Solomon G D, Skobieranda F G, Gragg L A
Department of General Internal Medicine, Cleveland Clinic Foundation, OH 44195-5039.
Headache. 1994 Mar;34(3):143-7. doi: 10.1111/j.1526-4610.1994.hed3403143.x.
To analyze the differences in quality of life associated with headache diagnoses using the Medical Outcomes Study Short Form Health Survey (SF-20).
A patient interview survey using the SF-20 Short Form Health Survey was conducted in a headache clinic within a multi-specialty group practice. All six health components of the SF-20 were included in the study. Headache diagnoses were made using IHS criteria.
208 consecutive headache patients were studied. Patients with cluster headache had a significantly higher (worse) pain score (P < 0.018) and higher percentage of patients with poor health due to pain (P < 0.005) than patients with migraine headache. There were fewer cluster patients with poor health associated with physical functioning than tension-type (P < 0.020) or mixed headache (P < 0.022) patients. Poor health associated with social functioning was greater for cluster (P < 0.011) and tension-type headache (P < 0.015) than for migraine. There was a significantly higher percentage of tension-type headache patients with poor health associated with mental health (P < 0.002) than patients with migraine.
The SF-20 is a reliable and valid measure of quality of life for patients with different headache diagnoses. Distinct headache diagnoses are marked by unique patterns of impairment and quality of life.
使用医学结局研究简表健康调查（SF - 20）分析与头痛诊断相关的生活质量差异。
在一个多专科联合诊所的头痛门诊进行了一项使用SF - 20简表健康调查的患者访谈调查。SF - 20的所有六个健康组成部分都纳入了研究。头痛诊断采用国际头痛协会（IHS）标准。
对208例连续的头痛患者进行了研究。丛集性头痛患者的疼痛评分显著更高（更差）（P < 0.018），且因疼痛导致健康状况不佳的患者百分比更高（P < 0.005），高于偏头痛患者。与紧张型头痛（P < 0.020）或混合型头痛（P < 0.022）患者相比，丛集性头痛患者中因身体功能导致健康状况不佳的人数更少。与社交功能相关的健康状况不佳在丛集性头痛（P < 0.011）和紧张型头痛（P < 0.015）中比在偏头痛中更严重。与偏头痛患者相比，紧张型头痛患者中因心理健康导致健康状况不佳的百分比显著更高（P < 0.002）。
SF - 20是一种用于不同头痛诊断患者生活质量的可靠且有效的测量工具。不同的头痛诊断具有独特的损害模式和生活质量特征。
