老年人偏头痛36例临床分析

CLINICAL ANALYSIS ON 36 AGED PATIENTS WITH MIGRAINE

目的 :探讨老年人偏头痛的临床特征、治疗效果及转归。方法 :对根据临床典型的反复发作性头痛特点 ,详细的辅助检查 ,排除颅内压增高、高血压性头痛、头痛型癫痫等相关疾患后确诊的老年人偏头痛 3 6例的临床资料及治疗效果进行回顾性分析。结果 :老年人偏头痛女性多见 ,头痛发作频率较高 ,病史较长 ,家族遗传阳性率较高。本组治愈 2 5例 ,好转 3例 ,无效 8例。长疗程者疗效较好 ;短疗程者疗效差 ,且有 6例在治疗后随访 3～ 5年中相继发生脑梗塞。结论 :老年人偏头痛 ,在确诊后应正规地长疗程治疗 ,包括应用钙离子拮抗剂 。

Objective:To study the clinical characteristics,curative effects and prognosis of aged patients with migraine.Method:Clinical material and therapeutic outcome of 36 aged patients with migraine were retrospectively analysed.The migraine was diagnosed confirmly by typical repeated headache attack and accessory assistant examinations and eliminating interrelated disorders including intercranial hyertension,hypertensive headache and headache epilepsy and so on.Results:The most of aged patients with migraine were women,who had higher frequency of headache attack,longer disease course and more likely to be familial hereditary.Among the 36 cases,25 cases recovered,3 cases improved and 8 were ineffective,Curative effects of the patients of long course of treatment were better than short course of treatment.6 patients in the short course of treatment had successively suffered from cerebral infarction in 3-5 years after treatment.Conclusion:The aged patients with migraine diagnosed confirmly should be regularly treated in the long course by drugs including calcium antagonists in order to recover from migraine and prevent ischemical cerebral apoplexy.