Clinical Features of Cluster Headache: An Outpatient Clinic Study from China
Clinical Features of Cluster Headache: An Outpatient Clinic Study from China
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丛集性头痛的临床特征：来自中国的门诊临床研究
DOI：
10.1111/pme.12101
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发表时间：
2013-06-01
期刊：
影响因子：
3.1
通讯作者：
Zhou, Jiying
中科院分区：
文献类型：
--
作者：
Xie, Qianyun;Huang, Qingqing;Zhou, Jiying
Objective.本研究的目的是调查中国神经科门诊人群中丛集性头痛（CH）的临床特征。方法. 2011年6月至12月，在一所大学附属医院的三级护理中进行了一项横断面调查。所有以头痛为主诉的连续患者均被要求参加与合格头痛专家的面对面访谈，并完成详细的自填问卷。根据国际头痛疾病分类第二版（ICHD-II）诊断CH。结果在筛查的1，526名头痛患者中，26名被诊断为CH（6名女性，20名男性）。平均发病年龄为27 ± 8岁（范围：17-47岁），50%的患者年龄为20-30岁。在26例CH患者中，61.5%的患者报告疼痛通常集中在右颞区，69.2%的患者将疼痛描述为肿胀。发作平均持续87分钟，并伴有颅自主神经症状（100%）。69.2%的CH患者报告了季节性偏好。没有患者报告体力活动后疼痛严重程度的显著变化。吸烟是常见的（14/26例患者），酒精是最常引用的触发因素。结论.本研究详细描述了中国神经科门诊人群中CH的临床特征。与西方研究相比，我们的患者在几个方面有所不同，包括没有慢性CH。
Objective. The aim of this study was to investigate the clinical characteristics of cluster headache (CH) in a neurology outpatient population in China. Methods. A cross-sectional survey was conducted from June to December 2011 in a tertiary care, university-affiliated hospital. All consecutive patients citing headache as their chief complaint were asked to participate in a face-to-face interview with a qualified headache specialist and to complete a detailed self-administered questionnaire. The diagnosis of CH was made according to the International Classification of Headache Disorders, Second Edition (ICHD-II). Results. Of the 1,526 headache patients screened, 26 were diagnosed with CH (6 women, 20 men). Mean age at onset was 27 +/- 8 years (range, 17-47), and 50% of patients were 20-30 years of age. Of the 26 CH patients, 61.5% reported that pain was usually centered at the right temporal region, and 69.2% characterized the pain as swelling. Attacks lasted 87 minutes on average and were associated with cranial autonomic symptoms (100%). A seasonal predilection was reported by 69.2% of CH patients. No patient reported significant changes in pain severity after physical activity. Tobacco use was common (14/26 patients), and alcohol was the most frequently cited trigger. Conclusions. This study details the clinical features of CH in a neurology outpatient population in China. Compared with Western studies, our patients were different in several aspects including the absence of chronic CH.