Kelman L, Tanis D
Headache Center of Atlanta, Atlanta, GA 30342, USA.
Cephalalgia. 2006 May;26(5):548-53. doi: 10.1111/j.1468-2982.2006.01075.x.
This study explores the relationship of the pain of the migraine headache and the associated features of migraine. Migraineurs (n=1025) (ICHD-2, 1.1-1.2 and 1.5.1) were evaluated retrospectively using a detailed database (daily unremitting excluded). Variables studied included headache intensity and duration, associated symptoms and pain characteristics. Non-parametric correlations were used to evaluate relationships among variables. Headache intensity correlated with nausea, vomiting, photophobia, phonophobia, dizziness (all P=0.000), running of the nose/tearing of the eyes (P=0.007), and osmophobia (P=0.044), but not with diarrhoea or taste abnormality. Headache duration correlated only with osmophobia (P=0.002) and taste abnormality (P=0.005). Throbbing, pressure and stabbing pain correlated with most of the associated symptoms. Aching correlated only with taste abnormality. This correlational study demonstrates that migraine pain is clearly related to nausea, but is also correlated with other associated migraine symptoms. Taste abnormality and osmophobia are better correlated with headache duration rather than headache intensity.
本研究探讨偏头痛性头痛的疼痛与偏头痛相关特征之间的关系。使用详细数据库（排除每日持续性发作）对1025名偏头痛患者（国际头痛疾病分类第二版，1.1 - 1.2和1.5.1）进行回顾性评估。研究变量包括头痛强度和持续时间、相关症状及疼痛特征。采用非参数相关性分析评估变量之间的关系。头痛强度与恶心、呕吐、畏光、畏声、头晕（均P = 0.000）、流涕/流泪（P = 0.007）和恐嗅症（P = 0.044）相关，但与腹泻或味觉异常无关。头痛持续时间仅与恐嗅症（P = 0.002）和味觉异常（P = 0.005）相关。搏动性、压迫性和刺痛性疼痛与大多数相关症状相关。酸痛仅与味觉异常相关。这项相关性研究表明，偏头痛疼痛与恶心明显相关，但也与其他偏头痛相关症状相关。味觉异常和恐嗅症与头痛持续时间的相关性优于与头痛强度的相关性。
