Gungen Adil Can, Gungen Belma
Adil Can Gungen, MD. Department of Pulmonology, Sakarya University, Education and Research Hospital, Sakarya, Turkey.
Belma Gungen, MD. Department of Neurology, Sakarya University, Education and Research Hospital, Sakarya, Turkey.
Pak J Med Sci. 2017 Jan-Feb;33(1):156-161. doi: 10.12669/pjms.331.11720.
Headache is a common health problem, which may present with neurological diseases and other chronic diseases, and has an adverse effect on the emotional status. We think that headache is a common disease in asthmatic patients. This study aims to evaluate the presence of headache and risk factors in patients with asthma.
Ninety-three patients with asthma and 58 healthy control subjects were included in the study. The presence of headache was evaluated according to the revised criteria of the International Classification of Headache Disorders, 2nd edition (ICDH-II). Asthma control test (ACT) was performed to determine asthma control status. The Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) were performed in all participants. Demographic features, used medications, and presence of headaches were recorded.
Fifty-eight patients with asthma (62.4%) had headaches, whereas only 19 control subjects (32.8%) had headaches. Thirty-two patients (34.4%) had tension-type headache, 19 patients (20.3%) had migraine-type headache, and 7 patients (7.5%) had other types of headaches. The frequency of headaches was significantly higher in patients with asthma, compared to healthy control subjects (p=0.001). There was a significant correlation between migraine-type headache and inhaled steroid use, and presence of allergies.
Migraine-type and tension-type headaches are more common in patients with asthma, compared to the overall population. The frequency of migraine-type headache is higher in patients with asthma who have allergies and low respiratory function test scores.
头痛是一种常见的健康问题，可能与神经系统疾病及其他慢性疾病相关，并对情绪状态产生不利影响。我们认为头痛在哮喘患者中是一种常见疾病。本研究旨在评估哮喘患者中头痛的存在情况及其危险因素。
本研究纳入了93例哮喘患者和58例健康对照者。根据《国际头痛疾病分类第2版》（ICDH-II）的修订标准评估头痛的存在情况。进行哮喘控制测试（ACT）以确定哮喘控制状态。对所有参与者进行贝克抑郁量表（BDI）和贝克焦虑量表（BAI）测试。记录人口统计学特征、使用的药物以及头痛的存在情况。
58例哮喘患者（62.4%）有头痛症状，而只有19例对照者（32.8%）有头痛症状。32例患者（34.4%）患有紧张型头痛，19例患者（20.3%）患有偏头痛型头痛，7例患者（7.5%）患有其他类型的头痛。与健康对照者相比，哮喘患者头痛的发生率显著更高（p=0.001）。偏头痛型头痛与吸入性类固醇的使用以及过敏的存在之间存在显著相关性。
与总体人群相比，偏头痛型和紧张型头痛在哮喘患者中更为常见。在有过敏且呼吸功能测试分数较低的哮喘患者中，偏头痛型头痛的发生率更高。
