CAJ | 학술논문

目的分析门诊偏头痛的临床特征,为偏头痛的正确诊治提供帮助.方法回顾性分析309例偏头痛的临床特点,比较不同性别、类型之间的异同,以及总结偏头痛发生药物过量性头痛(MOH)的危险因素.结果女性与男性之比约为3:1,76.1%的患者有诱因,最常见的头痛特点是中到重度疼痛(97.7%)、日常体力活动加剧头痛(75.1%)及伴有恶心(90.9%)或呕吐(70.6%);不同性别、类型之间临床特点不全相同;偏头痛发生MOH的危险因素是发病年龄大、发作频率高和频繁使用止痛药缓解头痛.结论详细询问患者头痛特点、诱因、治疗史是正确诊治偏头痛的基础.
목적 분석문진편두통적림상특정,위편두통적정학진치제공방조.방법 회고성분석309례편두통적림상특점,비교불동성별、류형지간적이동,이급총결편두통발생약물과량성두통(MOH)적위험인소.결과 녀성여남성지비약위3:1,76.1%적환자유유인,최상견적두통특점시중도중도동통(97.7%)、일상체력활동가극두통(75.1%)급반유악심(90.9%)혹구토(70.6%);불동성별、류형지간림상특점불전상동;편두통발생MOH적위험인소시발병년령대、발작빈솔고화빈번사용지통약완해두통.결론 상세순문환자두통특점、유인、치료사시정학진치편두통적기출.
Objective To observe the clinical features of migraine based on out-patient clinic data and provide help for the diagnosis and treatment of migraine. Methods In a retrospective study of 309 patients with migraine, we investigated the clinical characteristics of migraine of both genders and different types, and the risk factors for MOH transformed from migraine. Results The female to male ratio was about 3:1,76.1% of the patients had triggering factors. The most common characteristics of headache were moderate to severe intensity of the pain (97.7%), aggravation by routine physical activity (75.1%), and association with nausea (90.9%) and/or vomiting (70.6%). There were significant differences in some clinical characteristics of migraine in females as compared with these in males and in patients with migraine without aura (MWOA) as compared with those with aura (MWA). The risk factors for MOH transformed from migraine were elder age of onset, high attack frequency and the analgesics frequently used (P < 0.05).Conclusion It is suggested that carefully collecting the characteristics of headache, triggering factors and therapeutic history is the foundation of correct diagnosis and effective treatment for migraine.