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目的分析在解放军总医院头痛门诊就诊的军人头痛的临床特征。方法对2011年10月—2012年12月以头痛为主诉来解放军总医院头痛门诊就诊的军人患者进行头痛调查问卷,记录其临床资料和诊治,诊断标准参照国际头痛诊断标准Ⅱ。结果头痛门诊就诊的军人患者共计85例(男60例),平均年龄34.16岁(19~69岁),所有患者中87.1%(74/85)诊断为原发性头痛,包括紧张性头痛34.9%(30例),偏头痛34.1%(29例),丛集性头痛14.1%(12例),其他原发性头痛3.5%(3例)。2.4%(2/85)诊断为继发性头痛,9.4%(8/85)为脑神经痛和中枢引起的面神经痛,为不明的头痛1.2%(1/85)。偏头痛与紧张性头痛的VAS分值比较,二者有统计学差异(P<0.05)。结论偏头痛与紧张性头痛是军人至头痛门诊就诊最常见的。军人患者的头痛特征既有与普通人群相符合的许多特点,又因其特殊性表现出军队自有的特色。
Objective To analyze the clinical characteristics of the headache of servicemen in the headache clinic of People’s Liberation Army General Hospital. Methods A headache questionnaire was made for the military patients who complained of headache as the chief complaint to the Headache Outpatient Department of PLA General Hospital from October 2011 to December 2012. The clinical data and diagnosis and treatment were recorded. The diagnostic criteria refer to the International Headache Diagnostic Criteria Ⅱ. Results A total of 85 soldiers (60 men) with headache outpatient visits were recruited. The average age was 34.16 years (19-69 years). 87.1% (74/85) of all patients were diagnosed as having primary headache, including 34.9% (30 cases), migraine 34.1% (29 cases), cluster headache 14.1% (12 cases) and other primary headache 3.5% (3 cases). 2.4% (2/85) were diagnosed as secondary headache, 9.4% (8/85) were craniocerebral and central facial pain, and 1.2% (1/85) of unknown headache. VAS scores of migraine and tension headache were statistically different (P <0.05). Conclusion Migraine and tension headaches are the most common military-to-headache clinic visits. The characteristics of the headache of military patients have many characteristics that are consistent with the general population, but also show the army’s own characteristics due to its particularity.