关于儿童和青少年偏头痛诊断标准（国际头痛疾病分类第三版beta版）的批判性分析。
Critical analysis of diagnostic criteria (ICHD-3 beta) about migraine in childhood and adolescence.
作者信息
Lima Márcia Maria Ferreira, Bazan Rodrigo, Martin Luis Cuadrado, Martins Antônio Sérgio, Luvizutto Gustavo José, Betting Luiz Eduardo Gomes Garcia, Zanini Marco Antônio
机构信息
Departamento de Neurologia, Psicologia e Psiquiatria, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, SP, Brazil.
Departamento de Clínica Médica, Faculdade de Medicina de Botucatu, Universidade Estadual Paulista, Botucatu, SP, Brazil.
出版信息
Arq Neuropsiquiatr. 2015 Dec;73(12):1005-8. doi: 10.1590/0004-282X20150162. Epub 2015 Oct 13.
OBJECTIVE
The objective of this study was to prospectively evaluate the International Classification of Headache Disorders I (ICHD-I) diagnostic criteria for migraine in children and adolescents.
METHODS
150 pain diaries were analyzed during an initial consultation. The duration of migraine headache attacks were divided into 2 groups: Group I, for attacks lasting > 2 hours, and Group II, for attacks lasting < 2 hours.The two groups were statistically compared using Fisher's exact test (p < 0.05).
RESULTS
In this study, 51(34%) subjects were male and 99 (66%) were female, aged 7-15 years. Fisher's exact test demonstrated that the ICHD-3 beta had a 58% sensitivity for Group I diagnoses and a 94% sensitivity for Group II diagnoses (p < 0.001).
CONCLUSION
The current ICHD-3 beta classification improves and advances migraine diagnosis in children and adolescents; however, more research is needed to identify additional characteristics of headache in this age group.
目的
本研究的目的是前瞻性评估国际头痛疾病分类第一版（ICHD-I）中儿童和青少年偏头痛的诊断标准。
方法
在初次会诊期间分析了150份疼痛日记。偏头痛发作的持续时间分为两组：第一组，发作持续时间>2小时；第二组，发作持续时间<2小时。使用Fisher精确检验对两组进行统计学比较（p<0.05）。
结果
本研究中，51名（34%）受试者为男性，99名（66%）为女性，年龄在7至15岁之间。Fisher精确检验表明，ICHD-3 beta对第一组诊断的敏感性为58%，对第二组诊断的敏感性为94%（p<0.001）。
结论
当前的ICHD-3 beta分类改进并推进了儿童和青少年偏头痛的诊断；然而，需要更多研究来确定该年龄组头痛的其他特征。
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