摘要
对全国２６个省、自治区（除台湾省）以１９８６年６月３０日零时为始点进行了丛集性头痛（ＣＨ）流行病学调查。城市按半数区多级抽样到居委会，农村接论证选点，全国共１３５处调查点，每调查点人群不少于２．５万人，共调查了３４５７１７０人，按最新国际诊断标准，查出ＣＨ患者２３６例，其患病率、１９８２年中国人口标化率和世界人口标化率分别为６．８／１０万、４．７９８／１０万和５．０３６／１０万；男性分别为１１．７／１０万、８．１２８／１０万和８．４７２／１０万；女性分别为１．９／１０万、１．３３３／１０万和１．５７４／１０万，男女之比为６．２：１。２３６例中发作型１７４例，慢性型６２例。发作型的丛集期秋季最多（３９．４％），其次为春季（３１．８％）。在丛集期有７３．７％的患者有固定发作时间，多数呈夜间发作为主的生物学规律。男性的最多患病年龄为４０～４４岁（２６．７／１０万）。女性为５５～５９岁（８．１／１０万）。急慢性副鼻窦炎、多量吸烟、一次多量饮酒、睡眠鼾声和高原缺氧可能与发病有关。
The epidemiology of cluster headache was investigated nationwide including 26 provinces and autonomous regions except Tat Wan with the starting time point of June 30,1986.In cities the multiple rank sampling was done as deeply as to residential area,and in rural areas the research areas were chosen by demonstration.There were 135 research areas covering 3 457 170 of population with no less than 25 000 in each area.236 patients with cluster headache were identified according to the modern international diagnositic criteria.The morbidity rate,China population standardized rate(1982) and international population standardized rate were 6.8/100,000,4.798/100,000 and 5.036/100, 000 respectively;in male they were 11.7/100,000; 8. 128/100,000 and 8.472/100,000 and in female 1.9/100,000;1.33/100,000 and 1.574/100, 000 respectively.The proportion of male to female was 6.2:1.Among the 236 cases,174 belong to attack type and 62 chronic type.The cluster periods were more common in autumn (39.4%) and spring(31.8%).During the cluster Periods,73.7% of cases had attacks at fixed times,predominantly at nocturnal time.The age at which the attacks occured most frequently was 40 to 44 in male(26.7/100,000) and 55 to 59 in female(8.1/100,000).The attacks were found to be related to acute and chronic paranasal sinusitis,heavy smoking and drinking,sleep snoring andplateau anoxia.
出处
《中国疼痛医学杂志》
CAS
CSCD
1996年第1期6-10,共5页
Chinese Journal of Pain Medicine
关键词
丛集性
头痛
流行病学
病因
Cluster headache
Epidemiology
Etiology
