Nghiên cứu đặc điểm lâm sàng, một số yếu tố khởi phát và kết quả điều trị của bệnh nhân đau đầu dạng căng thẳng tại Bệnh viện Đa khoa Trung ương Cần Thơ=Research on clinical characteristics, some onset factors and results in treatment of tension-type headache patients at Can Tho central general hospital

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Tác giả: Minh Hiếu Bùi, Thanh Điền Lương, Ngọc Tú Lý

Ngôn ngữ: vie

Ký hiệu phân loại:

Thông tin xuất bản: Tạp chí Y dược học Cần Thơ, 2024

Mô tả vật lý: tr.127-133

Bộ sưu tập: Metadata

ID: 244855

Thêm vào giỏ

Đau đầu dạng căng thẳng được biết đến là đau đầu nguyên phát thường gặp nhất, có thể ảnh hưởng đến tất cả các khía cạnh cuộc sống của một người bao gồm công việc, trường học và gia đình. Việc nhận biết, chẩn đoán sớm và điều trị thích hợp nhằm giảm các ảnh hưởng tiêu cực của bệnh đến bệnh nhận. Mục tiêu nghiên cứu: Khảo sát đặc điểm lâm sàng, một số yếu tố khởi phát và kết quả điều trị của bệnh nhân đau đầu dạng căng thẳng. Đối tượng và phương pháp nghiên cứu: 65 bệnh nhân đau đầu dạng căng thẳng đến khám và điều trị tại Bệnh viện Đa khoa Trung ương Cần Thơ trong thời gian từ tháng 12/2022 tới tháng 06/2023 được khảo sát các đặc điểm lâm sàng, các yếu tố khởi phát và theo dõi điều trị. Kết quả: Tuổi trung bình mắc bệnh là 46,51±16,38, bệnh nhân nữ chiếm 63,1%, với tỉ lệ nam/nữ là 1/1,7, bệnh nhân sống ở thành thị chiếm tỉ lệ 46,2%, Thời điểm khởi phát đau thường là buổi trưa (50,8%). Vị trí đau phổ biến là vùng trán (58,5%), mức độ đau từ nhẹ tới trung bình (92,3%). Yếu tố khởi phát thường gặp là mất ngủ (40%). Điều trị bằng thuốc giảm đau đơn thuần hoặc phối hợp với các thuốc chống trầm cảm, an thần-giảm lo âu, dãn cơ giúp cải thiện về lâm sàng được đánh giá qua thang điểm NRS. Kết luận: Đau đầu dạng căng thẳng có liên quan tới tuổi, giới tính. Ngoài các thuốc giảm đau đơn thuần, các thuốc chống trầm cảm, an thần-giảm lo âu, dãn cơ cũng mang lại lợi ích về mặt lâm sàng và cải thiện chất lượng cuộc sống.Tension-type headache is the most common type of primary headaches, can affect all aspects of person’s life including work, school and family. Early recognition, diagnosis and appropriate treatment aim to reduce the negative effects of the disease on patients. Objective: To investigate the clinical characteristics, some onset factors and treatment outcomes of patients with tension-type headache. Materials and methods: 65 invididuals with tension-type headache admitted to Can Tho Central General Hospital from December 2022 to June 2023 were investigated clinical features, onset factors and follow up treatment. Results: The mean age of disease was 46.51±16.38, Female patients accounted for 63.1%, with a male/female ratio of 1/1.7. Patients living in urban areas accounted for 46.2%. The onset time of pain is usually noon (50.8%), the most common pain site is the forehead area (58.5%), mild to moderate pain (92.3%). The common trigger is insomnia (40%). Treatment with analgesics alone or in combination with antidepressants, sedative-anxiolytics, muscle relaxants help to improve clinical outcomes as assess by the NRS. Conclusion: Tension-type headaches are age and sex related. In addition to simple analgesics, antidepressants, sedative-anxiolytics, and muscle relaxants are also clinically beneficial and improve quality of life.

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