德国头痛和偏头痛的患病率及负担。

Prevalence and burden of headache and migraine in Germany.

作者信息

Radtke Andrea, Neuhauser Hannelore

机构信息

Department of Neurology, Virchow Klinikum, Charité, Berlin.

出版信息

Headache. 2009 Jan;49(1):79-89. doi: 10.1111/j.1526-4610.2008.01263.x.

DOI:10.1111/j.1526-4610.2008.01263.x

PMID:19125877

Abstract

OBJECTIVE

To determine prevalence and burden of headache and migraine in the general population in Germany including patterns of healthcare and medication use.

METHODS

Telephone interviews were conducted on a representative sample of the general population in Germany aged >or=18 years (n = 7341). Migraine was diagnosed according to the International Headache Society criteria.

RESULTS

One-year prevalence was: headache 60.2%, migraine 10.6%, nonmigrainous severe headache 24.7% (women 66.6%, 15.6%, and 27.1%; men 53.0%, 5.3%, and 22.2%). Approximately 60% of headache sufferers reported severe headaches, 30% of which were migrainous. Migraineurs reported more often frequent headaches, disability, use of analgesics, and medical consultation than individuals with nonmigrainous severe headaches. Only 42% of migraineurs had consulted a physician and the majority relied exclusively on over-the-counter medication.

CONCLUSION

Migraine accounts for a great part of the healthcare impact of headaches in Germany. However, the majority of migraineurs do not seek medical care and may not be optimally treated.

摘要

目的

确定德国普通人群中头痛和偏头痛的患病率及负担，包括医疗保健模式和药物使用情况。

方法

对德国年龄≥18岁的普通人群代表性样本（n = 7341）进行电话访谈。偏头痛根据国际头痛协会标准进行诊断。

结果

一年患病率为：头痛60.2%，偏头痛10.6%，非偏头痛性重度头痛24.7%（女性分别为66.6%、15.6%和27.1%；男性分别为53.0%、5.3%和22.2%）。约60%的头痛患者报告有重度头痛，其中30%为偏头痛性。与非偏头痛性重度头痛患者相比，偏头痛患者更常报告频繁头痛、残疾、使用镇痛药及就医。只有42%的偏头痛患者咨询过医生，大多数人仅依赖非处方药物。