慢性偏头痛和慢性紧张型头痛临床特征分析

A COMPARATIVE ANALYSIS OF CLINICAL CHARACTERS BETWEEN CHRONIC MIGRAINE AND CHRONIC TENSION-TYPE HEADACHE

目的:分析比较慢性偏头痛(CM)和慢性紧张型头痛(CTTH)的临床特征。方法:回顾性研究66例CM和CTTH的人口学特征及临床特征。结果:CM46例,CTTH20例。单因素分析显示CM组与CTTH组患者间的发病年龄,病程均有显著性差异(P<0.05);CM组头痛程度多为中到重度,过度服用止痛药物的情况在CM组也更常见(P<0.001);两组患者的性别和年龄没有差异。结论:CM患者的发病年龄早于CTTH患者,同时CM患者的头痛严重程度以及止痛药物过度使用情况均高于CTTH患者,CM患者应该与CTTH患者区别对待。在临床工作中,全面评估慢性头痛的临床特征,明确头痛的严重程度,正确诊断慢性头痛的类型,可以有效提高CDH患者的预后。

Objective：To compare the clinical characters between chronic migraine（CM） and chronic tension-type headache（CTTH）.Methods： A retrospective study for 66 patients of CM and CTTH was done to compare the demographical and clinical characters.Results： There were 46 CM and 20 CTTH,respectively.Univariate analysis revealed the significant difference in the age of onset,duration of disease（P〈0.05）;In the CM patients,the severity of headache is worse and also the medication overuse is more common（P〈0.001）.Conclusion： In CM patients the age of onset is younger than CTTH,also the severity is worse and medication overuse is more common,so it should make a difference for each CDH patient,especially CM.It will be beneficial to improve the prognosis of Chronic Daily Headache（CDH） patients if a comprehensive investigation done in CDH patients for the right diagnosis and evaluation of different CDH subtypes.