在门诊头痛诊所的二次头痛在儿科三级护理机构的门诊头痛诊所
Tsukasa Higuchi1,2, Ayako Kanai1, Keiko Okita1
1Department of General Pediatrics, Nagano Children's Hospital, Azumino, Japan.
概括
儿科二次头痛往往与精神病和平静性疾病有关,特别是在青少年中. 自闭症谱系障碍 (ASD) 是一种常见的并发症,需要对年轻患者进行仔细的发育评估.
科学领域:
- 儿科神经学 儿科神经学
- 儿童精神病学 儿童精神病学
- 发育儿科 发育儿科
背景情况:
- 儿童的二次头痛是多因素的,对门诊患者的数据有限.
- 现有的研究主要集中在对二次头痛的急诊室访问上.
研究的目的:
- 调查在门诊环境中出现二次性头痛的儿科患者的特征和诊断.
- 确定与儿童二次头痛相关的常见并发症和人口因素.
主要方法:
- 对于参观门诊头痛诊所的患者的医疗记录的回顾性审查.
- 纳入标准:2022年5月至2023年10月期间被诊断患有二次头痛的新患者.
主要成果:
- 39%的患者 (27/68) 被诊断出患有二次头痛.
- 精神疾病 (社会焦虑症;SAD) 和平静性疾病 (正静性失调;OD) 是最常见的诊断.
- 自闭症谱系障碍 (ASD) 是一个显著的并发症 (18名患者),有些人被诊断为头痛后.
结论:
- 社会焦虑障碍 (SAD) 和自闭症谱系障碍 (ASD) 在儿科二次头痛门诊患者中非常普遍.
- 青少年年龄组是显著的,与正静性失调 (OD) 的开始相吻合.
- 发育特征,特别是在青少年中,在儿科二次头痛评估中需要仔细考虑.
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