Stewart W F, Lipton R B
Department of Epidemiology, Johns Hopkins School of Public Health, Baltimore, Md 21205.
Eur Neurol. 1994;34 Suppl 2:12-7. doi: 10.1159/000119527.
Migraine is an episodic disorder which is often disabling both during and between attacks. While pain intensity is the most important symptom to individual sufferers, headache-related disability is the major determinant of the economic impact of illness. Because migraine is underdiagnosed and under-treated, cost-effective healthcare interventions could serve to reduce the burden of illness on individual sufferers and society. Measures which assess both pain intensity and disability might serve to capture the essential elements of migraine and provide the basis for effective healthcare interventions.
偏头痛是一种发作性疾病,在发作期间及发作间期常常使人丧失能力。虽然疼痛强度对个体患者来说是最重要的症状,但与头痛相关的失能却是疾病经济影响的主要决定因素。由于偏头痛的诊断和治疗不足,具有成本效益的医疗保健干预措施有助于减轻个体患者和社会的疾病负担。同时评估疼痛强度和失能的措施可能有助于抓住偏头痛的关键要素,并为有效的医疗保健干预提供依据。