汶川大地震对四川省茂县土门乡村民偏头痛发作的影响
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摘要
[目的]探讨汶川大地震对茂县土门乡村民偏头痛发作的影响。[方法]根据国际头痛协会2004年修订的偏头痛分类诊断标准制定调查表和防治知识宣传手册,采用面对面问卷调查的方式从土门乡的6个行政村中抽取3个村对10岁以上的所有人群进行调查。[结果]总计调查814人,偏头痛患者162例,患病率19.90%,其中男性患病率9.66%,女性患病率29.00%,男女患病之比为1︰3.38;Logistic多元回归分析发现偏头痛的发作与地震、过敏史和季节性3个独立危险因素有关,性别、文化程度、经济状况、居住海拔高度等对偏头痛的发作都有影响。[结论]偏头痛的发作与地震、过敏史、季节性有关,还受性别、文化程度等经济社会环境的影响。
[Objective] To investigate the influence of Wenchuan earthquake on migraine prevalence in Sichuan.[Methods] According to the migraine diagnostic criteria of international headache association,questionnaire was conducted by face-to-face investigation in Sichuan province.[Results] Totally 814 were investigated,and the prevalence was 19.90%,the male and female prevalence were 9.66%,29.00% respectively.Logistic regression indicated the prevalence of migraine correlated independently with earthquake,allergy history and seasons,and the other influence factors included gender,culture,socioeconomics and resident altitude.[Conclusion] The prevalence of migraine correlates independently with earthquake,allergy history and seasons,and is influenced by gender,culture,socioeconomics and resident altitude.
[Objective] To investigate the influence of Wenchuan earthquake on migraine prevalence in Sichuan.[Methods] According to the migraine diagnostic criteria of international headache association,questionnaire was conducted by face-to-face investigation in Sichuan province.[Results] Totally 814 were investigated,and the prevalence was 19.90%,the male and female prevalence were 9.66%,29.00% respectively.Logistic regression indicated the prevalence of migraine correlated independently with earthquake,allergy history and seasons,and the other influence factors included gender,culture,socioeconomics and resident altitude.[Conclusion] The prevalence of migraine correlates independently with earthquake,allergy history and seasons,and is influenced by gender,culture,socioeconomics and resident altitude.
引文
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Wang SJ,Fuh JL,Huang SY,et al.Diagnosis and development ofscreening items for migraine in neurological practice in Taiwan[J].JFormos Med Assoc,2008,107(6):485-494.
步怀恩,王建华,王泓午.偏头痛流行病学特点[J].天津中医药大学学报,2006,25(2):82-82.
程学铭,蔡琰.我国六城市居民偏头痛流行病学调查[J].中华神经精神科杂志,1990,23(1):44-46.
郭述苏,薛广波.中国偏头痛流行病学初步调查[J].中华流行病学杂志,1993,14(2):102-105.
Rasmussen BK.Epidemiology of headache[J].Cephalalgia,1995,15(1):45-68.
Lipton RB,Diamond S,Reed M,et al.Migraine diagnosis andtreatment:results from the American Migraine Study II[J].Headache,2001,41(7):638-645.
Lipton RB,Stewart WF,Simon D.Medical consultation for mi-graine:results from the American Migraine Study[J].Headache,1998,38(2):87-96
Stewart WF,Simon D,Shechter A,et al.Population variation inmigraine prevalence:a meta-analysis[J].J Clin Epidemiol,1995,48(2):269-280.
Wang SJ,Fuh JL,Huang SY,et al.Diagnosis and development ofscreening items for migraine in neurological practice in Taiwan[J].JFormos Med Assoc,2008,107(6):485-494.
步怀恩,王建华,王泓午.偏头痛流行病学特点[J].天津中医药大学学报,2006,25(2):82-82.
程学铭,蔡琰.我国六城市居民偏头痛流行病学调查[J].中华神经精神科杂志,1990,23(1):44-46.
郭述苏,薛广波.中国偏头痛流行病学初步调查[J].中华流行病学杂志,1993,14(2):102-105.
Rasmussen BK.Epidemiology of headache[J].Cephalalgia,1995,15(1):45-68.
Lipton RB,Diamond S,Reed M,et al.Migraine diagnosis andtreatment:results from the American Migraine Study II[J].Headache,2001,41(7):638-645.
Lipton RB,Stewart WF,Simon D.Medical consultation for mi-graine:results from the American Migraine Study[J].Headache,1998,38(2):87-96
Stewart WF,Simon D,Shechter A,et al.Population variation inmigraine prevalence:a meta-analysis[J].J Clin Epidemiol,1995,48(2):269-280.
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