摘要
目的分析成人鼻解剖变异及接触性头痛的流行病学特征,为临床预防和诊治提供证据。方法2008年7～11月,用"慢性头痛问卷调查表"对体检人员进行问卷调查。根据诊断标准对问卷中有相关症状者,由专科医师进行集中检查予以确诊,结果进行统计学处理χ2检验。结果1328例体检人员,鼻解剖变异率61.07%,其中鼻中隔偏曲、中鼻甲、筛泡、钩突、上鼻甲等变异率分别为59.71%,40.21%,20.18%,23.42%,2.79%,男女之间鼻解剖变异差异无统计学意义,接触性头痛患病率1.96%,鼻解剖变异人群头痛发生率明显高于鼻解剖正常人群(P<0.05)。结论成人接触性头痛有较高的发病率,应引起医生与患者的高度重视,不明原因的头痛伴鼻解剖变异应考虑接触性头痛。
Objective To analyze the epidemiological characteristics of nasal anatomical abnormalities and intranasal contact point headaches in adults,and to provide evidence for clinical prevention and treatment. Methods A questionnaire on chronic headaches was conducted among 1 328 participants undergoing physical examination from July to November,2008.The participants with related symptoms according to the questionnaires were examined（811/1 328）for accurate diagnosis and the results were statistically analyzed.Results The rate of nasal anatomical abnormalities was 61.07%（811/1 328）.The abnormal rates of nasal septum,middle turbinate,uncinate process,ethmoid bulla and superior nasal concha were 59.71%,40.21%,20.18%,23.42% and 2.79% respectively.There was no difference in the abnormalities between man and woman.The prevalence rate of intranasal contact point headaches was 1.96%.The rates of headaches were significantly different between adults with or without nasal anatomical abnormalities（P0.05）.Conclusion There is a high prevalence of the intranasal contact point headaches in adults.The contact point headaches should be among considerations for headaches of unknown origin accompanied with nasal anatomical abnormalities.
出处
《中国预防医学杂志》
CAS
2010年第1期40-42,共3页
Chinese Preventive Medicine
基金
2008年浙江省医药卫生优秀青年科技人才专项基金计划(2008QN027)
义乌市2008年第二批科技攻关计划重点项目(2008-G2-17)联合资助
关键词
鼻
解剖
头痛
流行病学
Nose
Anatomy
Chronic headache
Epidemiology
