门诊原发性头痛患者就诊类型研究_West China Medical Journal

Authors：

 王翩 , 陈宁 , 郭江 ,  何俐

四川大学华西医院神经内科（成都, 610041）;

Corresponding author：

何俐, Email: heli2003new@126.com

Keywords：

原发性头痛; 偏头痛; 紧张型头痛

DOI：

10.7507/1002-0179.20140337

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的应用ICHD-Ⅱ诊断标准分析原发性头痛患者门诊就诊类型。方法从2011年7月－2013年3月，对以头痛为主诉的473例患者进行详细的问诊。为排除继发性头痛及其他颅内病变对患者的影响，所有问诊患者均为行CT或MRI扫描并排除颅内有明确病变者。结果 473例患者平均40.4岁，男女比为1︰2.61。其中，偏头痛者214例（45.2%），紧张型头痛者230例（48.6%），丛集性头痛者1例（0.2%），其他原发性头痛者28例（5.9%）。473例患者中，有29例（6.1%）患者伴有药物过度使用性头痛。结论西部地区就诊于头痛门诊的原发性头痛患者以偏头痛和紧张型头痛最多，其中无先兆的偏头痛为最常见的就诊类型。部分患者已存在药物过度使用性头痛，应引起足够的重视。

Citation： 王翩, 陈宁, 郭江, 何俐. 门诊原发性头痛患者就诊类型研究. West China Medical Journal, 2014, 29(6): 1106-1108. doi: 10.7507/1002-0179.20140337 Copy

1.	Riva D, Usilla A, Aggio F, et al. Attention in children and adolescents with headache[J]. Headache, 2012, 52(3): 374-384.
2.	Headache Classification Subcommittee of the International Headache Society. The international classification of headache disorders: 2nd edition[J]. Cephalalgia, 2004, 24(Suppl 1): 9-160.
3.	Stovner Lj, Hagen K, Jensen R, et al. The global burden of headache: a documentation of headache prevalence and disability worldwide[J]. Cephalalgia, 2007, 27(3): 193-210.
4.	Yu S, Liu R, Zhao G, et al. The prevalence and burden of primary headaches in China: a population-based door-to-door survey[J]. Headache, 2012, 52(4): 582-591.
5.	Bendtsen L, Evers S, Linde M, et al. EFNS guideline on the treatment of tension-type headache-report of an EFNS task force[J]. Eur J Neurol, 2010, 17(11): 1318-1325.
6.	Jensen R, Stovner LJ. Epidemiology and comorbidity of headache. Lancet neurology[J]. 2008, 7(4): 354-361.
7.	Dong Z, Di H, Dai W, et al. Application of ICHD-Ⅱ criteria in a headache clinic of China[J]. PLoS One, 2012, 7(12): e50898.
8.	Felício AC, Bichuetti DB, Santos WA. et al. Epidemiology of primary and secondary headaches in a Brazilian tertiary-care center[J]. Arq Neuropsiquiatr, 2006, 64(1): 41-44.
9.	Bahrami P, Zebardast H, Zibaei M, et al. Prevalence and characteristics of headache in Khoramabad, Iran[J]. Pain Physician, 2012, 15(4): 327-332.
10.	Rasmussen BK. Migraine and tension-type headache in a general population: precipitating factors, female hormones, sleep pattern and relation to lifestyle[J]. Pain, 1993, 53(1): 65-72.
11.	Robbins MS, Lipton RB. The epidemiology of primary headache disorders[J]. Semin Neurol, 2010, 30(2): 107-119.
12.	Guerrero ÁL, Rojo E, Herrero S, et al. Characteristics of the first 1000 headaches in an outpatient headache clinic registry[J]. Headache, 2011, 51(2): 226-231.
13.	Pascual J, Mateos V, Gracia M, et al. Medication overuse headache in Spain[J]. Cephalalgia, 2008, 28(11): 1234-1236.
14.	Limmroth V, Katsarava Z, Fritsche G, et al. Features of medication overuse headache following overuse of different acute headache drugs[J]. Neurology, 2002, 59(7): 1011-1014.
15.	Rossi P, Di Lorenzo C, Faroni J, et al. Advice alone vs. structured detoxification programmes for medication overuse headache: a prospective, randomized, open-label trial in transformed migraine patients with low medical needs[J]. Cephalalgia, 2006, 26(9): 1097-1105.
16.	Créaćh C, Frappe P, Cancade M, et al. In-patient versus out-patient withdrawal programmes for medication overuse headache: a 2-year randomized trial[J]. Cephalalgia, 2011, 31(11): 1189-1198.

1. Riva D, Usilla A, Aggio F, et al. Attention in children and adolescents with headache[J]. Headache, 2012, 52(3): 374-384.
2. Headache Classification Subcommittee of the International Headache Society. The international classification of headache disorders: 2nd edition[J]. Cephalalgia, 2004, 24(Suppl 1): 9-160.
3. Stovner Lj, Hagen K, Jensen R, et al. The global burden of headache: a documentation of headache prevalence and disability worldwide[J]. Cephalalgia, 2007, 27(3): 193-210.
4. Yu S, Liu R, Zhao G, et al. The prevalence and burden of primary headaches in China: a population-based door-to-door survey[J]. Headache, 2012, 52(4): 582-591.
5. Bendtsen L, Evers S, Linde M, et al. EFNS guideline on the treatment of tension-type headache-report of an EFNS task force[J]. Eur J Neurol, 2010, 17(11): 1318-1325.
6. Jensen R, Stovner LJ. Epidemiology and comorbidity of headache. Lancet neurology[J]. 2008, 7(4): 354-361.
7. Dong Z, Di H, Dai W, et al. Application of ICHD-Ⅱ criteria in a headache clinic of China[J]. PLoS One, 2012, 7(12): e50898.
8. Felício AC, Bichuetti DB, Santos WA. et al. Epidemiology of primary and secondary headaches in a Brazilian tertiary-care center[J]. Arq Neuropsiquiatr, 2006, 64(1): 41-44.
9. Bahrami P, Zebardast H, Zibaei M, et al. Prevalence and characteristics of headache in Khoramabad, Iran[J]. Pain Physician, 2012, 15(4): 327-332.
10. Rasmussen BK. Migraine and tension-type headache in a general population: precipitating factors, female hormones, sleep pattern and relation to lifestyle[J]. Pain, 1993, 53(1): 65-72.
11. Robbins MS, Lipton RB. The epidemiology of primary headache disorders[J]. Semin Neurol, 2010, 30(2): 107-119.
12. Guerrero ÁL, Rojo E, Herrero S, et al. Characteristics of the first 1000 headaches in an outpatient headache clinic registry[J]. Headache, 2011, 51(2): 226-231.
13. Pascual J, Mateos V, Gracia M, et al. Medication overuse headache in Spain[J]. Cephalalgia, 2008, 28(11): 1234-1236.
14. Limmroth V, Katsarava Z, Fritsche G, et al. Features of medication overuse headache following overuse of different acute headache drugs[J]. Neurology, 2002, 59(7): 1011-1014.
15. Rossi P, Di Lorenzo C, Faroni J, et al. Advice alone vs. structured detoxification programmes for medication overuse headache: a prospective, randomized, open-label trial in transformed migraine patients with low medical needs[J]. Cephalalgia, 2006, 26(9): 1097-1105.
16. Créaćh C, Frappe P, Cancade M, et al. In-patient versus out-patient withdrawal programmes for medication overuse headache: a 2-year randomized trial[J]. Cephalalgia, 2011, 31(11): 1189-1198.

West China Medical Journal

门诊原发性头痛患者就诊类型研究

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content