集群头痛的流行病学,负担和临床谱:全球更新
Seung Ae Kim1, So Youn Choi1, Michelle Sojung Youn1
1Department of Neurology, Seoul National University Hospital, Seoul, South Korea.
Cephalalgia : an international journal of headache
|September 20, 2023
概括
集群头痛会影响生活质量,并带来很大的经济负担. 本综述探讨了关于其流行病学,负担和不断变化的临床谱的最新全球发现.
科学领域:
- 神经学 神经学
- 流行病学 流行病学
- 头痛 医学 医学 医学
背景情况:
- 集群头痛是一种衰弱的神经系统疾病.
- 了解其全球流行病学和负担对于患者护理至关重要.
研究的目的:
- 为集群头痛流行病学,负担和临床谱提供最新的全球视角.
- 综合有关生活质量,残疾,经济影响和自杀倾向的最新发现.
- 审查男性占主导地位,发病年龄和非头痛症状的变化.
主要方法:
- 对文献进行叙述性审查.
- 搜索流行病学,负担 (生活质量,残疾,经济,与工作有关的,自杀倾向) 和临床谱的研究.
- 包括有关人口统计,症状,攻击/突发特征,节律性和疾病过程的数据.
主要成果:
- 患病率的估计有所不同,一些新的报告表明数字较低.
- 集群头痛对生活质量,残疾,经济造成重大负担,包括增加自杀倾向.
- 观察到的趋势包括男性与女性的比例下降,发病时的年龄范围广泛,以及对非头痛症状的理解不断发展.
- 国际数据显示了攻击/突击特征和节奏性的变化.
- 疾病的过程表明,随着时间的推移,攻击/发作可能会减少.
结论:
- 集群头痛涉及到超出三胞胎自主通路的复杂的中枢神经系统现象.
- 攻击和发作的临床范围比以前理解的要广泛.
- 集群头痛是一种动态状况,可以随着时间的推移而变化.
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