Montiel I, Muñiz R, Asensio M, Ruiz C, González M J, Díaz-Marín C, Matías-Guiu J
Unidad de Cefaleas, Servicio de Neurologia, Hospital General y Universitario de Alicante, España.
Rev Neurol. 1997 Aug;25(144):1177-80.
There are numerous studies of the prevalence of migraine and very varied findings. Amongst the many reasons for this would seem to be the use of questionnaires for screening populations, absent or incorrect validation of these questionnaires and the use of impracticable diagnostic criteria.
To determine the prevalence of migraine in a homogeneous population using the self-questionnaire 'Alcoi 1995' which had previously been validated for the diagnosis of migraine. A self-questionnaire was given to all workers in the same company. Diagnostic criteria of the International Headache Society (IHS, 1988) were used for diagnosis of migraine.
The study included 140 persons (43.6% men and 56.4% women with an average age of 26.7 +/- 4.8 years). There was a prevalence of headache and migraine (IC 95%): 90.8% (75.01-100) and 24.3% (16.3-32.3) respectively. The sex prevalence of headache and migraine was 88.5% (88.3-88.8) and 11.5% (3.4-19.4) for men and 34.2% (21.5-47) for women respectively.
There are a large number of studies of the prevalence of migraine with wide variability in the figures obtained (1-2 at 35%). These variations depend on the population studied, age and sex sampled, diagnostic criteria used and the method employed in the survey. After validation of the questionnaire for diagnosis of migraine, this should be used in homogeneous populations before use in broad population studies. Our findings support the use of a suitably validated questionnaire as a useful method for the diagnosis of migraine in epidemiological studies.
有大量关于偏头痛患病率的研究，结果差异很大。造成这种情况的众多原因中，似乎包括使用问卷对人群进行筛查、这些问卷缺乏或存在错误的验证，以及使用不实用的诊断标准。
使用先前已验证可用于偏头痛诊断的“阿尔科伊1995年”自填问卷，确定同质人群中偏头痛的患病率。向同一家公司的所有员工发放了自填问卷。采用国际头痛协会（IHS，1988年）的诊断标准诊断偏头痛。
该研究纳入了140人（男性占43.6%，女性占56.4%，平均年龄为26.7±4.8岁）。头痛和偏头痛的患病率（95%置信区间）分别为：90.8%（75.01 - 100）和24.3%（16.3 - 32.3）。头痛和偏头痛的性别患病率分别为：男性88.5%（88.3 - 88.8）和11.5%（3.4 - 19.4），女性34.2%（21.5 - 47）。
有大量关于偏头痛患病率的研究，所得数据差异很大（35%的范围为1 - 2）。这些差异取决于所研究的人群、抽样的年龄和性别、使用的诊断标准以及调查所采用的方法。在偏头痛诊断问卷经过验证后，应先在同质人群中使用，然后再用于广泛的人群研究。我们的研究结果支持使用经过适当验证的问卷作为流行病学研究中诊断偏头痛的有用方法。
