脑梗死后头痛发生机制及治疗进展

Pathogenesis and treatment progress of headache after cerebral infarction

脑梗死(CI)又称为缺血性脑卒中,在所有脑卒中中占比60.00%~80.00%;脑出血称为出血性脑卒中,在所有脑卒中中占比20.00%~30.00%。在2016年全世界由于脑血管疾病造成死亡的人数约550万人,高居死亡病因首位。同时脑梗死在一定程度上给存活者遗留认知功能障碍、语言功能障碍、肢体瘫痪以及疼痛等多种后遗症,对脑梗死患者的生活质量造成严重影响,其中脑梗死后头痛是最常见的临床症状之一。因此,本文针对脑梗死后头痛发生机制以及治疗进展进行综述,以期为临床诊疗提供参考依据。

Cerebral infarction(CI),also known as ischemic stroke,accounts for 60.00%-80.00%of all strokes,and cerebral hemorrhage,known as hemorrhagic stroke,accounts for 20.00%-30.00%of all strokes.In 2016 the number of deaths due to cerebrovascular diseases worldwide was about 5.5 million,ranking high as the top cause of death.At the same time,cerebral infarction leaves a variety of sequelae such as cognitive dysfunction,language dysfunction,limb paralysis,and pain to a certain extent to the survivors,which has a serious impact on the quality of life of the patients with cerebral infarction,among which headache is one of the most common clinical symptoms after cerebral infarction.Therefore,this article reviews the pathogenesis and treatment progress of headache after cerebral infarction,in order to provide reference for clinical diagnosis and treatment.