Ozge A, Bŭgdayci R, Saşmaz T, Kaleăgasi H, Kurt O, Karakelle A, Tezcan H, Siva A
Department of Neurology, Mersin University School of Medicine, Mersin-Istanbul, Turkey.
Cephalalgia. 2003 Mar;23(2):138-45. doi: 10.1046/j.1468-2982.2003.00474.x.
The objectives of the present study were to estimate the prevalence of recurrent headaches in schoolchildren (ranging from 2nd to 5th degrees) in Mersin city of Turkey and to determine the sensitivity, specificity, positive predictive value and positive likelihood ratio of the diagnostic headache characteristics in children with migraine and Tension Type Headache (TTH) using neurologist's diagnosis as the gold standard. The stratified sample of study was composed of 5562 children. The prevalence of recurrent headache was 49.2% (2739 of 5562) and the prevalence of current headache was 31.3% (859 of 2739). TTH was more common than migraine (24.7% vs. 10.4%). The most sensitive headache characteristic for migraine was 'severity of pain' and the most sensitive definitive symptom is 'duration of headache' in children with TTH. IHS-based symptom definition criteria are highly beneficial in diagnosis of childhood headache, if used together with detailed clinical assessment.
本研究的目的是估计土耳其梅尔辛市学童（2至5年级）复发性头痛的患病率，并以神经科医生的诊断为金标准，确定偏头痛和紧张型头痛（TTH）患儿诊断性头痛特征的敏感性、特异性、阳性预测值和阳性似然比。该研究的分层样本由5562名儿童组成。复发性头痛的患病率为49.2%（5562名中的2739名），当前头痛的患病率为31.3%（2739名中的859名）。TTH比偏头痛更常见（24.7%对10.4%）。偏头痛最敏感的头痛特征是“疼痛程度”，TTH患儿最敏感的确切症状是“头痛持续时间”。如果与详细的临床评估一起使用，基于国际头痛协会（IHS）的症状定义标准对儿童头痛的诊断非常有益。
