Headache impact in patients with orofacial pain
Headache impact in patients with orofacial pain
复制标题
DOI：
10.14219/jada.archive.2006.0385
复制
发表时间：
2006-09-01
影响因子：
3.9
通讯作者：
Merrill, Robert L.
中科院分区：
文献类型：
--
作者：
Mitrirattanakul, Somsak;Merrill, Robert L.
背景。作者进行了一项横断面调查，以评估口面部疼痛患者的头痛残疾情况。方法。作者对 337 名大学诊所的 OFP 患者和 367 名普通牙科 (GD) 患者（作为对照）进行了偏头痛残疾评估 (MIDAS) 问卷调查。他们根据标准诊断标准对 OFP 患者进行了一级和二级诊断。作者将患者分为三大类：原发性头痛 (PH)、肌肉骨骼疾病 (MS) 和神经性疼痛 (NP)。他们将 MIDAS 分数分为四个严重等级（I，最低，到 IV，最高）。作者使用 chi(2)、t 检验、单向方差分析和逻辑回归分析了数据，以计算比值比。结果。 OFP 患者的头痛患病率高于 GD 组患者（分别为 72.7% 和 31.9%，P < .001），MIDAS 总分、前三个月头痛天数和头痛严重程度也更高（P < .001）。在 OFP 组中，PH、MS 和 NP 的诊断患病率分别为 71.1%、79.8% 和 13.1% (P < .001)。作者将 56% 患有 OFP 和头痛的患者归类为高影响性头痛组（MIDAS III 级和 IV 级：P < .001）。结论。 OFP 患者的头痛患病率高于对照组，对残疾的影响也更大。残疾程度与 MS 诊断密切相关。临床意义。 PH 和 MS 疾病的共存可导致更高的头痛残疾率。临床医生需要同时治疗这两种疾病，这将改善治疗结果。
Background. The authors conducted a cross-sectional survey to assess headache disability in patients with orofacial pain.Methods. The authors administered a Migraine Disability Assessment (MIDAS) questionnaire to 337 university-based clinic patients with OFP and 367 genaral dental (GD) patients, who served as controls. They made primary and secondary diagnoses in patients with OFP according to standard diagnostic criteria. The authors classified the patients into three major categories: primary headache (PH), musculosketal disorders (MS) and neuropathic pain (NP). They categorized the MIDAS score into four severity grades (I, the lowest, through IV, the highest). The authors analysed the data using chi(2), t test, one-way analysis of varience and logistic regression for calculated odds ratios.Results. Patients with OFP had a greater prevalance of headache than did patients in the GD group (72.7 percent versus 31.9 percent, respectively, P < .001), with a higher total MIDAS score, number of headache days in the previous three months and headache severity (P < .001). Within the OFP group, the diagnostic prevalance of PH, MS and NP was 71.1 percent, 79.8 percent and 13.1 percent, respectively (P < .001). The authors categorized 56 percent of patients with OFP and headache into the high-impact headache group (MIDAS grades III and IV: P < .001).Conclusions. Patients with OFP had a higher prevalence of headache with greater disability impact than did control subjects. The degree of disability was related strongly to the MS diagnosis.Clinical Implications. The coexistance of PH and MS disorders can lead to higher headache disability. Clinicians need to treat both disorders concomitantly, which will result in improved treatment outcomes.