面部/鼻疼痛或压力和偏头痛:来自HEADS注册表的探索性发现
Deena E Kuruvilla1, Gretchen E Tietjen2, Gregory A Panza3
1Brain Health Institute, Westport, CT, United States.
Frontiers in pain research (Lausanne, Switzerland)
|September 8, 2025
概括
面部疼痛和压力通常与偏头痛和鼻炎重叠. 识别偏头痛症状对于准确诊断和有效治疗至关重要,不仅仅是传染性原因.
科学领域:
- 神经学 神经学
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 过敏和免疫学 过敏和免疫学
背景情况:
- 鼻炎 (RS) 是抗生素处方的常见原因,但患者对治疗的满意度仍然很低.
- 偏头痛经常被忽视,并可能出现模仿RS的症状,导致潜在的误诊.
- 了解面部疼痛/压力 (FPP),偏头痛和RS之间的重叠对于提高诊断准确性至关重要.
研究的目的:
- 调查面部疼痛或面部压力 (FPP) 的个人的人口统计和临床特征.
- 检查FPP,偏头痛和鼻炎 (RS) 之间的关系.
- 为了区分FPP,偏头痛和RS重叠条件之间的症状.
主要方法:
- 利用了HEADS注册表的数据,这是一个基于网页的成年人头部/部症状调查.
- 包括患有复发性面部或鼻疼痛/压力 (FPP+) 的参与者,并将他们与没有 (FPP-) 的参与者进行比较.
- 使用ID偏头痛查工具对参与者进行分类,并分析人口统计,症状,残疾和病史.
主要成果:
- 与FPP相比,FPP+组报告年龄较小,女性比例较高,鼻腔/阴道/瘤症状更多,残疾更大.
- 患有FPP和阳性偏头痛查 (FPP+/ID偏头痛+) 的个人表现出更严重的症状和残疾.
- FPP+/ID偏头痛-参与者更有可能报告鼻腔症状和过敏,而FPP-/ID偏头痛+参与者更容易出现残疾性头痛.
结论:
- 面部疼痛/压力 (FPP) 与头痛,偏头痛,过敏和鼻炎 (RS) 密切相关.
- 抗生素的低效表明潜在的错误诊断,强调需要考虑非传染性原因,如偏头痛.
- 扩大除感染之外的差异诊断,包括神经病,耳病和鼻病,对于优化FPP治疗至关重要.
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