在一家专科门诊（ACEF）对头痛患者使用镇痛药的研究。

Study of the use of analgesics by patients with headache at a specialized outpatient clinic (ACEF).

作者信息

Chagas Olga Francis Pita, Éckeli Fabiola Dach, Bigal Marcelo E, Silva Mayko Olinto Amaral da, Speciali Jose Geraldo

机构信息

Universidade de Ribeirão Preto, Ribeirão Preto, SP, Brazil.

Divisão de Neurologia, Faculdade de Medicina de Ribeirão Preto, Universidade de São Paulo, Ribeirão Preto, SP, Brazil.

出版信息

Arq Neuropsiquiatr. 2015 Jul;73(7):586-92. doi: 10.1590/0004-282X20150072.

DOI:10.1590/0004-282X20150072

PMID:26200053

Abstract

OBJECTIVE

To evaluate the use of analgesics in headache diagnosed in Outpatients Headache Clinic (ACEF), as well as his involvement in the activities of the patients.

METHOD

145 patients with headache seen at ACEF during the period August/July 2009/2010 underwent a questionnaire and interview with neurologist responsible for the final diagnosis according to ICHD-II.

RESULTS

Relationship Women:Men 7:1. 1) Prevalence: Migraine without aura (52.4%), migraine with aura (12.4%), chronic migraine (15.2%) and medication overuse headache (MOH) (20%). 2) Analgesic drugs used: Compounds with Dipyrone (37%), Dipyrone (23%), Paracetamol (16%) compound with Paracetamol (6%), triptans (6%) and non steroidal anti-inflammatory drugs (12%). There was a significant decrease in the duration of pain and less interference in the activities of the headache patients after the use of analgesics.

CONCLUSION

Prevalence of MOH has been increasing in population level and specialized services. New studies emphasizing the MOH are needed to assist in the improvement of their diagnostic and therapeutic approach.

摘要

目的

评估在门诊头痛诊所（ACEF）诊断为头痛的患者中镇痛药的使用情况，以及其对患者活动的影响。

方法

对2009年8月/2010年7月期间在ACEF就诊的145例头痛患者进行问卷调查，并由负责根据国际头痛疾病分类第二版（ICHD-II）做出最终诊断的神经科医生进行访谈。

结果

女性与男性比例为7:1。1）患病率：无先兆偏头痛（52.4%）、有先兆偏头痛（12.4%）、慢性偏头痛（15.2%）和药物过量使用性头痛（MOH）（20%）。2）使用的镇痛药：含安乃近的复方制剂（37%）、安乃近（23%）、对乙酰氨基酚（16%）、含对乙酰氨基酚的复方制剂（6%）、曲坦类药物（6%）和非甾体抗炎药（12%）。使用镇痛药后，头痛患者的疼痛持续时间显著缩短，对活动的干扰减少。