偏头痛在人一生不同阶段的变化特点

<hr/> <p style="text-align: center;"> <iframe frameborder="0" src="https://v.qq.com/txp/iframe/player.html?vid=p3507p8p8hx" allowfullscreen="true" width="360" height="230" scrolling="yes" align=" "></iframe> </p> <hr/> <p> <br/> </p> <p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;PingFang SC&quot;; white-space: normal; text-indent: 2em; text-align: left;"> <span style="font-size: 18px;">偏头痛在不同年龄阶段中，症状表现并不同？偏头痛专家们认为，在人整个生命周期中，从婴儿、儿童阶段开始直到老年阶段，偏头痛会有不同的表现形式，而且会（随年龄增长）产生变化。</span> </p> <p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;PingFang SC&quot;; white-space: normal; text-indent: 2em; text-align: left;"> <span style="font-size: 18px;">在生命的最初几个月，一些婴儿会患有<span style="font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 14px; line-height: normal; font-kerning: none; color: rgb(60, 64, 68);">肠绞痛</span>，相比普通婴儿，他们哭泣次数更多，但却检查不出伤害或疾病的迹象。</span> </p> <p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;PingFang SC&quot;; white-space: normal; text-indent: 2em; text-align: left;"> <span style="font-size: 18px;">根据研究统计，患有肠绞痛的婴儿比无肠绞痛的婴儿，在 18 岁时更容易开始发作偏头痛。此外，婴儿患肠绞痛的患病率，与其生母的偏头痛患病率成正比。</span> </p> <p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;PingFang SC&quot;; white-space: normal; text-indent: 2em; text-align: left;"> <span style="font-size: 18px;">另一种儿童阶段可能发生的疾病是良性阵发性斜颈。有此症状的婴幼儿，发作时头部会向一侧倾斜数分钟至数天，并且在发作期间可能会出现呕吐、皮肤苍白、易怒、平衡能力减弱（易摔倒）、和<span style="font-size: 18px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;Helvetica Neue&quot;;">/</span>或全身感到不适等。</span> </p> <p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;PingFang SC&quot;; white-space: normal; text-indent: 2em; text-align: left;"> <span style="font-size: 18px;">儿童期良性阵发性眩晕一般发生在<span style="font-size: 18px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;Helvetica Neue&quot;;"> 2 </span>至<span style="font-size: 18px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;Helvetica Neue&quot;;"> 8 </span>岁的儿童中。发作的特征是无缘由的突发性眩晕，一般会持续数分钟至数小时，症状表现包括失去协调性、呕吐、皮肤苍白、眼球震颤或恐惧。</span> </p> <p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;PingFang SC&quot;; white-space: normal; text-indent: 2em; text-align: left;"> <span style="font-size: 18px;">还有其他两种症状，也是偏头痛在儿童阶段的早期表现，即是周期性呕吐综合征、和腹型偏头痛。患周期性呕吐综合征的儿童，可能会有1小时到数天的无缘由的剧烈恶心和呕吐，之后会有数周或数月的无症状期。这些症状一般会在青春期自行消退, 也有些人会在整个青春期和成年期一直会经受这种折磨。</span> </p> <p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;PingFang SC&quot;; white-space: normal; text-indent: 2em; text-align: left;"> <span style="font-size: 18px;">腹型偏头痛的情况也差不多，儿童会无缘由地出现持续几小时至数天的严重腹痛，有时也会伴有恶心或呕吐。</span> </p> <p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;PingFang SC&quot;; white-space: normal; text-indent: 2em; text-align: left;"> <span style="font-size: 18px;">周期性呕吐综合征和腹型偏头痛可能都会伴随畏光和畏声（对声音光线过于敏感）。</span> </p> <p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;PingFang SC&quot;; white-space: normal; text-indent: 2em; text-align: left;"> <span style="font-size: 18px;">患有肠绞痛、良性阵发性斜颈、儿童期良性阵发性眩晕、周期性呕吐综合征或腹型偏头痛的儿童，通常都有偏头痛家族病史，将来更容易发展为偏头痛。</span> </p> <p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;PingFang SC&quot;; white-space: normal; text-indent: 2em; text-align: left;"> <span style="font-size: 18px;">在少儿阶段经历这些症状的孩子，较大概率会在青少年或成人阶段开始出现典型的偏头痛症状，例如单侧头部疼痛，伴有恶心或呕吐，以及畏光、畏声等。当然，并非所有患偏头痛的成年人都会在少儿童阶段出现这些早期症状。</span> </p> <p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;PingFang SC&quot;; white-space: normal; text-indent: 2em; text-align: left;"> <span style="font-size: 18px;">孕期、围绝经期和更年期等阶段由于人体荷尔蒙的变化，都可能会影响到偏头痛发作的频率和严重程度。</span> </p> <p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;PingFang SC&quot;; white-space: normal; text-indent: 2em; text-align: left;"> <span style="font-size: 18px;">并不是所有人的偏头痛在<span style="font-size: 18px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;Helvetica Neue&quot;;">60</span>岁后自行消失，特别是在年轻时就早早发展为慢性偏头痛的患者，但一般来说，进入老年之后的偏头痛的发作会呈逐渐减少直至完全消失的趋势。</span> </p> <p> <br style="text-indent: 2em; text-align: left;"/> </p>