黄小星 1陈宝田 1陈敏 1黄瑞凝 1伍志勇 1商建青1
作者信息
摘要
Abstract
Objective To investigate the historical characteristics of adult migraine and to evaluate the diagnostic value of each historical characteristic. Methods Complete medical history of 237 adult migraine cases were collected and the independent diagnostic value of each case's characteristics was analyzed using statistical methods. In addition, history and types of childhood migraine were explored. Results Female patients accounted for 73. 4% of all cases ( 174/237 ) of adult migraine. The historical characteristics of migraine ( in descending frequency of occurrence ) included severe headache ( 71.7% , 170/ 237 ), temporal headache ( 64. 1% , 152/237 ), nausea and vomiting ( 61. 2% , 145/237 ), pulsatile headache ( 55. 7% , 132/237), history of childhood migraine (51.9%, 123/237), swelling headache (46.8%, 111/237), family history ( 44. 3% , 105/237 ), phonophobia ( 42. 2% , 100/237 ), dizziness ( 36. 3% , 86/237 ), and photophobia ( 33. 8% , 80/ 237 ). Most cases were influenced by alcohol consumption ( 66. 2% , 102/154 ), sleep ( 62. 4% , 148/237 ), six climatic evils ( 59. 5% , 141/237 ) and seven emotions ( 56. 1% , 133/237 ). Nearly half of the female cases were affected by their menstrual cycles ( 42. 5% , 74/174 ). Conclusion Migraine diagnosis should incorporate the patient's complete medical history including TCM and Western medicine and take consideration of both adult and childhood medical history.关键词
偏头痛/病史特征/完全病史/诊断Key words
Migraine/ Historical characteristic/ Complete medical history/ Diagnosis分类
医药卫生
