Frese Thomas, Druckrey Henriette, Sandholzer Hagen
Department of Primary Care, Leipzig Medical School, Philipp-Rosenthal-Straße 55, 04103 Leipzig, Germany.
Int Sch Res Notices. 2014 Oct 28;2014:169428. doi: 10.1155/2014/169428. eCollection 2014.
Objective. Headache is a common reason for consulting the general practitioner. The goal of the investigation was to characterize the headache consultation rates, the associated symptoms, the frequency of diagnostic and therapeutic procedures, and the results of the encounter of patients with headache. Methods. Cross-sectional data were collected from randomly selected patients during the German SESAM 2 study and compared with unpublished but publicly available data from the Dutch Transition Project. Results. Headache accounts for up to five percent of all general practice consultations. Women consult the general practitioner for headache twice as often as men. Physical examination and drug prescription are the most frequent procedures. Most of the patients suffer from primary headache; secondary headache is due to upper respiratory tract infections or problems of the spinal column. Dangerous courses occur in very rare cases. Conclusion. This work confirms the findings of earlier studies regarding the management of patients that consult the general practitioner for headache. It broadens the preexisting database since cross-sectional data regarding headache in general practice was rarely published.
目的。头痛是患者咨询全科医生的常见原因。本研究的目的是描述头痛患者的就诊率、相关症状、诊断和治疗程序的频率，以及头痛患者的就诊结果。方法。在德国SESAM 2研究中，从随机选择的患者中收集横断面数据，并与荷兰过渡项目未发表但公开可用的数据进行比较。结果。头痛占所有全科就诊的比例高达5%。女性因头痛咨询全科医生的频率是男性的两倍。体格检查和药物处方是最常见的程序。大多数患者患有原发性头痛；继发性头痛是由上呼吸道感染或脊柱问题引起的。危险病程极为罕见。结论。这项研究证实了早期关于头痛患者在全科医生处就诊管理的研究结果。由于全科医疗中关于头痛的横断面数据很少发表，本研究拓宽了现有的数据库。
