摘要目的 应用国际头痛协会头痛分类第三版-beta标准对头痛门诊患者进行研究,以了解其分型和特点.方法 从2014年4月1日到2015年2月28日对所有就诊于北京协和医院头痛门诊的头痛患者进行前瞻性横断面调查.结果 593例患者平均年龄(42.1±15.6)岁,女∶男为1.89∶1.共有原发性头痛483例(81.5％),其中偏头痛和紧张型头痛分别为264例(44.5％)和168例(28.3％).慢性天天头痛158例(26.6％),新发头痛130例(21.9％),咳嗽性头痛9例(1.5％),霹雳性头痛5例(0.8％).偏头痛较紧张型头痛更容易合并药物过度使用性头痛(x2 =4.21,P=0.032),紧张型头痛较偏头痛更易出现慢性天天头痛(x2=18.92,P=0.000).结论 头痛门诊的大多数患者是原发性头痛;慢性天天头痛和新发头痛常见,而咳嗽性头痛和霹雳性头痛少见.因可能有潜在恶性病因,应重视识别这些头痛综合征.

abstractsObjective To assess the classification and characteristics of headaches using the International Classification of Headache Disorders,3rd edition (beta version) criteria in a headache outpatient clinic.Methods In this prospective cross-sectional study,all consecutive patients presenting with headache to a headache outpatient clinic of Peking Union Medical College Hospital between April 1 st,2014 and February 28th,2015 were included.Results The average age of 593 patients was (42.I ± 15.6) years with female-male ratio 1.89∶ 1.Primary headaches were found in 483 (81.5％) patients,of which migraine and tension-type headache were found in 264 (44.5％) patients and 168 (28.3％) patients respectively.Chronic daily headache and new headache were found in 158 (26.6％) patients and 130 (21.9％) patients,while cough headache and thunderclap headache were found in 9 (1.5 ％) patients and 5 (0.8％) patients respectively.Patients with migraine were more likely complicated with medicationoveruse headache than patients with tension-type headache (x2 =4.21,P =0.032).Patients with tensiontype headache were more likely complicated with chronic daily headache than patients with migraine (x2 =18.92,P =0.000).Conclusions In this headache outpatient clinic,most patients were primary headaches.Chronic daily headache and new headache were common,while cough headache and thunderclap headache were uncommon.These headache syndromes should be paid attention to identify the possible underlying malignant etiologies.