Bigal Marcelo E, Lipton Richard B, Stewart Walter F
Department of Neurology, Albert Einstein College of Medicine, 1300 Morris Park Avenue, Bronx, NY 10461, USA.
Curr Neurol Neurosci Rep. 2004 Mar;4(2):98-104. doi: 10.1007/s11910-004-0022-8.
Migraine is a highly prevalent headache disorder that has a substantial impact on the individual and society. In this article, we review the burden of migraine, emphasizing the population-based studies that used standardized diagnostic criteria. We highlight descriptive epidemiology, burden of disease, patterns of diagnosis, and treatment. We focus on the epidemiology and burden of probable migraine, a subtype of migraine where just one clinical feature is missing. We finish by describing approaches to improving healthcare delivery for migraine and probable migraine. Although migraine is a remarkably common cause of temporary disability, many migraineurs, even those with disabling headache, have never consulted a physician for the problem. Prevalence is highest in women, in persons between the ages of 25 and 55 years, and, at least in the United States, in individuals from low-income households. Nonetheless, prevalence is high in groups other than these high-risk groups. Probable migraine is a prevalent form of migraine, and like migraine with and without aura it produces decrements in health-related quality of life and increments in disability relative to control subjects.
偏头痛是一种高度常见的头痛疾病，对个人和社会都有重大影响。在本文中，我们回顾了偏头痛的负担，重点强调了使用标准化诊断标准的基于人群的研究。我们突出描述性流行病学、疾病负担、诊断模式和治疗方法。我们聚焦于可能偏头痛的流行病学和负担，可能偏头痛是偏头痛的一种亚型，仅缺少一项临床特征。我们最后描述了改善偏头痛和可能偏头痛医疗服务的方法。尽管偏头痛是导致暂时残疾的一个非常常见的原因，但许多偏头痛患者，即使是那些患有致残性头痛的患者，从未就该问题咨询过医生。患病率在女性、25至55岁的人群中最高，至少在美国，低收入家庭的个体中患病率也很高。尽管如此，在这些高危人群之外的其他群体中患病率也很高。可能偏头痛是偏头痛的一种常见形式，与有先兆和无先兆偏头痛一样，相对于对照人群，它会导致健康相关生活质量下降和残疾增加。
