ĐẶC ĐIỂM LÂM SÀNG VÀ MỘT SỐ YẾU TỐ NGUY CƠ CỦA BỆNH ĐAU ĐẦU MIGRAINE TẠI BỆNH VIỆN ĐA KHOA TRUNG ƯƠNG CẦN THƠ

Abstract

Objective: To analyze clinical characteristics and risk factors associated with Migraine headaches. Methods: A cross-sectional study was conducted on 86 patients diagnosed with Migraine and treated at the Department of Neurology, Can Tho Central General Hospital. Migraine was diagnosed based on the criteria of the International Classification of Headache Disorders, 3rd edition (ICHD-3). Results: The mean age at onset was 44.3±15.73 years. Female patients accounted for 75.6% of cases. Migraine with aura was observed in 29.1% of patients. The most common clinical features included pulsating unilateral headache (91.9%), nausea (48.8%), vomiting (43.0%), photophobia (45.3%), phonophobia (64.0%), and dizziness (64.0%). The mean pain intensity assessed using the Visual Analogue Scale (VAS) was 5.17±1.26. Among female patients, 1.4% reported an association between Migraine attacks and menstruation. Common triggering factors included sleep disturbances (87.2%), anxiety (74.4%), weather changes (7.0%), and the use of stimulants or certain foods (2.3%). The mean HIT-6 score was 56.83±2.64. Regarding the impact on quality of life, 5.8% of patients experienced severe impact, 73.3% moderate impact, and 20.9% mild impact. Conclusions: Migraine is a prevalent condition among female patients (75.6%) and is typically characterized by moderate intensity pain and diverse accompanying symptoms. Migraine without aura (70.9%) and moderate pain intensity were the most common forms. The disease has a considerable negative impact on patients' quality of life.