女性与偏头痛管理  

Femininity and migraine management

作　　者：康玉莱 李琼 郭露(综述) 张莉莉 唐春花(审校) KANG Yulai;LI Qiong;GUO Lu(Department of Neurology,Army Medical Centre of PLA,Army Medical University,Chongqing 400042,China)

机构地区：[1]陆军军医大学陆军特色医学中心神经内科,重庆400042

出　　处：《中风与神经疾病杂志》2023年第12期1084-1088,共5页Journal of Apoplexy and Nervous Diseases

基　　金：重庆市自然科学基金面上项目(CSTB2022NSCQ-MSX1585)。

摘　　要：偏头痛是常见的神经系统失能性疾病,女性的发病率明显高于男性,其中半数以上的患者头痛发作与月经相关。女性偏头痛与月经周期中激素变化存在密切相关性,“雌激素撤退”效应是其可能的机制之一,激素水平的变化在偏头痛发生过程中可能起了重要作用。了解女性每个生命周期和生理阶段的变化与头痛之间的关系,有助于制定个体化的治疗策略,从而改善患者的症状及预后。Migraine is a common neurological disorder,with a significantly higher prevalence rate in women than in men,and more than half of female patients have headache attacks associated with menstruation.Migraine in women is closely associated with the changes in hormones during the menstrual cycle,and the effect of“estrogen withdrawal”might be one of the possible mechanisms.Changes in hormones may play an important role in the development of migraine.Understanding the relationship between changes in each life stage and physiological cycle of women and headache may help to develop individualized treatment strategies,thereby improving the symptoms and prognosis of patients.

关 键 词：女性 月经性偏头痛 雌激素撤退 急性期治疗 预防性治疗 

分 类 号：R747.2[医药卫生—神经病学与精神病学]