门诊头痛患者分类及临床特征研究

发布时间：2019-04-24 18:35

【摘要】：目的通过回顾性分析总结门诊头痛患者的主要分类及临床特征。方法选取2017年8月～2018年8月我院门诊收治的320例头痛患者为调查对象,对其人口学特征与临床诊治资料进行回顾性分析后总结患者的分类及临床特征。结果本组患者中继发性头痛142例(44.4%)、偏头痛55例(17.2%)、精神障碍性头痛49例(15.3%)、紧张型头痛40例(12.5%)、神经痛17例(5.3%)、丛集性头痛8例(2.5%)、不明原因头痛6例(1.9%)、其他原发性头痛3例(0.9%)。女性患者明显多于男性,偏头痛、紧张型头痛与精神障碍性头痛患者的年龄均明显低于其他类型患者年龄,继发性头痛患者年龄明显高于其他类型患者年龄,差异有统计学意义(P0.05),其职业分布由高至低依次为职员、农民、管理、教师、学生与工人。结论门诊头痛患者病因分类较复杂,患者的年龄与性别同其病因分类有相关性,根据患者综合资料进行临床诊治更有助于提高疗效。
[Abstract]:Objective to summarize the main classification and clinical features of out-patient headache by retrospective analysis. Methods from August 2017 to August 2018, 320 patients with headache were investigated. The demographic characteristics and clinical data were analyzed retrospectively, and the classification and clinical characteristics of the patients were summarized. Results there were 142 cases of secondary headache (44.4%), 55 cases of migraine (17.2%), 49 cases of mental disorder headache (15.3%), 40 cases of tension headache (12.5%) and 17 cases of neuralgia (5.3%). Cluster headache was found in 8 cases (2.5%), unexplained headache in 6 cases (1.9%) and other primary headache in 3 cases (0.9%). The age of female patients with migraine, tension headache and mental disorder headache was significantly lower than that of other types of patients, and the age of secondary headache patients was significantly higher than that of other types of patients, and the age of patients with secondary headache was significantly higher than that of other types of patients. The difference was statistically significant (P0.05), the occupational distribution from high to low was staff, farmers, management, teachers, students and workers. Conclusion the etiological classification of out-patient headache patients is complicated, the age and sex of the patients are related to the etiological classification of the patients, the clinical diagnosis and treatment based on the comprehensive data of the patients is helpful to improve the curative effect.
【作者单位】：贵州省开阳县人民医院
【分类号】：R741

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