体检人员鼻解剖变异及接触性头痛的流行病学调查

Epidemiological investigation of nasal anatomical abnormalities and intranasal contact point headaches in population undergoing physical examination

目的分析成人鼻解剖变异及接触性头痛的流行病学特征,为临床预防和诊治提供证据。方法2008年7～11月,用"慢性头痛问卷调查表"对体检人员进行问卷调查。根据诊断标准对问卷中有相关症状者,由专科医师进行集中检查予以确诊,结果进行统计学处理χ2检验。结果1328例体检人员,鼻解剖变异率61.07%,其中鼻中隔偏曲、中鼻甲、筛泡、钩突、上鼻甲等变异率分别为59.71%,40.21%,20.18%,23.42%,2.79%,男女之间鼻解剖变异差异无统计学意义,接触性头痛患病率1.96%,鼻解剖变异人群头痛发生率明显高于鼻解剖正常人群(P<0.05)。结论成人接触性头痛有较高的发病率,应引起医生与患者的高度重视,不明原因的头痛伴鼻解剖变异应考虑接触性头痛。

Objective To analyze the epidemiological characteristics of nasal anatomical abnormalities and intranasal contact point headaches in adults,and to provide evidence for clinical prevention and treatment. Methods A questionnaire on chronic headaches was conducted among 1 328 participants undergoing physical examination from July to November,2008.The participants with related symptoms according to the questionnaires were examined（811/1 328）for accurate diagnosis and the results were statistically analyzed.Results The rate of nasal anatomical abnormalities was 61.07%（811/1 328）.The abnormal rates of nasal septum,middle turbinate,uncinate process,ethmoid bulla and superior nasal concha were 59.71%,40.21%,20.18%,23.42% and 2.79% respectively.There was no difference in the abnormalities between man and woman.The prevalence rate of intranasal contact point headaches was 1.96%.The rates of headaches were significantly different between adults with or without nasal anatomical abnormalities（P0.05）.Conclusion There is a high prevalence of the intranasal contact point headaches in adults.The contact point headaches should be among considerations for headaches of unknown origin accompanied with nasal anatomical abnormalities.