偏头痛患者的内皮、止血和血液流变学改变。

Artery Pub Date : 1996-01-01
A Bianchi, G Pitari, V Amenta, F Giuliano, M Gallina, R Costa, S Ferlito
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引用次数: 0

摘要

研究了17例无先兆偏头痛患者的血管舒张、止血和血液流变学参数,并与11名性别和年龄相匹配的健康对照组进行了比较。在无头痛期间测定NO代谢物(NO2-和NO3-)、内皮素(ET-1)、组织纤溶酶原激活剂(tPA)、纤溶酶原激活剂抑制剂(PAI-1)、纤维蛋白原、d -二聚体、纤维蛋白肽A、β -血栓球蛋白(β - tg)、血液粘度、血浆粘度、红细胞压积(Htc)和红细胞滤过性指数(FI)。偏头痛患者血浆NO3-和ET-1水平与对照组相比分别显著降低和升高;纤维蛋白原、β - tg和d -二聚体在偏头痛患者中略有降低,而Htc维持在正常范围内;tPA、PAI-1和FI显著降低,纤维蛋白肽A、血黏度和低剪切速率(shr)血浆黏度显著升高。获得的数据支持内皮、止血和血液流变学功能参与偏头痛的发病机制。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Endothelial, haemostatic and haemorheological modifications in migraineurs.

Vasotropic, haemostatic and haemorheological parameters have been investigated in 17 patients suffering from migraine without aura in comparison with 11 sex and age matched healthy control subjects. NO metabolites (NO2- and NO3-), endothelin (ET-1), tissue plasminogen activator (tPA), plasminogen activator inhibitor (PAI-1), fibrinogen, D-dimer, fibrinopeptide A, beta thromboglobulin (beta-TG), blood viscosity, plasma viscosity, haematocrit (Htc) and red blood cell (RBC) filterability index (FI) were determined during headache free periods. Migraineurs NO3- and ET-1 plasma levels, compared to control values, showed a significant decrease and increase respectively; fibrinogen, beta-TG and D-dimer appeared slightly lowered in migraineurs, while Htc remained in the normal limits; tPA, PAI-1 and FI were significantly reduced, while fibrinopeptide A, blood viscosity and plasma viscosity at a low shear rate (shr) exhibited a significant rise. Data obtained support the involvement of endothelial, haemostatic and haemorheological functions in the pathogenesis of migraine.

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