Department of Anaesthesiology, Intensive Care and Pain Medicine, University of L'Aquila, Viale San Salvatore, Edificio 6, 67100 L'Aquila, Italy.
J Headache Pain. 2011 Apr;12(2):245-50. doi: 10.1007/s10194-011-0311-y. Epub 2011 Feb 18.
Stress induced by the events of daily life is considered a major factor in pathogenesis of primary tension-type headache. Little is known about the impact that could have a more stressful event, like a natural disaster, both in patients with chronic headache, both in people that do not had headache previously. The aim of the present study was to observe the prevalence of headache in the population following the devastating earthquake that affected the province of L'Aquila on April 6, 2009. The study population was conducted in four tent cities (Onna, Bazzano, Tempera-St. Biagio, Paganica). Sanitary access is recorded in the registers of medical triage, in the first 5 weeks, after the April 6, 2009. The prevalence of primary headache presentation was 5.53% (95% CI 4.2-7.1), secondary headache was 2.82% (95% CI 1.9-4.9). Pain intensity, assessed by Numerical Rating Scale score showed a mean value of 7±1.1 (range 4-10). The drugs most used were the NSAIDs (46%) and paracetamol (36%), for impossibility of finding causal drugs. This study shows how more stressful events not only have an important role in determining acute exacerbation of chronic headache, but probably also play a pathogenic role in the emergence of primary headache. Also underlines the lack of diagnostic guidelines or operating protocols to early identify and treat headache in the emergency settings.
日常生活事件引起的压力被认为是原发性紧张型头痛发病的主要因素。人们对更具压力性的事件（如自然灾害）可能对慢性头痛患者和以前没有头痛的人产生的影响知之甚少。本研究旨在观察 2009 年 4 月 6 日影响拉奎拉省的毁灭性地震后人群中头痛的患病率。研究人群在四个帐篷城市（奥纳、巴扎诺、坦佩拉-圣比亚焦、帕加尼卡）进行。在 2009 年 4 月 6 日之后的前 5 周，在医疗分诊登记册中记录了卫生通道。原发性头痛发作的患病率为 5.53%（95%CI4.2-7.1），继发性头痛为 2.82%（95%CI1.9-4.9）。疼痛强度通过数字评分量表评估，平均得分为 7±1.1（范围 4-10）。使用最多的药物是 NSAIDs（46%）和扑热息痛（36%），因为无法找到因果药物。这项研究表明，更具压力性的事件不仅在决定慢性头痛的急性加重方面起着重要作用，而且可能在原发性头痛的发生中也起着致病作用。还强调了缺乏诊断指南或操作方案，以在紧急情况下及早识别和治疗头痛。
