前庭性偏头痛与心脏右向左分流的相关性

发布时间：2018-02-21 04:07

本文关键词： 偏头痛前庭疾病心脏右向左分流经颅多普勒超声检查　出处：《第二军医大学学报》2017年11期 　论文类型：期刊论文

【摘要】：目的采用经颅多普勒超声(TCD)发泡试验研究前庭性偏头痛(VM)患者心脏右向左分流(RLS)的发生率。方法收集2016年6月至2017年1月就诊于陕西省人民医院的VM患者的临床资料。选取同期无心脏病史及反复发作头痛史的健康志愿者为对照组。采集人口学资料及病史,行TCD发泡试验检查。统计各组心脏RLS的发生率,以及RLS分流量与VM伴发症状的关系。结果纳入VM患者139例(男23例,女116例);正常对照组30名。VM组和正常对照组的RLS发生率分别为25.9%、23.3%,两组比较差异无统计学意义(P0.05)。RLS阳性的VM患者出现心慌症状的比例高于RLS阴性的VM患者(P0.05)。视觉先兆在RLS阳性和阴性人群中的发生率差异无统计学意义(P0.05)。心脏RLS的分流量与VM的眩晕发病年龄、症状持续时间无显著相关性(P0.05)。RLS阳性的VM患者中,小分流量组眩晕发作频率为7.35次/年,而大分流量组为7.27次/年,两组间差异有统计学意义(P0.05)。结论 VM患者的RLS发生率与正常人群相比无明显差异;小分流量RLS阳性的VM患者的症状发作更频繁,RLS阳性VM患者出现心慌症状的比例也高于RLS阴性患者。
[Abstract]:Objective to study the incidence of right to left shunt (RLSs) in patients with vestibular migraine (VMM) by transcranial Doppler echocardiography (TCD). Methods from June 2016 to January 2017, the clinical data of VM patients in Shaanxi Provincial people's Hospital were collected. Data. Healthy volunteers with no history of heart disease and history of recurrent headache during the same period were selected as control group. Demographic data and medical history were collected. TCD foaming test was performed. The incidence of cardiac RLS and the relationship between RLS fractional flow and VM syndromes in each group were analyzed. Results 139 patients (23 males, 23 males) with VM were included in the study. The incidence of RLS in 30 cases of normal control group and 30 cases of normal control group was 25.9% and 23.3, respectively. There was no significant difference between the two groups in the incidence of panic symptoms in VM patients with positive P0.05. RLS-positive results were higher than those in patients with RLS negative VM patients (P 0.05). There was no significant difference in the incidence of RLS between positive and negative groups (P 0.05). The mean flow of cardiac RLS and the age of VM vertigo occurred. The frequency of vertigo attack was 7.35 times per year in the small flow group and 7.27 times / year in the large flow group. Conclusion there is no significant difference in the incidence of RLS between VM patients and normal controls. The frequency of symptomatic attack in patients with small flow RLS positive VM was also higher than that in RLS negative patients.
【作者单位】：陕西省人民医院神经内三科;陕西省人民医院功能检查科;
【基金】：陕西省自然科学基础研究计划(S2016YFJM1489)~~
【分类号】：R747.2

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