饮食和偏头痛的关系:诱发与治疗  

Relationship between diet and migraine: induction and treatment

作　　者：张紫昊 李一鸣 张道培 张怀亮[3] Zhang Zihao;Li Yiming;Zhang Daopei;Zhang Huailiang(First School of Clinical Medicine,He'nan University of Traditional Chinese Medicine,Zhengzhou 450003,China;First School of Clinical Medicine,Nanjing University of Traditional Chinese Medicine,Nanjing 210023,China;Encephalopathy Department,First Affiliated Hospital of He'nan University of Traditional Chinese Medicine,Vertigo Diagnosis and Treatment Center of He'nan Province,Institute of Vertigo of He'nan University of Traditional Chinese Medicine,Zhengzhou 450000,China)

机构地区：[1]河南中医药大学第一临床医学院,郑州450003 [2]南京中医药大学第一临床医学院,南京210023 [3]河南中医药大学第一附属医院脑病医院眩晕中心,河南省眩晕病诊疗中心,河南中医药大学眩晕病研究所,郑州450000

出　　处：《中华神经医学杂志》2023年第11期1169-1174,共6页Chinese Journal of Neuromedicine

基　　金：河南省中医药科学研究专项课题(2018JDZX012);吴阶平医学基金会临床科研专项资助基金(320.6750.18326)。

摘　　要：饮食成分或方式既是偏头痛的诱因,也可以成为其治疗手段。酒精、奶制品和腌制食品对偏头痛的影响已基本获得共识。植物类食品、咖啡因对偏头痛的影响目前存在两面性。生酮饮食(KD)、改良阿特金斯饮食(MAD)和高n-3低n-6脂肪酸饮食方式可通过保护神经、改善线粒体功能及能量代谢、降低降钙素基因相关肽(CGRP)水平和抑制神经炎症等方式改善偏头痛。本文现围绕上述内容的最新研究进展综述如下。Diet can be both a trigger and a treatment for migraine.The effects of alcohol,dairy products and pickled foods on migraine have been highly recognized.The effects of plant foods and caffeine on migraine currently have 2 sides.Ketogenic diet(KD),modified Atkins diet(MAD),and high n-3 fatty acid/low n-6 fatty acid diet can improve migraine through protecting nerves,improving mitochondrial function and energy metabolism,reducing calcitonin gene-related peptide(CGRP)levels,and inhibiting neuroinflammation.In this paper,the recent advance in the above content is summarized as follows.

关 键 词：偏头痛 诱因 治疗方法 饮食成分 饮食方式 

分 类 号：R747.2[医药卫生—神经病学与精神病学]