高血压患者头痛与血压控制的关系

目的：探讨高血压病人头痛与血压控制的关系。方法：对341例原发性高血压病人进行头痛状况问卷调查。将头痛分型为：偏头痛、紧张型头痛、偏头痛伴紧张型头痛及其他类型头痛。对经联合降压治疗（蒙诺10mg及吲达帕胺2．5mg）4周后的临床效果进行分析。结果：高血压伴头痛高达30．5％，其巾偏头痛64例（61．5％），紧张型头痛58例（55．8％），偏头痛伴紧张型头痛21例（20．2％），其他类型头痛24例（23．1％）。女性以偏头痛最多，男性以紧张型头痛为多。应用降压药物治疗能明显减低头痛的强度和头痛持续的时删。结论：高血压头痛町能与血压控制不理想及头痛产生的机制复杂有关。

The relation of the headache with blood-pressure control in patients with hypertension

Objective: To study the relation of headache with blood pressure control in patients with hypertension. Methods: Three hundred and fourteen patients with hypertension were surveyed. The headache was classified migraine, tension-type headache, migraine and tension-mixed headache and others. The patients were treated with the same regimen. After 4 weeks, data of patients were analyzed. Results: The hypertension with headache accounted of 30.5%. Among them,migraine 64 patients (61.5%), tension-type headache 58 patients (55.8%) migraine and tension-mixed headache 21 patients (20.2%) Others 24 patients (23.1%) The women with migraine were more than that in men and the men with tension-type headache more than that in women. The medicines for hypertension could cut down the strength and time with headache. Conclusion: It is possible that the relation of the headache with improper control of blood pressure. The headache with hypertension has complex mechanism.