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采用特设标准、瓦尔奎斯特标准和国际头痛协会标准对城市普通医疗中头痛和儿童偏头痛的流行病学研究

Epidemiology of headache and childhood migraine in an urban general practice using Ad Hoc, Vahlquist and IHS criteria.

作者信息

Mortimer M J, Kay J, Jaron A

出版信息

Dev Med Child Neurol. 1992 Dec;34(12):1095-101. doi: 10.1111/j.1469-8749.1992.tb11423.x.

DOI:10.1111/j.1469-8749.1992.tb11423.x
PMID:1451940
Abstract

In a survey conducted by a UK urban general practice, 98.1 per cent (1083) of the children registered aged three to 11 years took part in an interview. Possible migraine subjects took part in an extended interview, the results of which were recorded using three different sets of diagnostic criteria: Vahlquist, Ad Hoc and International Headache Society. The prevalence of migraine ranged from 3.7 to 4.9 per cent, depending on the criteria used. The prevalence of migraine with aura (1.5 per cent) was similar by all criteria, whereas that for migraine without aura ranged from 2.2 to 3.4 per cent. The prevalence of migraine increased with age. The IHS criteria appeared less sensitive than the Ad Hoc for migraine without aura. Operational criteria using three attacks lasting longer than one hour may be more specific for the diagnosis of migraine in young children.

摘要

在英国一家城市全科诊所进行的一项调查中,1083名登记在册的3至11岁儿童参与了访谈,占比98.1%。可能患有偏头痛的受试者参与了一次深入访谈,访谈结果依据三种不同的诊断标准进行记录:瓦尔奎斯特标准、特设标准和国际头痛协会标准。偏头痛的患病率在3.7%至4.9%之间,具体取决于所使用的标准。所有标准下,有先兆偏头痛的患病率均为1.5%,而无先兆偏头痛的患病率在2.2%至3.4%之间。偏头痛患病率随年龄增长而升高。国际头痛协会标准对无先兆偏头痛的敏感性似乎低于特设标准。采用三次发作持续时间超过一小时的操作标准,对于幼儿偏头痛的诊断可能更具特异性。

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