Al Jumah M, Awada A, Al Azzam S
Section of Neurology, King Fahd National Guard Hospital, Riyadh, Saudi Arabia.
Headache. 2002 Apr;42(4):281-6. doi: 10.1046/j.1526-4610.2002.02081.x.
We evaluated 1,400 randomly selected Saudi children in grades 1 through 9 to determine the prevalence of migraine and tension-type headache. Of the 1400 distributed questionnaires, 1,181 (84.3%) were completed properly and so served as the basis for analysis. There were 573 boys (48.5%) and 608 girls (51.5%). Ages ranged from 6 to 18 years. Five hundred eighty-eight children (49.8%; 272 boys and 316 girls) had recurrent headache episodes not related to febrile illness in the year preceding the survey. Eighty-four children (7.1%; 37 boys and 47 girls) had recurrent episodes of migraine, and 504 (42.7%; 232 boys and 272 girls) had recurrent episodes of nonmigraine headache. For both boys and girls, the age-specific prevalence rate for nonmigraine headache rose steadily from around 15% at aged 6 to 7 years to nearly 60% after aged 15. For migraine, there was a sharp increase in the prevalence rate (from around 2% to around 9%) at aged 10 to 11, also in both boys and girls. Age-adjusted prevalence for migraine between aged 6 and 15 was 6.2%. Due to the relatively poor sensitivity of some of the IHS criteria in children, this figure may underestimate the true magnitude of migraine in the population studied.
我们评估了1400名从一年级到九年级随机抽取的沙特儿童，以确定偏头痛和紧张型头痛的患病率。在分发的1400份问卷中，1181份（84.3%）填写正确，作为分析的基础。其中有573名男孩（48.5%）和608名女孩（51.5%）。年龄范围为6至18岁。在调查前一年，588名儿童（49.8%；272名男孩和316名女孩）有与发热性疾病无关的复发性头痛发作。84名儿童（7.1%；37名男孩和47名女孩）有偏头痛复发性发作，504名（42.7%；232名男孩和272名女孩）有非偏头痛性头痛复发性发作。对于男孩和女孩来说，非偏头痛性头痛的年龄特异性患病率从6至7岁时的约15%稳步上升至15岁后的近60%。对于偏头痛，在10至11岁时患病率也急剧上升（从约2%升至约9%），男孩和女孩皆是如此。6至15岁偏头痛的年龄调整患病率为6.2%。由于国际头痛协会（IHS）的某些标准在儿童中的敏感性相对较差，这个数字可能低估了所研究人群中偏头痛的实际严重程度。
