Radtke Andrea, Neuhauser Hannelore
Department of Neurology, Virchow Klinikum, Charité, Berlin.
Headache. 2009 Jan;49(1):79-89. doi: 10.1111/j.1526-4610.2008.01263.x.
To determine prevalence and burden of headache and migraine in the general population in Germany including patterns of healthcare and medication use.
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.
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.
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.
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。
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。
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。
在德国，偏头痛在头痛对医疗保健的影响中占很大一部分。然而，大多数偏头痛患者未寻求医疗护理，可能未得到最佳治疗。
