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罗兹市随机抽取的中学学生偏头痛流行病学研究

Epidemiology of migraine among students from randomly selected secondary schools in Lodz.

作者信息

Split W, Neuman W

机构信息

Department of Neurology and Oramandibular Dysfunction, Institute of Dentistry, Medical University of Lodz, 251 Pomorska Street, 92-213 Lodz, Poland.

出版信息

Headache. 1999 Jul-Aug;39(7):494-501. doi: 10.1046/j.1526-4610.1999.3907494.x.

Abstract

The purpose of the present study was to determine the prevalence of migraine among 2351 secondary school students aged 15 to 19 years. Six hundred fifty-nine students (120 males and 539 females) complained of migraine, including 148 with additional tension-type headache (mixed headache). Migraine with aura was diagnosed in 213 students (49 with mixed headache). The remaining 446 students (99 with mixed headache) had migraine without aura. In 83 students (16 with mixed headache), headaches were developing into migrainous states. In 237 students (56 with mixed headache), headaches were accompanied by dizziness. In 128 females (25 with mixed headache), interrelation between migraine and menstruation was found. Familial factors affecting the occurrence of migraine were noted in 536 students (127 with mixed headache). It was found that 28% of secondary school students aged 15 to 19 years suffer from migraine. Nine percent of them have migraine with aura and 19%, migraine without aura. The prevalence of migraine among secondary school students is about three times higher in females than in males. Migraine with tension-type headache differs from pure migraine in respect of more numerous attacks within 1 year among females, and of more frequent occurrence of migraine with sensory aura among males.

摘要

本研究的目的是确定2351名年龄在15至19岁的中学生中偏头痛的患病率。659名学生(120名男性和539名女性)主诉患有偏头痛,其中148名还伴有紧张型头痛(混合性头痛)。213名学生被诊断为有先兆偏头痛(49名伴有混合性头痛)。其余446名学生(99名伴有混合性头痛)患有无先兆偏头痛。83名学生(16名伴有混合性头痛)的头痛正在发展为偏头痛状态。237名学生(56名伴有混合性头痛)的头痛伴有头晕。在128名女性(25名伴有混合性头痛)中,发现偏头痛与月经之间存在关联。536名学生(127名伴有混合性头痛)存在影响偏头痛发生的家族因素。研究发现,15至19岁的中学生中有28%患有偏头痛。其中9%患有有先兆偏头痛,19%患有无先兆偏头痛。中学生中偏头痛的患病率女性约为男性的三倍。伴有紧张型头痛的偏头痛在女性中1年内发作次数更多,在男性中伴有感觉先兆的偏头痛发生频率更高,这与单纯偏头痛有所不同。

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