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- Title
心脏右向左分流对偏头痛患者临床症状的影响.
- Authors
凌演演; 王 敏; 潘旭东; 赵洪芹; 曲红梅
- Abstract
Objective: To investigate the influence of right-to-left shunt (RLS) on the clinical characteristics of migraine patients, and to study the relationship between RLS classification and headache intensity. Methods: 216 migraine patients admitted to the Affiliated Hospital of Qingdao University from June 2016 to December 2018 were selected as the migraine group, and 60 healthy volunteers in the Affiliated Hospital of Qingdao University were selected as the control group. 216 migraine patients were divided into RLS migraine group (127 cases) and non-RLS migraine group (89 cases) according to the presence or absence of RLS. Migraine patients with RLS were divided into large shunt group (n=51), medium shunt group (n=11) and small shunt group (n=65) according to RLS classification. The RLS was observed in control group and migraine group. The general data of migraine group with RLS and migraine group without RLS were compared. The general data of large shunt group, medium shunt group and small shunt group were compared. Multivariate Logistic regression analysis was used to analyze the risk factors of RLS in migraine patients. There was no significant difference in the prevalence of small shunt and medium shunt between the control group and the migraine group (P>0.05), while the prevalence of large shunt in the migraine group was higher than that in the control group (P<0.05). The percentages of visual and sensory precursors in RLS migraine group were higher than those in non-RLS migraine group, initial age of headache was less than that in non-RLS migraine group, headache intensity was higher than that in non-RLS migraine group (P<0.05). Results: There was no significant difference in age, sex, smoking, alcohol consumption, hypertension, diabetes, hyperlipidemia, exercise precursors, heredity, frequency of headache and duration of headache between the two groups (P>0.05). There were significant differences in visual precursors, sensory precursors, initial age of headache and headache intensity among migraine patients with different RLS classification (P<0.05). Multivariate Logistic regression analysis showed that visual precursors, sensory precursors, initial age of headache were independent risk factors for RLS in migraine patients (P<0.05). Conclusion: The younger age of migraine onset or visual and sensory precursors may indicate that migraine patients have RLS, RLS classification has no relationship with headache intensity.
- Subjects
LOGISTIC regression analysis; AGE differences; UNIVERSITY hospitals; MIGRAINE; ALCOHOL drinking; TENSION headache
- Publication
Progress in Modern Biomedicine, 2020, Vol 20, Issue 5, p910
- ISSN
1673-6273
- Publication type
Article
- DOI
10.13241/j.cnki.pmb.2020.05.024