疼痛临床治疗举措汇总.ppt

These comparative prevalence estimates point to the relative importance of migraine and its impact on health in the United States. Disease prevalence data was found on the Centers for Disease Control and Prevention’s Health Topics Web Site and the Arthritis Foundation Web Site. Current US population statistics were found on the US Census Bureau Web Site. * Respondents were asked to self-report the severity of their headaches on this 4-item scale. Eighty percent of these symptom-defined sufferers reported severe or extremely severe headaches. * In this question respondents were asked, “How are you usually affected by your severe headaches?” There were 4 response choices : Able to work/function normally Working ability or activity impaired to some degree Working ability or activity severely impaired Bed rest required The severe impairment and bed rest codes were combined for this analysis. In 1999, over half of migraine sufferers reported that they were severely disabled or required bed rest and 92% had some disability. The distribution of impairment scores look similar, but there was a statistically significant p .05 shift toward higher levels of impairment between 1989 and 1999. This finding is surprising given the therapeutic advances over the last decade and may reflect greater awareness of migraine symptoms and sensitivity to disease impact. Based on national projections of this data, there are 14 million migraine sufferers who are severely disabled by their headaches. * Migraine is more than just head pain. Migraine is a process that can start long before head pain begins. The process of headache is generally believed to come in phases: preheadache prodrome and aura , headache, and postheadache. The migraine process can begin at any phase, and not all phases present themselves either in every migraine or at all . The process of migraine can also stop at any phase: in some cases sufferers have an aura; however, the headache never develops.