偏头痛与心脏右向左分流、D-二聚体关系研究  

Relationships between cardiac right-to-left shunt,D-dimer and migraine

作　　者：汪婧 谢靖[1] 张云霞[1] 

机构地区：[1]石河子大学医学院第一附属医院神经内科,新疆石河子832000

出　　处：《现代临床医学》2017年第6期410-412,共3页Journal of Modern Clinical Medicine

摘　　要：目的:探讨偏头痛与心脏右向左分流(right-to-left shunt,RLS)、D-二聚体(D-dimer,DD)的关系。方法:对偏头痛组45例、紧张性头痛组40例及同期体检健康者对照组35例采用发泡试验(c TCD)诊断心脏RLS,并测定3组的D-二聚体水平,分析偏头痛与心脏RLS、DD的关系。结果:偏头痛组、紧张性头痛组及对照组的RLS发生率分别是42.22%、15.00%及14.29%,偏头痛组RLS发生率较紧张性头痛组及对照组高(P<0.01),紧张性头痛组与对照组RLS发生率无显著性差异(P>0.05);3组间DD水平均无显著性差异(P>0.05)。结论:偏头痛与心脏右向左分流有关,心脏RLS可能是偏头痛的发病原因。Objective： To investigate the relationships between cardiac right to left shunt （RLS）, D dimer（DD） and migraine Migraine group （45 cases）, tension headache group（40 cases） and control group （ 35 healthy subjects） received foaming test （cTCD） for the diagnosis of cardiac RLS; DD levels were measured in the three groups; the relationships between cardiac RLS, DD and migraine were analyzed. Results： The incidence of RLS was 42. 22 % , 15. 00% and 14. 29%inmigraine group,tension headache group and the control group, respectively; it was significantly higher in the other two groups （ P〈0. 01 ）; the incidence of RLS in tension headache group was not significantly different from that in the control group （ P〉 0. 05 ）; there were no significant differences in DD levels among the three groups （P〉 0. 05 ） . Conclusion： Migraine is related to cardiac RLS which may be the cause of migraine.

关 键 词：偏头痛 心脏右向左分流 D-二聚体 

分 类 号：R747.2[医药卫生—神经病学与精神病学]