Application of ICHD-II Criteria in a Headache Clinic of China
Application of ICHD-II Criteria in a Headache Clinic of China
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DOI：
10.1371/journal.pone.0050898
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发表时间：
2012-12-11
期刊：
影响因子：
3.7
通讯作者：
Yu, Shengyuan
中科院分区：
文献类型：
--
作者：
Dong, Zhao;Di, Hai;Yu, Shengyuan
背景：中国拥有世界上最大的地图和最多的人口。以往关于头痛的患病率和分类的研究是基于普通人群进行的，然而，在中国门诊人群中进行的类似研究很少。本研究旨在分析2011年10月至2012年5月在中国人民解放军总医院华北头痛门诊就诊的1843例头痛患者的临床特征，采用国际头痛疾病分类第二版（ICHD-II）。进行个人访谈，并使用详细的问卷收集医疗记录，包括年龄，性别和头痛的特点。患者来自中国28个地区，中位年龄为40.9（9-80）岁，女性/男性比例为1.67/1。原发性头痛（78.4%）的类型如下：偏头痛（39.1%），紧张型头痛（32.5%），三叉神经自主性头痛（5.3%）和其他原发性头痛（1.5%）。在其余患者中，12.9%为继发性头痛，5.9%为颅神经痛，2.5%未指明或未分类。14.9%（275/1843）的患者被额外诊断为慢性日常头痛，包括药物过度使用头痛（MOH，49.5%）、慢性紧张型头痛（CTTH，32.7%）和慢性偏头痛（CM，13.5%）。TTH合并MOH的视觉模拟量表（VAS）评分明显高于CTTH（6.8 +/- 2.0 vs 5.6 +/- 2.0，P
Background: China has the huge map and the largest population in the world. Previous studies on the prevalence and classification of headaches were conducted based on the general population, however, similar studies among the Chinese outpatient population are scarce. This study aimed to analyze the characteristics of 1843 headache patients enrolled in a North China headache clinic of the General Hospital for Chinese People's Liberation Army from October 2011 to May 2012, with the International Classification of Headache Disorders, 2nd Edition (ICHD-II).Methods and Results: Personal interviews were carried out and a detailed questionnaire was used to collect medical records including age, sex and headache characteristics. Patients came from 28 regions of China with the median age of 40.9 (9-80) years and the female/male ratio of 1.67/1. The primary headaches (78.4%) were classified as the following: migraine (39.1%), tension-type headache (32.5%), trigeminal autonomic cephalalgias (5.3%) and other primary headache (1.5%). Among the rest patients, 12.9% were secondary headaches, 5.9% were cranial neuralgias and 2.5% were unspecified or not elsewhere classified. Fourteen point nine percent (275/1843) were given an additional diagnosis of chronic daily headache, including medication-overuse headache (MOH, 49.5%), chronic tension-type headache (CTTH, 32.7%) and chronic migraine (CM, 13.5%). The visual analogue scale (VAS) score of TTH with MOH was significantly higher than that of CTTH (6.8 +/- 2.0 vs 5.6 +/- 2.0, P