紧张型头痛患者的头和:一个病例对照研究
Sanjay Prakash1, Kalu Singh Rawat2, Harsh Patel3
1Department of Neurology, Smt. B. K. Shah Medical Institute and Research Centre, Sumandeep Vidyapeeth, Piparia, Waghodia, 391760, Vadodara Gujarat, India. drprakashs@yahoo.co.in.
概括
与对照人群相比,和头等静脉系统症状在患有张力型头痛 (TTH) 的患者中更为普遍. 这些症状的频率与TTH的严重程度相关.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 临床医学 临床医学
背景情况:
- 在张力类型头痛 (TTH) 患者中,和头已被事报道.
- 缺乏对TTH前体症状的流行率和特征进行系统的研究.
- 这项研究旨在确定TTH患者与对照组之间的前体症状的患病率.
研究的目的:
- 为了研究患有张力类型头痛的个体中前庭症状的流行情况.
- 为了比较TTH患者与健康的对照组之间的前体症状的发生情况.
- 在TTH中探索前体症状与慢性头痛,焦虑,抑郁和语音恐惧症之间的潜在相关性.
主要方法:
- 进行了一项病例控制研究.
- 100名被诊断为TTH的患者被招募为病例.
- 100名没有明显头痛史的人作为对照.
主要成果:
- 25%的TTH患者报告了静脉管症状,明显高于对照组的10% (OR=3.0,P=.006).
- 慢性TTH (CTTH) 的患病率明显高 (67%) 与偶发性TTH (9%) 相比 (P<.005).
- 带有前庭症状的TTH患者表现出显著更高的焦虑 (HAD-A) 和抑郁 (HAD-D) 评分,以及语音恐惧症的频率增加.
结论:
- 与一般人群相比,在TTH患者中,静脉管症状似乎更常见.
- 在TTH中前体症状的流行与头痛的频率和慢性有关.
- 这些发现表明TTH,前庭功能障碍和心理并发症之间存在潜在联系.
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