病史特征对偏头痛的诊疗价值培训课件.pptVIP

一、偏头痛的流行病学

1、总体发病率约12%，目前还没有中国人的流行病学资料。

2、男∶女约为2∶1

Intheyearspriortopuberty,migraineismorecommonamongboysthangirls.Bytheonsetofpuberty,migraineismoreprevalentingirls,andbythelateteens,femalesareabouttwiceaslikelytosufferfrommigraineasmales.;3、25-55岁发病率高

Theprevalenceofmigrainepeaksinbothsexesduringthemostproductiveyearsofadulthood(age25to55years)

4、低收入人群发病率高

intheUnitedStates,theprevalenceishigherinindividualsoflowersocioeconomicstatus.;Top10ArticlesinHEACHADE

MOSTCITEDARTICLES

1.??????Migraine:Epidemiology,Impact,andRiskFactorsforProgression

RichardB.Lipton,MD;MarceloE.Bigal,MD,PhD

2.??????BotulinumToxinTypeAfortheProphylaxisofChronicDailyHeadache:SubgroupAnalysisofPatientsNotReceivingOtherProphylacticMedications:ARandomizedDouble-Blind,Placebo-ControlledStudy

DavidW.Dodick,MD;AlexanderMauskop,MD,FAAN;ArthurH.Elkind,MD;RonaldDeGryse,MA,MS;MitchellF.Brin,MD;StephenD.Silberstein,MD;BOTOXCDHStudyGroup;3.??????BotulinumToxinTypeA(BOTOX?)fortheProphylacticTreatmentofChronicDailyHeadache:ARandomized,Double-Blind,Placebo-ControlledTrial

NinanT.Mathew,MD;BenjaminM.Frishberg,MD;MarekGawel,MD;RozalinaDimitrova,MD,MPH;JohnGibson,MD;CatherineTurkel,PharmD,MBA;BOTOXCDHStudyGroup

4.??????HeadacheandPsychiatricComorbidity:HistoricalContext,ClinicalImplications,andResearchRelevance

AlvinE.LakeIII,PhD;JeanettaC.Rains,PhD;DonaldB.Penzien,PhD;GayL.Lipchik,PhD

5.??????OvarianHormonesandMigraineHeadache:UnderstandingMechanismsandPathogenesis—PartI

VincentT.Martin,MD;MichaelBehbehani,PhD;二、病史特征在偏头痛中的诊断价值

TheDiagnosticValueofHistoricFeaturesinMigraine;1、偏头痛的诊断率有待提高

偏头痛发病率高，危害严重，然而偏头痛的诊断和治疗有待提高。研究显示超过50%的偏头痛患者未得到明确的诊断，严重影响了偏头痛的规范化治疗，不利于偏头痛的有效控制。所以有必要采取措施提高偏头痛的诊断率。;2.病史特征与偏头痛诊断的关系

偏头痛的病因以及发病机制目前仍不十分清楚，所以尚无诊断性的客观检查手