年龄对头痛门诊中儿童偏头痛国际头痛协会（IHS）标准达成情况的影响。

Effect of age on the fulfilment of the IHS criteria for migraine in children at a headache clinic.

作者信息

Hämäläinen M L, Hoppu K, Santavuori P R

机构信息

Children's Hospital, Helsinki, Finland.

出版信息

Cephalalgia. 1995 Oct;15(5):404-9. doi: 10.1046/j.1468-2982.1995.1505404.x.

DOI:10.1046/j.1468-2982.1995.1505404.x

PMID:8536301

Abstract

In a headache clinic, 247 children suffering from severe recurrent headaches were studied in relation to the IHS criteria for migraine. Of the 247, 163 had migrainous headache, with 100 (67.5%) of these having migraine in accordance with the IHS criteria. The remaining 53 (32.5%) had headache attacks fulfilling all but one of the IHS criteria. Coverage of the IHS criteria for migraine was 93%. Symptoms of unilateral headache, aggravation by physical activity, and nausea showed the greatest differences in frequency between those with migraine and those with probable migraine. All children with aura fulfilled criteria for migraine. Children with migraine with aura (11.8, 95% CI: 11.0-12.6 years) were older than those without aura (10.1, 9.4-10.8 years; p = 0.001). Children with pulsating headache were slightly older than children without pulsating headache. No differences in age were detected with other IHS criteria.

摘要

在一家头痛诊所，对247名患有严重复发性头痛的儿童进行了与国际头痛协会（IHS）偏头痛标准相关的研究。在这247名儿童中，163名患有偏头痛性头痛，其中100名（67.5%）符合IHS标准的偏头痛。其余53名（32.5%）的头痛发作满足IHS标准中除一项之外的所有标准。IHS偏头痛标准的覆盖率为93%。单侧头痛、体力活动加重及恶心症状在偏头痛患者和可能偏头痛患者之间的出现频率差异最大。所有有先兆的儿童均符合偏头痛标准。有先兆偏头痛的儿童（11.8岁，95%可信区间：11.0 - 12.6岁）比无先兆的儿童（10.1岁，9.4 - 10.8岁；p = 0.001）年龄大。有搏动性头痛的儿童比无搏动性头痛的儿童年龄稍大。在其他IHS标准方面未检测到年龄差异。