TY - JOUR AU - Bekkelund, Svein Ivar AU - Müller, Kai Ivar PY - 2021 DA - 201/12/13 TI -神经学家视频和面对面咨询的慢性头痛一年缓解率比较:随机对照试验JO - J医疗互联网Res SP - e30151 VL - 23is - 12kw -慢性头痛KW -缓解KW -视频咨询KW -远程医疗KW -电子健康KW -数字咨询KW -咨询KW -治疗KW -随机对照试验AB -背景:在许多情况下，慢性头痛对患者造成与头痛相关的严重残疾，但诊断不足或被误诊，因此需要易于获得专家的最佳医疗保健管理。目的:本研究的目的是确定视频咨询在治疗挪威北部专家推荐的慢性头痛患者时是否不低于面对面咨询。方法:研究中纳入的患者是从挪威北部(特罗姆瑟)神经科专家的全科转诊中招募的，并根据国际头痛学会分类系统进行诊断。在一项随机对照设计中，在事后分析中，比较了通过视频咨询和面对面咨询的两组之间慢性头痛的1年缓解率(在过去3个月内从每月头痛≥15天变化到<15天)、患者对专家咨询的满意度以及对全科医生后续咨询的需求。通过访谈(基线)和问卷调查(随访)收集数据。结果:从连续从全科医生转到专科医生超过2.5年的402例头痛患者的基线队列中，58.0%(233/402)被归类为慢性头痛并纳入本研究。视频组应答率为71.7%(86/120)，面对面组应答率为67.3%(76/113)。视频组的慢性头痛缓解率为43.0%(37/86)，面对面组为39.5% (30/76)(P=.38)。 Patient satisfaction with consultations were 86.5% (32/37; video) and 93.3% (28/30; face-to-face; P=.25). A total of 30% (11/37) in the video group and 53% (16/30) in the face-to-face group consulted general practitioners during the follow-up period (P=.03), and median number of consultations was 1 (IQR 0-13) and 1.5 (IQR 0-15), respectively (P=.19). Conclusions: One-year remission rate from chronic headache was about 40% regardless of consultation form. Likewise, patient satisfaction with consultation and need for follow-up visits in general practice post consultation was similar. Treating chronic headache patients by using video consultations is not inferior to face-to-face consultations and may be used in clinical neurological practice. Trial Registration: ClinicalTrials.gov NCT02270177; https://clinicaltrials.gov/ct2/show/NCT02270177 SN - 1438-8871 UR - //www.mybigtv.com/2021/12/e30151 UR - https://doi.org/10.2196/30151 UR - http://www.ncbi.nlm.nih.gov/pubmed/34898455 DO - 10.2196/30151 ID - info:doi/10.2196/30151 ER -