慢性天天头痛的临床特点及用药调查

A Clinical Study of Chronic Daily Headache and Drug-use Investigation

目的分析慢性天天头痛(CDH)的临床特征并进行用药调查。方法研究77例慢性天天性头痛患者的临床表现及其既往用药情况,并进行头痛程度分级、汉密尔顿抑郁及焦虑量表评分。结果77例CDH患者中,男女比为1∶2.35,CDH分型中TM最多,占53.2%,集中发病在31～50岁,61.04%的患者头痛程度评分为1级,伴焦虑者占64.93%,临床用药不合理情况严重。结论CDH患者的临床表现、年龄分布较为特殊,并发症多且严重,多数有药物使用过量、使用不合理等情况,非常有必要对该类患者进行宣教。

Objective To study the clinical features of chronic daily headache and investigate the drug-use in the past year.Methods The clinical signs and drug-use investigation of 77 patients with CDH were analyzed and the score of depression was gotten by Hamilton depression and anxiety rating scale,headache level classification and DSM-Ⅲ-R standard evaluations.Results The ratio of male to female was 1：2.35,and according to the CDH type,the most type is TM with 53.2 percent.About 58 percent of patients was assessed one level by headache level classification,the patients with anxiety was 65%.Conclusion CDH has specific clinical features with many serious complications,most patients has a history of substance abuse.So It is very important to strengthen the education of CDH knowledge.