鼻黏膜接触点头痛与接触类型分析  

Relationship between 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,322000 [2]浙江省义乌市中心医院神经内科,322000

出　　处：《实用医学杂志》2010年第20期3698-3700,共3页The Journal of Practical 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(编号:2008QN027);义乌市2008年第二批科技攻关计划重点项目(编号:2008-G2-17)联合资助

摘　　要：目的:分析鼻腔黏膜接触点头痛与接触类型的关系。方法:自行设计头痛问卷调查表,对494例黏膜接触患者进行问卷调查及鼻腔专科检查,同时对现症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(45.14%)例有既往或现症头痛史。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100.0%、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%。结论:接触点头痛与鼻腔黏膜接触类型密切相关。Objective To investigate the relationship between types of mucosa contact and mucosal contact point headache.Method A questionnaire on chronic headache and nasal cavity examination were conducted among 494 patients with headache who received medical intervention and were followed-up for 1 week.Results Among the 494 patients,223 （45.14%） cases had headache.The occurrence rate of headache were 20.6%,15.3%,and 78.4% in middle turbinate contact with the nasal septum,ethmoid bulla,and uncinate process;were 45.8% and 70.4% in uncinate process contact with the ethmoid bulla and nasal septum;were 100.0% and 88.9 % in superior nasal concha contact with the ethmoid bulla and nasal septum;and were 74.5%,70.5%,and 71.0% in the mucosa of nasal anatomy with multipoint contact.Conclusion Mucosal contact point headache is closely related to types of mucosa contact.

关 键 词：头痛 鼻解剖 治疗 

分 类 号：R765[医药卫生—耳鼻咽喉科]