伊朗原发性头痛孕妇样本的头痛特征

Farzaneh Ashrafinia, Erika L. Kelley, Hosseinali Ebrahimi Meimand, Farhad Iranmanesh, Javad Ghasemi, Omolbanin Heydari
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摘要

头痛是妊娠期的常见症状,由于存在危及生命的潜在风险,因此需要特别注意。本研究旨在调查孕妇的头痛特征。研究对象包括 2022 年 2 月至 2023 年 7 月期间以头痛为主诉到产前门诊就诊的孕妇。符合条件的参与者均被招募。高危妊娠、胎儿并发症、产后头痛、吸烟或使用阿片类药物、年龄小于 18 岁或患有病理性头痛的患者不在研究范围内。使用的工具包括收集头痛病史信息的人口统计学表格、国际头痛协会(IHS)标准和视觉模拟量表。研究共选取了 400 名患有头痛的孕妇。平均年龄为(27.3 ± 5.06)岁,平均孕周为(32.2 ± 6.05)周,胎次为(2 ± 0.70)。多变量分析表明,年龄和胎龄与无先兆偏头痛发病率的增加有显著相关性,而头痛病史与紧张性头痛的发生有显著相关性。此外,孕前头痛对孕期头痛强度也有显著影响。我们观察到时间与头痛类型之间存在明显的交互效应,不同时间段头痛类型之间的头痛强度也存在明显的交互效应。这些研究结果有助于更好地了解孕期头痛,并强调了为患有这些症状的孕妇量身定制治疗策略的重要性,尤其是在紧急情况下。
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Headache Characteristics in a Sample of Pregnant Iranian Women with Primary Headache

Headache is a common symptom during pregnancy that requires special attention due to the associated potential risks of life-threatening conditions. The aim of this study was to investigate headache characteristics in pregnant women. This study included pregnant women who presented to the antenatal outpatient clinic with a chief complaint of headache between February 2022 and July 2023. Eligible participants were recruited. Patients with high-risk pregnancies, fetal complications, postpartum headaches, smoking or opiate use, age less than 18 years, or pathological headaches were excluded from the study. The instruments used included a demographic form that collected information on headache history, the International Headache Society (IHS) criteria, and a visual analog scale. A total of 400 pregnant women with headache were selected. The mean age was 27.3 ± 5.06 years, mean gestational age was 32.2 ± 6.05 weeks, and parity was 2 ± 0.70. Multivariate analysis showed that age and gestational age were significantly associated with an increased incidence of migraine without aura and that a history of headache was significantly associated with the occurrence of tension headache. In addition, headache before pregnancy had a significant impact on headache intensity during pregnancy. We observed a significant interaction effect between time and headache type and a significant effect on headache intensity between headache types over time. These findings contribute to a better understanding of headache in pregnancy and emphasize the importance of tailored treatment strategies for pregnant women suffering from these symptoms, especially in emergency situations.

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