fewer aura symptoms. The site of headache is untypical, the rates of bilateral headache and whole headache are high; headache degree is lighter, and easily complicated with autonomic nervous symptoms.

关 键 词：偏头痛 晚发型偏头痛 青年偏头痛 临床特点 

分 类 号：R747.2[医药卫生—神经病学与精神病学]