与性活动相关的初级头痛的流行病学:带有诊断和管理考虑的元分析
Aleksander Osiowski1, Dominik Wróbel1, Maksymilian Osiowski1
1Faculty of Medicine, Jagiellonian University Medical College, Krakow, Poland.
Headache
|August 27, 2025
概括
在寻求头痛治疗的成年人中,与性活动相关的初级头痛 (PHS) 是罕见的,影响0. 37%的患者. 这种良性疾病在男性中更常见,
科学领域:
- 神经学
- 流行病学
- 头痛的药物
背景情况:
- 与性活动相关的主要头痛 (PHS) 是一种已知的良性头痛疾病.
- 它与印梅他辛反应和与运动相关的脑痛有关.
- 对于向第三级头痛中心呈现的成年人,PHS的流行病学数据有限.
研究的目的:
- 在临床环境中寻求头痛医疗的成年人中确定PHS的患病率.
- 确定PHS的流行病学特征.
主要方法:
- 对观察性研究进行了系统审查和元分析.
- 在PubMed/MEDLINE,Embase,ScienceDirect和CINAHL数据库中进行了搜索.
- 包括1988年1月1日至2024年11月11日发表的研究,遵守MOOSE指南.
主要成果:
- 十项涉及40702人的研究发现了129例PHS病例,表明患病率为0. 37% (95% CI,0. 17- 0. 81).
- 在研究中观察到大量的异质性 (I2 = 91. 66%).
- 男性的PHS发病率高于女性的PHS发病率高于男性的PHS发病率高于女性的PHS发病率高于男性的PHS发病率高于女性的PHS发病率高于男性的PHS发病率高于女性的PHS发病率高于男性的PHS发病率高于女性的PHS发病率高于男性的PHS发病率高于女性的PHS发病率高于男性的PHS发病率高于女性的PHS发病率高于男性的PHS发病率高于女性的PHS发病率.
结论:
- 在成年人中,PHS是一种罕见的头痛疾病.
- 这种情况更常见于男性,通常在30多岁.
- 进一步的研究可能会澄清特定的风险因素和病理生理学.
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