Precipitating and relieving factors of migraine versus tension type headache
Precipitating and relieving factors of migraine versus tension type headache
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DOI：
10.1186/1471-2377-12-82
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发表时间：
2012-08-25
期刊：
影响因子：
2.6
通讯作者：
Mohammad, Quazi Deen
中科院分区：
文献类型：
--
作者：
Haque, Badrul;Rahman, Kazi Mohibur;Mohammad, Quazi Deen
背景：探讨偏头痛与紧张性头痛的诱发和缓解因素的差异。方法：采用横断面研究。我们回顾性分析了达卡医学院医院神经内科头痛专科门诊250例偏头痛患者和250例紧张性头痛患者的临床资料。数据是通过预先设计的调查表收集的，其中载有关于年龄、性别、社会地位和预先确定的诱发和缓解因素清单的资料。结果：本研究中以女性患者为主（67%）。患者以21 ~ 30岁年龄组居多（58.6%）。其中约58%的人来自中产阶级家庭。压力、焦虑、活动、旅行、阅读、寒冷和温暖等常见诱发因素在偏头痛和紧张性头痛（TTH）患者中分布良好。疲劳（p < 0.05）、睡眠剥夺（p < 0.05）、阳光照射（p < 0.01）、食物摄入（p < 0.05）是偏头痛患者的常见症状，差异有统计学意义。考虑到缓解疼痛的因素，偏头痛患者通常会尝试不同的手法，镇痛药物与按摩对偏头痛的缓解效果差异有统计学意义（p < 0.05）。但两组人都采用了睡眠、休息和姿势等方法。结论：偏头痛和TTH患者最常见的头痛诱发因素似乎是相同的。尽管疲劳、睡眠不足、阳光和食物等因素对偏头痛和药物有明显的促进作用，但按摩是缓解偏头痛患者疼痛的有效手段。
Background: To determine the differences of precipitating and relieving factors between migraine and tension type headache.Methods: This is a cross sectional study. We retrospectively reviewed the records of 250 migraine patients and 250 patients diagnosed as tension type headache from the specialized headache clinic in Dept. of Neurology, Dhaka Medical College Hospital. Data were collected through a predesigned questionnaire containing information on age, sex, social status and a predetermined list of precipitating and relieving factors.Results: In this study, the female patients predominated (67%). Most of the patients were within 21-30 years age group (58.6%). About 58% of them belonged to middle class families. The common precipitating factors like stress, anxiety, activity, journey, reading, cold and warm were well distributed among both the migraine and tension type headache (TTH) patients. But significant difference was demonstrated for fatigue (p < 0.05), sleep deprivation (p < 0.05), sunlight (p < 0.01) and food (p < 0.05), which were common among migraineurs. In consideration of relieving factors of pain, different maneuvers were commonly tried by migraineurs and significant difference were observed for both analgesic drug and massage (p < 0.05), which relieved migraine headache. But maneuvers like sleep, rest and posture were used by both groups.Conclusion: The most frequent precipitating factors for headache appear to be identical for both migraine and TTH patients. Even though some factors like fatigue, sleep deprivation, sunlight and food significantly precipitate migraine and drug, massage are effective maneuver for relieving pain among migrianeurs.