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首页> 外文期刊>Ultrasound in Medicine and Biology >Queckenstedt's test headache response is associated with increased jugular venous flow volume during migraine attack.
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Queckenstedt's test headache response is associated with increased jugular venous flow volume during migraine attack.

机译：Queckenstedt的头痛试验反应与偏头痛发作期间颈静脉流量增加有关。

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摘要

Cephalic venous congestion induced by Queckenstedt's (Q)-test, i.e., transient compression of bilateral internal jugular veins (IJV), can aggravate headache intensity during migraine attacks, especially in patients with throbbing pain. We hypothesized that the IJV flow volume was related to the Q-test response. Ultrasonography was used to measure the flow volume of bilateral IJV in migraine patients during acute attacks and interictal periods and in normal controls. All acute migraine patients underwent Q-test in a supine position. "Q-test headache response" was designated by the changes in headache intensity (0-10 scale) before and 30 s after the Q-test. Thirty-nine acute migraine patients, 20 interictal migraine patients and 23 noxrmal controls completed the study. Acute migraine patients had higher bilateral IJV flow volume than both interictal patients and normal controls (973.4 +/- 348.2 vs. 733.8 +/- 210.1 vs. 720.3 +/- 244.9 mL/min, p = 0.001). In acute migraine patients, bilateral IJV flow volume was the only independent variable related to the Q-test headache response (adjusted R(2)= 0.422). Thus, the IJV flow volume was increased during migraine attacks and was directly related to the Q-test response. It may be used as a research tool for peripheral sensitization during acute migraine attacks.
机译：由Queckenstedt（Q）测试引起的头静脉充血，即双侧颈内静脉（IJV）的短暂压迫可以加剧偏头痛发作期间的头痛强度，特别是在有阵阵痛的患者中。我们假设IJV流量与Q检验反应有关。超声用于测量偏头痛患者在急性发作和发作间隔以及正常对照中双侧IJV的流量。所有急性偏头痛患者均以仰卧位进行Q检验。 “ Q-测试头痛反应”由Q-测试之前和之后30s的头痛强度（0-10标度）的变化来指定。 39例急性偏头痛患者，20例间质性偏头痛患者和23例正常对照组完成了研究。急性偏头痛患者的双侧IJV流量均高于发作期患者和正常对照组（973.4 +/- 348.2 vs. 733.8 +/- 210.1 vs. 720.3 +/- 244.9 mL / min，p = 0.001）。在急性偏头痛患者中，双边IJV流量是与Q试验头痛反应相关的唯一独立变量（调整后的R（2）= 0.422）。因此，在偏头痛发作期间，IJV流量增加，并且与Q检验反应直接相关。它可用作急性偏头痛发作期间外周致敏的研究工具。

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