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200名随机抽样人群中的头痛情况:芬兰北部某人群的临床研究

Headache in a random sample of 200 persons: a clinical study of a population in northern Finland.

作者信息

Nikiforow R

出版信息

Cephalalgia. 1981 Jun;1(2):99-107. doi: 10.1111/j.1468-2982.1981.tb00016.x.

DOI:10.1111/j.1468-2982.1981.tb00016.x
PMID:7346178
Abstract

Two hundred persons, randomly chosen out of 3,067 who had answered a headache questionnaire modified from Waters, were summoned to an interview and an examination performed by a neurologist. The aim was to obtain prevalence readings for different types of headaches in an unselected population. Simple blood studies and plain skull and cervical spine radiography were performed. The occurrence of headache was 77%, and the prevalence of migraine 9% in men and 28% in women. There was a higher prevalence of headache in women, accounted for solely by their higher frequency of vascular headaches, while the figure for tension headache was 35% for both sexes. Demographic factors did not influence the distribution of the headache types, except for a concentration of vascular headaches in women working in service occupations. A positive family history of migraine was reported significantly more often by persons with migraine than by others. The physical neurological examination, and the laboratory and X-ray investigations performed generally did not contribute to the diagnosis of the headache.

摘要

从3067名回答了改编自沃特斯头痛问卷的人群中随机抽取200人,他们被传唤接受一名神经科医生的访谈和检查。目的是获取未经过筛选人群中不同类型头痛的患病率数据。进行了简单的血液检查以及颅骨和颈椎的普通X光检查。头痛的发生率为77%,偏头痛的患病率在男性中为9%,在女性中为28%。女性头痛的患病率较高,这完全是由于她们血管性头痛的发生率较高,而紧张性头痛在两性中的比例均为35%。除了从事服务业的女性中血管性头痛较为集中外,人口统计学因素并未影响头痛类型的分布。偏头痛患者报告有偏头痛家族史的比例明显高于其他人。一般来说,体格神经检查以及实验室和X光检查对头痛的诊断并无帮助。

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