一项基于社区的新加坡头痛诊断与患病率研究。

A community-based study of headache diagnosis and prevalence in Singapore.

作者信息

Ho K-H, Ong B K-C

机构信息

Department of Medicine, National University of Singapore, Singapore.

出版信息

Cephalalgia. 2003 Feb;23(1):6-13. doi: 10.1046/j.0333-1024.2002.00272.x.

DOI:10.1046/j.0333-1024.2002.00272.x

PMID:12534573

Abstract

We present the results of a community survey based on the diagnostic criteria of the International Headache Society (IHS) describing headache prevalence and symptomatology in the Singapore population. A questionnaire administered by trained personnel was completed by 2096 individuals from a randomized sample of 1400 households. The overall lifetime prevalence of headache was 82.7%. The migraine prevalence was 2.4% in males and 3.6% in females; for episodic tension-type headache and chronic tension-type headache the corresponding figures were 11.1%/11.8% and 0.9%/1.8%, respectively. Inclusion of borderline cases (IHS codes 1.7 and 2.3) resulted in prevalences of 9.3% for migraine, 39.9% for episodic tension headache and 2.4% for chronic tension headache. Headaches described by 31.2% of the respondents were unclassifiable. The different premonitory symptoms, precipitants and aggravating factors in migraine and tension-type headache in our study population suggest that they represent two distinct syndromes rather than opposite ends of a clinical spectrum.

摘要

我们展示了一项基于国际头痛协会（IHS）诊断标准的社区调查结果，该调查描述了新加坡人群中的头痛患病率和症状学。由经过培训的人员发放的问卷由来自1400户随机抽样家庭的2096人完成。头痛的总体终生患病率为82.7%。男性偏头痛患病率为2.4%，女性为3.6%；发作性紧张型头痛和慢性紧张型头痛的相应数字分别为11.1%/11.8%和0.9%/1.8%。纳入临界病例（IHS编码1.7和2.3）后，偏头痛患病率为9.3%，发作性紧张性头痛患病率为39.9%，慢性紧张性头痛患病率为2.4%。31.2%的受访者描述的头痛无法分类。我们研究人群中偏头痛和紧张型头痛的不同先兆症状、诱发因素和加重因素表明，它们代表两种不同的综合征，而不是临床谱系的两端。