中华全科医师杂志
中華全科醫師雜誌
중화전과의사잡지
Chinese Journal of General Practitioners
2015年
9期
666-669
,共4页
头痛症%体征与症状%回顾性研究
頭痛癥%體徵與癥狀%迴顧性研究
두통증%체정여증상%회고성연구
Headache disorders%Signs and symptoms%Retrospective studies
目的 探讨慢性每日头痛(CDH)患者的临床特征.方法 回顾性分析2011年8月至2012年3月头痛门诊诊治的128例CDH患者的临床资料,比较分析不伴药物过量的原发性慢性每日头痛(PCDH)与药物过量性头痛(MOH)临床特征的差异.结果 128例CDH患者中,女性102例(79.7％),平均年龄45.2岁,其中MOH 88例.95.3％ (122/128)的患者头痛程度为中、重度,头痛时伴随恶心(68/128)、畏光(75/128)、畏声(102/128)及情绪抑郁(77/128)、烦躁(93/128)的发生率均在50％以上;73.4％ (94/128)伴发睡眠障碍,58.6％ (75/128)伴发头晕,45.3％ (58/128)平时伴发情绪烦躁改变,16.4％ (21/128)伴发情绪低落改变;偏头痛残疾程度评估问卷、头痛影响测试-6评分显示,分别有62.2％ (51/82)及73.2％ (82/112)的患者,头痛致残程度为严重影响生活.伴MOH患者较不伴药物过量患者年龄大,总头痛病程长,头痛程度重,原发性头痛类型慢性偏头痛的比例更高(t值分别为2.59、2.48、5.58和11.95,P值分别为0.011、0.015、0.018和0.001).结论 CDH好发于中年女性,头痛程度以中、重度为主,较易伴发情绪烦躁、低落及睡眠障碍等症状,同时极易过量服用药物,致残性很高.
目的 探討慢性每日頭痛(CDH)患者的臨床特徵.方法 迴顧性分析2011年8月至2012年3月頭痛門診診治的128例CDH患者的臨床資料,比較分析不伴藥物過量的原髮性慢性每日頭痛(PCDH)與藥物過量性頭痛(MOH)臨床特徵的差異.結果 128例CDH患者中,女性102例(79.7％),平均年齡45.2歲,其中MOH 88例.95.3％ (122/128)的患者頭痛程度為中、重度,頭痛時伴隨噁心(68/128)、畏光(75/128)、畏聲(102/128)及情緒抑鬱(77/128)、煩躁(93/128)的髮生率均在50％以上;73.4％ (94/128)伴髮睡眠障礙,58.6％ (75/128)伴髮頭暈,45.3％ (58/128)平時伴髮情緒煩躁改變,16.4％ (21/128)伴髮情緒低落改變;偏頭痛殘疾程度評估問捲、頭痛影響測試-6評分顯示,分彆有62.2％ (51/82)及73.2％ (82/112)的患者,頭痛緻殘程度為嚴重影響生活.伴MOH患者較不伴藥物過量患者年齡大,總頭痛病程長,頭痛程度重,原髮性頭痛類型慢性偏頭痛的比例更高(t值分彆為2.59、2.48、5.58和11.95,P值分彆為0.011、0.015、0.018和0.001).結論 CDH好髮于中年女性,頭痛程度以中、重度為主,較易伴髮情緒煩躁、低落及睡眠障礙等癥狀,同時極易過量服用藥物,緻殘性很高.
목적 탐토만성매일두통(CDH)환자적림상특정.방법 회고성분석2011년8월지2012년3월두통문진진치적128례CDH환자적림상자료,비교분석불반약물과량적원발성만성매일두통(PCDH)여약물과량성두통(MOH)림상특정적차이.결과 128례CDH환자중,녀성102례(79.7％),평균년령45.2세,기중MOH 88례.95.3％ (122/128)적환자두통정도위중、중도,두통시반수악심(68/128)、외광(75/128)、외성(102/128)급정서억욱(77/128)、번조(93/128)적발생솔균재50％이상;73.4％ (94/128)반발수면장애,58.6％ (75/128)반발두훈,45.3％ (58/128)평시반발정서번조개변,16.4％ (21/128)반발정서저락개변;편두통잔질정도평고문권、두통영향측시-6평분현시,분별유62.2％ (51/82)급73.2％ (82/112)적환자,두통치잔정도위엄중영향생활.반MOH환자교불반약물과량환자년령대,총두통병정장,두통정도중,원발성두통류형만성편두통적비례경고(t치분별위2.59、2.48、5.58화11.95,P치분별위0.011、0.015、0.018화0.001).결론 CDH호발우중년녀성,두통정도이중、중도위주,교역반발정서번조、저락급수면장애등증상,동시겁역과량복용약물,치잔성흔고.
Objective To review the clinical features of chronic daily headache (CDH).Methods The clinical data of 128 patients with chronic daily headache,including general condition,characteristics of headache,concomitant symptom and disability were analyzed retrospectively.The features of primary chronic daily headache (PCDH) and medication over-dose headache (MOH) were compared.Results Among 128 cases females accounted for 79.7％ with an average age of 45.2 years and 88 patients were associated with drug overdose.The symptoms included nausea (68/128),photophobia (75/128),phonophobia (102/ 128),depression (77/128) and irritability (93/128),sleep disorders (94/128),dizziness (75/128),emotional irritability(58/128) and depression(21/128).The migraine disability assessment questionnaire and headache impact test-6 scores showed that disability was resulted from the severe degree of headache in 62.2％ (51/82) and 73.2％ (82/112) of CDH patients respectively.Compared with PCDH patients,the MOH patients had older age (t =2.59,P =0.011),longer duration (t =2.48,P =0.015) and severer degree of headache(t =5.58,P =0.018),and chronic migraine (t =11.95.P =0.001) was the most common primary headache type.Conclusions Most CDH patients are middle-aged women,with moderate to severe pain,usually complicated with depression,dysphoria and asomnia.Chronic daily headache patients are commonly associated with drug overdose.
