卡拉奇一家三级护理医院临床眼科实践中头痛的病因

Aetiology of headache in clinical ophthalmic practice at a tertiary care hospital of Karachi.

作者信息

Fasih Uzma, Shaikh Arshad, Shaikh Nisar

机构信息

Eye Department, Karachi Medical & Dental College, Abbasi Shaheed Hospital, Karachi.

Eye Department, Liaquat College of Medicine and Dentistry, Dar-u-Sehat Hospital, Karachi.

出版信息

J Pak Med Assoc. 2017 Feb;67(2):166-170.

PMID:28138165

Abstract

OBJECTIVE

To determine the aetiology of headache in patients seen for an ocular examination.

METHODS

This cross-sectional, descriptive study was conducted at Ophthalmology Department of Karachi Medical and Dental College, Abbasi Shaheed Hospital, Karachi, from January to December 2014, and comprised patients with headache. Patients were registered through non-probability consecutive sampling technique. A predesigned proforma was used to collect data. Complete ocular examination and investigations were conducted along with neuro-ophthalmological examination. Data analysis was done using SPSS 16.

RESULTS

Of the 379 patients, 225(59.4%) were female and 154(40.6%) were male. The mean age was 35.12±16.387 years (range: 6-75 years). Conditions associated with headache were divided as ocular, non-ocular and combined pathologies. Among ocular causes, asthenopia was a major entity as 62(16.36%) asthenopic patients presented with refractive errors. These were followed by presbyopics who presented with complaint of headache 56(14.78%). The number of computer users with similar complaint was 18(4.76%). Among other ocular causes of headache, the number of patients with corneal ulcers was 22(5.80%), glaucoma 15(3.96%) and endophthalmitis 4(1.06%). Among the non-ocular causes were hypertension 59(15.57%), sinusitis 41(10.82%) and migraine 47(12.4%).

CONCLUSIONS

The majority of patients had associate ocular causes such as refractive errors and anterior segment pathologies.

摘要

目的

确定因眼部检查前来就诊的患者头痛的病因。

方法

本横断面描述性研究于2014年1月至12月在卡拉奇阿巴西·谢赫德医院卡拉奇医学与牙科学院眼科进行，研究对象为头痛患者。患者通过非概率连续抽样技术进行登记。使用预先设计的表格收集数据。进行全面的眼部检查和调查以及神经眼科检查。使用SPSS 16进行数据分析。

结果

379例患者中，女性225例（59.4%），男性154例（40.6%）。平均年龄为35.12±16.387岁（范围：6至75岁）。与头痛相关的病症分为眼部、非眼部和合并病症。在眼部病因中，视疲劳是主要因素，62例（16.36%）视疲劳患者存在屈光不正。其次是老花眼患者，有56例（14.78%）主诉头痛。有类似主诉的电脑使用者为18例（4.76%）。在其他导致头痛的眼部病因中，角膜溃疡患者22例（5.80%），青光眼患者15例（3.96%），眼内炎患者4例（1.06%）。在非眼部病因中，高血压患者59例（15.57%），鼻窦炎患者41例（10.82%），偏头痛患者47例（12.4%）。