Epidemiology of chronic daily headache in the general population
Epidemiology of chronic daily headache in the general population
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DOI：
10.1046/j.1526-4610.1999.3903190.x
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发表时间：
1999-03-01
期刊：
影响因子：
5
通讯作者：
Pascual, J
中科院分区：
文献类型：
--
作者：
Castillo, J;Muñoz, P;Pascual, J
背景与目的：虽然慢性日常头痛（主要是转化型偏头痛）是头痛门诊就诊的重要原因，但其实际患病率尚不清楚。本研究分析了未选择人群中不同类型慢性日常头痛的患病率。方法：对2252名未选择的受试者发放了一份调查头痛频率的问卷。头痛10次以上者；他们每个月都要写一份头痛日记，并由神经科医生对他们的头痛进行分类。慢性每日头痛的种类是根据Silberstein等人在Neurology 1996；47:871上提出的his标准的第二次修订进行分类的。结果：1883人（83.5%）回复问卷，其中135人承认每月头痛10天及以上。89人（4.7%）符合慢性每日头痛标准。其中女性80人，42人（47.2%的受试者患有慢性每日头痛，2.2%的受试者患有慢性紧张性头痛）。镇痛过度使用被发现在8(17%)、转换被诊断为偏头痛在45(50.6%的受试者有慢性每日头痛和2.4%的所有科目),“14(31.1%)患有这种形式的慢性每日头痛过度使用麦角或止痛药,其余2例在本系列满足新标准的日常持续头痛,没有人连续体就被诊断患有偏头痛,结论,几乎5%的普通人群(9%的女性)患有慢性每日头痛,慢性紧张性头痛与转化型偏头痛的比例相当，不足三分之一的患者过度使用止痛药；这里显示的慢性日常头痛亚型的患病率与从头痛诊所获得的数据不同，强调在将专业单位的数据外推到一般人群时需要谨慎。
Background and Objectives,-Although chronic daily headache, mainly transformed migraine, is an important reason for consultation in headache clinics, its actual prevalence is unknown, This study analyzes the prevalence of the different types of chronic daily headache in an unselected population,Methods,-A questionnaire exploring headache frequency was distributed to 2252 unselected subjects. Those having headache 10 or more;gaps per month were given a headache diary and were seen by a neurologist who classified their headaches. The varieties of chronic daily headache were classified according to the second revision of IHS criteria proposed by Silberstein et al published in Neurology 1996;47:871.Results,-The questionnaire was returned by 1883 subjects (83.5%), One hundred thirty-five admitted to headache 10 or more days per month. Chronic daily headache criteria were fulfilled by 89 individuals (4.7%). Eighty were women, Forty-two (47.2% of subjects with chronic daily headache and 2.2% of all subjects) had chronic tension-type headache. Analgesic overuse was found in 8 (17%),Transformed migraine was diagnosed in 45 (50.6% of subjects with chronic daily headache and 2.4% of all subjects),'Fourteen (31.1%) individuals with this form of chronic daily headache overused ergots or analgesics, The remaining 2 cases in this series met the criteria of new daily persistent headache, No one was diagnosed as having hemicrania continua,Conclusions,-Almost 5% of the general population (9% of women) suffers from chronic daily headache, the proportion of chronic tension-type headache and transformed migraine being quite similar Less than one third overuse analgesics; The prevalence of chronic daily headache subtypes shown here differs from data obtained from headache clinics, emphasizing that caution is needed in extrapolating data from specialized units to the general population.