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因偏头痛而频繁头痛的青少年更容易出现非头部疼痛症状。

Youth with high-frequency headaches due to migraine are more vulnerable to non-cephalic pain complaints.

作者信息

Reidy Brooke L, Powers Scott W, King Christopher D, Kabbouche Marielle, Kacperski Joanne, Hershey Andrew D

机构信息

Division of Behavioral Medicine and Clinical Psychology, Cincinnati Children's Hospital Medical Center, Cincinnati, Ohio, USA.

Department of Pediatrics, University of Cincinnati College of Medicine, Cincinnati, Ohio, USA.

出版信息

Headache. 2025 Apr;65(4):655-657. doi: 10.1111/head.14931. Epub 2025 Mar 24.

DOI:10.1111/head.14931
PMID:40125823
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11951395/
Abstract

We examined clinic data from a large sample of children and teens with migraine to see how common it was for these patients to also experience other types of body pain. We found that almost one quarter of youth with migraine also reported pain in an additional body location; youth with more frequent and severe headaches were more likely to have pain in body locations besides the head, with youth with constant or continuous headache being most at risk for additional body pain difficulties. Youth with migraine headaches that are severe or happen a lot of the time should be evaluated for other body pain to make sure that they get all the medical care they need to best manage pain.

摘要

我们研究了大量偏头痛儿童和青少年的临床数据,以了解这些患者同时经历其他类型身体疼痛的情况有多常见。我们发现,近四分之一的偏头痛青少年还报告在身体的其他部位疼痛;头痛发作更频繁、更严重的青少年除头部外,身体其他部位疼痛的可能性更大,持续性或连续性头痛的青少年出现其他身体疼痛问题的风险最高。对于严重或经常发作偏头痛的青少年,应评估是否存在其他身体疼痛,以确保他们能获得所需的所有医疗护理,从而最好地控制疼痛。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c91/11951395/489b4eddcaed/HEAD-65-655-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c91/11951395/489b4eddcaed/HEAD-65-655-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/4c91/11951395/489b4eddcaed/HEAD-65-655-g001.jpg

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Headache. 2025 Apr;65(4):655-657. doi: 10.1111/head.14931. Epub 2025 Mar 24.
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本文引用的文献

1
Migraine in the context of chronic primary pain, chronic overlapping pain disorders, and functional somatic disorders: A narrative review.慢性原发性疼痛、慢性重叠性疼痛障碍和功能性躯体障碍背景下的偏头痛:一篇叙述性综述。
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Prevalence of chronic pain among adults in the United States.美国成年人慢性疼痛的患病率。
Pain. 2022 Feb 1;163(2):e328-e332. doi: 10.1097/j.pain.0000000000002291.
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From One Pain to Many: The Emergence of Overlapping Pains in Children and Adolescents.
从一种疼痛到多种疼痛:儿童和青少年重叠性疼痛的出现。
Clin J Pain. 2021 Jun 1;37(6):404-412. doi: 10.1097/AJP.0000000000000939.
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Comorbid and co-occurring conditions in migraine and associated risk of increasing headache pain intensity and headache frequency: results of the migraine in America symptoms and treatment (MAST) study.偏头痛的共病和合并症及相关的头痛疼痛强度和头痛频率增加的风险:美国偏头痛症状和治疗(MAST)研究的结果。
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Comorbid pain and migraine chronicity: The Chronic Migraine Epidemiology and Outcomes Study.共病性疼痛与偏头痛慢性化:慢性偏头痛流行病学与结局研究
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Symptoms of central sensitization and comorbidity for juvenile fibromyalgia in childhood migraine: an observational study in a tertiary headache center.儿童偏头痛中青少年纤维肌痛的中枢敏化症状及共病情况:在一家三级头痛中心的观察性研究
J Headache Pain. 2017 Dec;18(1):59. doi: 10.1186/s10194-017-0764-8. Epub 2017 May 30.