偏头痛临床特点回顾性分析

被引：17

作者：

邱恩超

于生元

郭艳娥

周志彬

姜磊

董钊

机构：

[1] 解放军总医院神经内科

来源：

中华内科杂志 | 2008年 / 11期

关键词：

偏头痛; 典型偏头痛; 普通型偏头痛;

D O I：

暂无

中图分类号：

R686 [筋腱、韧带、滑囊疾病及损伤];

学科分类号：

100220 [骨科学];

摘要：

目的分析门诊偏头痛的临床特征,为偏头痛的正确诊治提供帮助。方法回顾性分析309例偏头痛的临床特点,比较不同性别、类型之间的异同,以及总结偏头痛发生药物过量性头痛(MOH)的危险因素。结果女性与男性之比约为3:1,76.1%的患者有诱因,最常见的头痛特点是中到重度疼痛(97.7%)、日常体力活动加剧头痛(75.1%)及伴有恶心(90.9%)或呕吐(70.6%);不同性别、类型之间临床特点不全相同;偏头痛发生 MOH 的危险因素是发病年龄大、发作频率高和频繁使用止痛药缓解头痛。结论详细询问患者头痛特点、诱因、治疗史是正确诊治偏头痛的基础。

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