慢性偏头痛和发作性偏头痛临床特点的研究  

The preliminary study of clinical characters between chronic migraine and episodic migraine

作　　者：李凤鹏[1] 王而强[1] 何超[1] 郝维军[1] 祝清勇[1] 张子非[1] 伊娜[1] 

机构地区：[1]沈阳军区总医院神经内科,110840

出　　处：《临床内科杂志》2013年第10期677-679,共3页Journal of Clinical Internal Medicine

基　　金：沈阳军区总医院基金资助项目（09Y-Q02）

摘　　要：目的 探讨慢性偏头痛（CM）和发作性偏头痛（EM）的临床特点.方法 回顾性分析50例CM患者和54例EM患者的临床特点.结果 CM组较EM组头痛严重程度减轻、头痛持续时间延长、头痛单侧性特点减少、头痛搏动性特点减少、恶心和（或）呕吐伴随症状减少、伴随睡眠障碍增多、过度使用止痛药物增多以及有头痛家族史增多（P ＜0.05或P＜0.01）.结论 CM和EM临床特点有所不同,提高对慢性偏头痛的认识,有助于对该病的早期诊治.Objective To explore the clinical characters between chronic migraine （CM） and episodic migraine（EM）.Methods A retrospective study for 50 patients with CM and 54 patients with EM was done to compare their clinical characters.Results In the CM patients,the severity of headache was better,and the duration of headache was longer（P ＜ 0.01）.Those with CM were significantly more likely to experience slighter headache impact and to experience less unilateral headache and less impulsive headache and to have fewer symptoms of nausea and/or vomiting（P ＜ 0.01）.Sleep disorders,drug abuse and family history of headache were more frequently seen in CM patients than in EM patients（P ＜ 0.05 or P ＜0.01）.Conclusion There are different characters between CM patients and EM patents,and improving the recognition of CM is helpful for an early diagnosis and therapy of CM.

关 键 词：慢性偏头痛 发作性偏头痛 临床特点 

分 类 号：R747.2[医药卫生—神经病学与精神病学]