前庭性偏头痛治疗进展与航空医学鉴定

Research advances in treatment of vestibular migraine and its aeromedical evaluation

摘要: 前庭性偏头痛(vestibular migraine，VM)是临床上常见的发作性眩晕，近年来飞行人员VM发病率呈逐渐升高趋势，反复发作严重影响患者生活质量及飞行安全。目前VM的治疗方法可概括为药物治疗(曲坦类药物、β-受体阻滞剂、钙通道阻滞剂、抗癫痫药物、抗抑郁药物等)和非药物治疗(前庭康复治疗、非侵入性迷走神经电刺激、经皮三叉神经电刺激)。本文主要围绕VM治疗及飞行人员VM鉴定的研究进行综述。

Abstract: Vestibular migraine (VM) is a common clinical episodic vertigo syndrome. Recently, the incidence of VM is increasing in pilots. Recurrent attacks seriously affect the life quality and flight safety. The current treatment includes pharmacotherapy (tritans, β-blockers, calcium channel blockers, antiepileptic drugs, antidepressants) and non-pharmacotherapy (vestibular rehabilitation therapy, noninvasive vagus nerve stimulation, external trigeminal nerve stimulation). This review mainly focuses on the progress of the treatment of VM and the VM medical evaluation in pilots.