How to distinguish the degree of headache? What is the scoring standard of headache?

Many people will occasionally have headache symptoms, which is actually normal. Generally, sensitive people may have headache symptoms after catching a cold, and some people may have habitual migraine, but headache symptoms are actually graded, and different grades may have different feelings. So, what are the main categories of general headaches?

1, general classification

Headache is a symptom. There are many reasons for headache, and the nature of headache is also different. Its attack forms and duration are also different. However, in the description of the degree of headache, according to everyone's different tolerance to pain, in his own description of headache, he can't clearly say the degree of headache. Someone has specially formulated a headache scoring standard for this purpose:

① 1 min: mild headache, no nausea and vomiting, no influence on daily life, effective with general painkillers;

②2 points: moderate headache, accompanied by nausea and vomiting, can affect daily life, and it is effective to take ergotamine drugs or stronger painkillers;

③3 points: severe headache, severe headache, accompanied by nausea and vomiting. The attack of headache is unbearable for patients and seriously affects their daily life.

Headache Unit Index (HUI)= total headache score/total observation days.

2. Degree classification

Because the degree of headache is usually affected by many factors, such as the lesion site, the invasion of pain-sensitive tissues inside and outside the brain, and the difference of individual response to pain, the degree of headache does not necessarily reflect the severity of the disease, and it can also be said that the severity of headache is not necessarily consistent with the severity of primary headache. However, understanding the intensity of various headaches will help to further understand the causes of headaches.

According to the intensity, headaches can be divided into three types:

① Severe headache, more common in trigeminal neuralgia, migraine, cluster headache, subarachnoid hemorrhage, temporal arteritis, etc.

② Moderate headache, which is common in headache caused by brain tumor and chronic inflammation;

③ Mild or moderate headache, including ocular headache, nasal headache, odontogenic headache and post-traumatic headache.

The degree of headache is not necessarily parallel to the severity of the disease that causes it. Because there are many functional headaches, such as those caused by neurosis, which can be very serious in patients' own feelings, and some very serious diseases, such as brain tumors, often have no headache or only mild headache at first. When the headache is very severe, it often means that the tumor is relatively large, which leads to an obvious increase in intracranial pressure. Therefore, you can't ignore a slight headache. However, sometimes it is unnecessary to pay too much attention to headaches. Some patients with functional headache often seek medical treatment everywhere because of headache, do various examinations, do EEG, still feel uneasy after CT, and then do MRI. In fact, such patients should receive psychotherapy.

3. What's the matter with frequent headaches?

(1) Suppress anger

Holding fire all the time can lead to back pain. A study published in the journal Psychosomatic Medicine found that people who suppress anger have tense spinal muscles, clenched teeth or weak breathing, so they can find a private space to release anger and relieve muscle tension.

(2) Improper use of telephone

Frequently clamping the mobile phone between the shoulder and the ear will cause neck and shoulder pain and arm tingling, while sending too many text messages will lead to finger tendinitis. Try to wear headphones when talking on the phone, and try to use your fingers when texting.

(3) Don't forget your troubles.

The brain processes emotions and pain in the same area, so when you are anxious or stressed, you will feel pain. Experts suggest setting aside 10 minutes of "anxiety time" at noon every day, writing down all your troubles and thinking about how to solve them, so that you can shift your attention from "worry" to "action".

(4) Not paying enough attention to sleep

Growth hormone secreted by the human body during sleep can relieve pain. A study in Sleep magazine found that people who suffer from chronic insomnia are three times more likely to suffer from chronic pain than others. Experts recommend "3-2- 1" fast sleep skills: first listen to three sounds (such as air conditioning sound and breathing sound). ), then imagine seeing three things (such as blue sky and green grass), and then try to feel three things (such as soft quilts and clothes). Next, listen, see and feel two things respectively. Finally, until one thing is repeated several times, you will fall asleep slowly.

(5) Poor sitting posture at work

The wrist is always resting on the keyboard, the chair has no back support, and it is difficult for the feet to touch the ground, which will cause muscle pain. You can adjust the office area in the following ways: stick a note on the computer monitor to remind yourself to relax your shoulders often. Secondly, the monitor should be below the horizon of the line of sight, which can prevent the neck muscles from being tense. Third, there should be supports for wrists and elbows. When the arms are bent, the keyboard and the body should be kept at arm's length. Finally, when your knees are bent 90 degrees and your feet can't touch the ground, you should put something on them.