Prevalence and features of migraine in Japanese junior high school students aged 12-15 yr
Prevalence and features of migraine in Japanese junior high school students aged 12-15 yr
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DOI：
10.1016/j.braindev.2007.01.003
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发表时间：
2007-09-01
影响因子：
1.7
通讯作者：
Togari, Hajime
中科院分区：
文献类型：
--
作者：
Ando, Naoki;Fujimoto, Shinji;Togari, Hajime
偏头痛是儿童和青少年反复头痛的最常见原因，导致旷课和使他们的日常生活瘫痪。本研究的目的是确定日本初中生头痛的患病率和临床特征。2004年12月，对14所初中进行了问卷调查。有关于头痛的多项选择题，主要是偏头痛。问卷是在上课时间发放的，共获得6472份回复。1,478名(22.8%)学生出现严重头痛，476名(7.4%)曾咨询过医生。根据ICHD-II标准，313人(4.8%)被确认患有偏头痛，其中110/3346名男孩(3.3%)和203/3126名女孩(6.5%)：91名(29.1%)有先兆，222名(70.9%)没有先兆。在大约一半的儿童中，偏头痛发作的持续时间很短，从1小时到3小时不等。有36名男孩(1.1%)和45名女孩(1.4%)的偏头痛发作时间短于1小时，根据ICHD-II标准，我们没有诊断他们患有偏头痛。虽然偏头痛在学龄儿童中很常见，但由于儿童偏头痛的临床数据与成人的不同，偏头痛往往被低估或漏诊。(C)2007 Elsevier B.V.保留所有权利。
Migraine is the most common cause of recurrent headache among children and adolescents resulting in missing of school and disabling their daily life. The purpose of this study is to determine the prevalence and clinical features of headache in junior high school children in Japan. In December 2004, questionnaires were sent to 14 junior high schools. There were multiple-choice type questions on headache, mainly migraine. The questionnaires were given during school hours, and 6472 answers were obtained. One thousand four hundred seventy-eight (22.8%) students experienced severe headache and 476 (7.4%) had consulted physicians. Three hundred thirteen (4.8%) were identified as having migraine based on the ICHD-II criteria, consisting of 110/3346 boys (3.3%) and 203/3126 girls (6.5%): 91 (29.1%) with aura and 222 (70.9%) without aura. In about half of the children the migraine attacks were of short duration, ranging from I to 3 h. There were 36 boys (1.1%) and 45 girls (1.4%) who had shorter attacks of less than I It, whom we did not diagnose as having migraine according to the ICHD-II criteria. Although migraine is common among schoolchildren, it is often under- or miss-diagnosed since the clinical figure for childhood migraine differs from that for adults. (c) 2007 Elsevier B.V. All rights reserved.