Forward S P, McGrath P J, MacKinnon D, Brown T L, Swann J, Currie E L
Department of Psychology, Dalhousie University, Halifax, Nova Scotia, Canada.
Cephalalgia. 1998 Apr;18(3):146-51. doi: 10.1046/j.1468-2982.1998.1803146.x.
This community-based telephone survey determined medication patterns of 274 frequent headache sufferers who reported 12 or more headaches a year. Headaches were classified using the International Headache Society's (IHS) criteria. Participants reported on 465 types of headaches: 129 tension headaches, 158 migraine headaches, 8 chronic tension headaches, and 148 headaches which were unclassifiable using IHS criteria. Females (n = 133) reported an average of 1.9 types of headache and males (n = 141) reported 1.5 headache types. Fifty-six percent of respondents used acetaminophen for tension-type and 60% used acetaminophen for migraine. One percent used prescription medication for tension headache and 12% used prescriptions for migraine. The perceived effectiveness of over-the-counter medication was approximately 7 on a scale of 0-10 for tension headaches and 6 for migraine. Both tension-headache and migraine-headache sufferers waited about 1 h before taking any medication. Tension-headache sufferers waited until the headache was above 5 on a 0 to 10 scale (4.6 for migraine). It is possible that more aggressive use of medication might improve headache management.
这项基于社区的电话调查确定了274名频繁头痛患者的用药模式，这些患者每年报告有12次或更多次头痛。头痛根据国际头痛协会（IHS）的标准进行分类。参与者报告了465种头痛类型：129例紧张性头痛、158例偏头痛、8例慢性紧张性头痛以及148例根据IHS标准无法分类的头痛。女性（n = 133）平均报告1.9种头痛类型，男性（n = 141）报告1.5种头痛类型。56%的受访者使用对乙酰氨基酚治疗紧张型头痛，60%使用对乙酰氨基酚治疗偏头痛。1%的人使用处方药治疗紧张性头痛，12%使用处方药治疗偏头痛。非处方药的感知有效性在0至10分的量表上，紧张性头痛约为7分，偏头痛为6分。紧张性头痛和偏头痛患者在服用任何药物之前都等待了约1小时。紧张性头痛患者等到头痛在0至10分的量表上超过5分（偏头痛为4.6分）才用药。更积极地使用药物可能会改善头痛的治疗。
