慢性头晕患者中头痛的影响。
The influence of headaches in patients with chronic dizziness.
作者信息
Goto Fumiyuki, Arai Miki, Arai Motohiro
机构信息
a 1 Department of Otolaryngology, National Hospital Organization Tokyo Medical Center , Meguro, Tokyo, Japan.
b 2 Department of Otolaryngology, Yokohama City Minato Red Cross Hospital , Kanagawa, Japan.
出版信息
Acta Otolaryngol. 2015;135(12):1264-7. doi: 10.3109/00016489.2015.1076171. Epub 2015 Aug 27.
CONCLUSION
The frequency of headaches in patients complaining of chronic dizziness is closely related to the severity of the dizziness impairments and mood states, such as anxiety. It is, therefore, important to treat co-morbid headache in patients with chronic dizziness. The severity of the dizziness impairments and other mood states, including anxiety, did not differ between patients with migraine or non-migraine headaches.
OBJECTIVES
Patients with chronic dizziness often complain of headaches or general fatigue. This study investigated the influence of the frequency of headaches on dizziness impairments, anxiety, quality-of-life, and other mood states in patients with chronic dizziness.
METHOD
The subjects consisted of 100 consecutive patients with intractable dizziness. Several types of questionnaires were used in the investigations.
RESULTS
Of the 85 patients, 51 had either type of headache (tension headache, 38; migraine, 13). The total score on the Dizziness Handicap Inventory correlated linearly with general fatigue (R = 0.39, p < 0.001) and headache (R = 0.25, p < 0.05). The patients with any type of headache had a significantly more positive family history of headache (p < 0.05).
结论
主诉慢性头晕的患者中头痛的发生率与头晕障碍的严重程度以及焦虑等情绪状态密切相关。因此，治疗慢性头晕患者的共病性头痛很重要。偏头痛或非偏头痛性头痛患者的头晕障碍严重程度及包括焦虑在内的其他情绪状态并无差异。
目的
慢性头晕患者常主诉头痛或全身疲劳。本研究调查了头痛频率对慢性头晕患者的头晕障碍、焦虑、生活质量及其他情绪状态的影响。
方法
研究对象为100例连续性顽固性头晕患者。调查中使用了几种类型的问卷。
结果
85例患者中，51例患有某种类型的头痛（紧张性头痛38例；偏头痛13例）。头晕残障量表总分与全身疲劳（R = 0.39，p < 0.001）和头痛（R = 0.25，p < 0.05）呈线性相关。任何类型头痛患者的头痛家族史均显著更阳性（p < 0.05）。
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