【摘要】 目的探讨微信随访干预是否能改善药物过度使用性头痛患者的预后。方法收集我院神经科门诊2013年1月～2017年1月药物过度使用性头痛患者166例,随机分为微信随访组与常规随访组两组。随访观察6个月,观察MOH患者药物戒断成功率,每月使用药物天数、每月头痛天数等变化。结果微信随访组药物戒断成功率明显高于对照组(73.2%vs 52.5%,P=0.006)。6个月内每月头痛天数两组无明显差异,但微信随访组患者每月服药天数明显较对照组减少(P<0.001)。结论基于微信的随访手段能提高患者治疗的依从性,改善MOH患者的诊疗。更多还原

【Abstract】 Objective To explore whether WeChat follow-up intervention can improve the prognosis of patients with overuse headache. Methods A total of 166 patients with overuse headache in the Department of Neurology, from Jan.2013 to Jan. 2017 in our hospital were randomly divided into two groups: Wechat follow-up group and conventional follow-up group. Follow-up took observation for 6 months, observed the success rate of drug withdrawal in MOH patients, the number of drug use days per month, the number of headache days per month and other changes. Results The success rate of drug withdrawal in the WeChat follow-up group was significantly higher than that in the control group(73.2% vs 52.5%, P=0.006). There was no significant difference in the number of headache days per month between the two groups within 6 months, but the number of monthly medication days in the WeChat follow-up group was significantly lower than that in the control group(P<0.001). Conclusion WeChat-based follow-up measures can improve patient compliance and improve the diagnosis and treatment of patients with MOH.更多还原