鼻黏膜接触类型与接触点头痛  

THE RELATIONSHIP BETWEEN THE TYPES OF MUCOSA CONTACT AND MUCOSAL CONTACT POINT HEADACHE

作　　者：楼正才[1] 楼放毅[2] 杨剑[1] 

机构地区：[1]浙江省义乌市中心医院耳鼻咽喉科,义乌322000 [2]浙江省义乌市中心医院神经内科,义乌322000

出　　处：《中国疼痛医学杂志》2010年第5期262-265,共4页Chinese Journal of Pain Medicine

基　　金：2008年浙江省医药卫生优秀青年科技人才专项基金计划(2008QN027);义乌市2008年第二批科技攻关计划重点项目(2008-G2-17)联合资助

摘　　要：目的:探讨鼻黏膜接触类型与头痛的关系。方法:自行设计头痛问卷调查表,对494例鼻黏膜接触患者进行问卷调查及鼻腔专科检查,同时对现症接触点头痛患者进行药物干预,1周后随访疗效。结果:494例鼻黏膜接触患者中,223例(45.1%)发生头痛,271例记忆中无头痛发生。中鼻甲与鼻中隔、筛泡、钩突单点接触头痛出现率分别为20.6%、15.3%、78.4%;钩突与筛泡、鼻中隔黏膜单点接触头痛出现率分别为45.8%、70.4%;上鼻甲与筛泡、鼻中隔黏膜单点接触头痛出现率分别为100.1%、88.9%。鼻中部解剖黏膜多点接触头痛出现率分别为74.5%、70.5%、71.0%。126例现症头痛患者随访1周,86例(68.3%)头痛减弱,27例(21.4%)头痛消失,13例(10.3%)头痛无明显变化。结论:接触点头痛与鼻黏膜接触类型密切相关,以鼻中部黏膜多点接触头痛发生率最高,不同黏膜接触类型头痛机理可能存在差异。Objective： To study the relationship between the types of mucosa contact and mucosal contact point headache.Methods： A questionnaire on chronic headache was conducted and eyeground examined among 494 cases of mucosa contact.Meanwhile,mucosal contact point headache patients were treated by drug and follow-up after a week.Results：The headache rate was 45.1% in 494 cases of mucosa contact.The headache rates of middle turbinate contact with the nasal septum,ethmoid bulla and uncinate process were 20.6%,15.3% and 78.4% respectively.The headache rates of uncinate process contact with the ethmoid bulla and nasal septum were 45.8% and 70.4% respectively.The headache rates of superior nasal concha contact with the ethmoid bulla and nasal septum were 100.1% and 88.9 % respectively.The headache rates of mucosa of nasal anatomy with multipoint contact were 74.5%,70.5% and 71.0% respectively.Follow-up a week,headache released was 68.3%,headache disappeared was 21.4% and 13 cases unchanged.Conclusion： Mucosal contact point headache is closely related to the types of mucosa contact.The highest incidence of headache is the mucosa of nasal anatomy with multipoint contact.There are differences in the mechanism of headache to the types of mucosa contact.

关 键 词：鼻解剖 头痛 治疗 

分 类 号：R741[医药卫生—神经病学与精神病学]