偏头痛和紧张型头痛患者就诊因素分析

摘要

Objective To investigate the physician consulting predictors for migraine and TTH.Methods An cross-sectional study was conducted consecutively for migraine and tension-type headache(TTH)patients among general neurological outpatients.The demographical and clinical characters were analyzed for migraine and TTH patients about different consulting conditions,respectively.Results 389 migraines and 390 TTH were included for analyses.68.6％ (267/389) migraine and 64.9％ (253/390) TTH patients had been consulted physicians for headaches (P＞0.05).Compared with patients who had never consulted physicians for headaches,migraine patients who had been consulted had elder age,severer headache intensity,more frequency headaches and longer duration of headache history; TTH patients had more frequency headaches and longer duration of headache history(P＜0.05).There was also significantly difference about educational level for different consulting condition migraine and TTH patients; Conclusion The factors about physician consulting for migraine patients are elder age,severe headache intensity,frequent headaches,longer duration of headache history and lower educational level,while frequent headaches,longer duration of headache history and lower educational level for TTH patients.%目的 探讨影响偏头痛和紧张型头痛(TTH)的就诊因素.方法 通过横断面调查,收集就诊于普通神经内科门诊的偏头痛和TTH患者,分别分析不同就诊状态的偏头痛和TTH的人口学特征与临床特征.结果 共纳入偏头痛患者389例,TTH患者390例,68.6％(267/389例)的偏头痛患者和64.9％(253/390例)的TTH患者既往曾因头痛就诊过(P＞0.05).与未就诊过的人群比较,曾因头痛就诊过医疗机构的偏头痛患者年龄偏大,程度较重,病程较长,头痛频率频繁(P＜0.05)；曾就诊过的TTH患者的频率较频繁,病程也较长(P＜0.05).不同就诊状态的偏头痛和TTH患者的教育程度也有明显差异(P＜0.05).结论 年长、中重度头痛、频繁头痛、长病程、低教育水平是影响偏头痛患者就诊的主要因素,频繁头痛、长头痛病程及低教育水平是影响紧张型头痛就诊的主要因素.