国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2014年
3期
322-325
,共4页
慢性紧张型头痛%睡眠障碍%相关性
慢性緊張型頭痛%睡眠障礙%相關性
만성긴장형두통%수면장애%상관성
Chronic tension type headache (CTTH)%Sleep disturbance%Correlation
目的 探讨慢性紧张型头痛(chronic tension type headache,CTTH)与睡眠障碍的关系,评价睡眠障碍对慢性紧张型头痛的发生、发展及头痛病理生理的影响.方法 依据国际头痛学会2004 ISH-Ⅱ头痛性疾病的分类和诊断标准,选取2012年4月至2013年8月我院神经内科门诊及住院符合慢性紧张型头痛诊断的患者141例,根据头痛程度分为轻度头痛、中度头痛、重度头痛三组,对纳入研究患者性别、年龄、失眠情况、疼痛程度、医后随访、健康指导等指标进行研究,分析睡眠障碍与慢性紧张型头痛发病原因、头痛严重程度等因素的关系.结果 慢性紧张型头痛患者睡眠障碍的发生率为49.6％,与于守臣等调查的正常人群睡眠障碍发生率9.4％有明显的统计学差异(x2=153.63,P＜0.001),中、重度头痛患者睡眠障碍的发生率明显高于轻度头痛患者(x2=11.017,P＜0.05),慢性紧张型头痛患者睡眠障碍与性别及家族史无明显相关性(P＞0.05).结论 慢性紧张型头痛与睡眠障碍存在明显相关性,睡眠障碍可能是慢性紧张型头痛最重要的病因,临床医生应重视慢性紧张型头痛患者睡眠质量,治疗睡眠障碍可能对慢性紧张型头痛的预防及治疗有积极作用.
目的 探討慢性緊張型頭痛(chronic tension type headache,CTTH)與睡眠障礙的關繫,評價睡眠障礙對慢性緊張型頭痛的髮生、髮展及頭痛病理生理的影響.方法 依據國際頭痛學會2004 ISH-Ⅱ頭痛性疾病的分類和診斷標準,選取2012年4月至2013年8月我院神經內科門診及住院符閤慢性緊張型頭痛診斷的患者141例,根據頭痛程度分為輕度頭痛、中度頭痛、重度頭痛三組,對納入研究患者性彆、年齡、失眠情況、疼痛程度、醫後隨訪、健康指導等指標進行研究,分析睡眠障礙與慢性緊張型頭痛髮病原因、頭痛嚴重程度等因素的關繫.結果 慢性緊張型頭痛患者睡眠障礙的髮生率為49.6％,與于守臣等調查的正常人群睡眠障礙髮生率9.4％有明顯的統計學差異(x2=153.63,P＜0.001),中、重度頭痛患者睡眠障礙的髮生率明顯高于輕度頭痛患者(x2=11.017,P＜0.05),慢性緊張型頭痛患者睡眠障礙與性彆及傢族史無明顯相關性(P＞0.05).結論 慢性緊張型頭痛與睡眠障礙存在明顯相關性,睡眠障礙可能是慢性緊張型頭痛最重要的病因,臨床醫生應重視慢性緊張型頭痛患者睡眠質量,治療睡眠障礙可能對慢性緊張型頭痛的預防及治療有積極作用.
목적 탐토만성긴장형두통(chronic tension type headache,CTTH)여수면장애적관계,평개수면장애대만성긴장형두통적발생、발전급두통병리생리적영향.방법 의거국제두통학회2004 ISH-Ⅱ두통성질병적분류화진단표준,선취2012년4월지2013년8월아원신경내과문진급주원부합만성긴장형두통진단적환자141례,근거두통정도분위경도두통、중도두통、중도두통삼조,대납입연구환자성별、년령、실면정황、동통정도、의후수방、건강지도등지표진행연구,분석수면장애여만성긴장형두통발병원인、두통엄중정도등인소적관계.결과 만성긴장형두통환자수면장애적발생솔위49.6％,여우수신등조사적정상인군수면장애발생솔9.4％유명현적통계학차이(x2=153.63,P＜0.001),중、중도두통환자수면장애적발생솔명현고우경도두통환자(x2=11.017,P＜0.05),만성긴장형두통환자수면장애여성별급가족사무명현상관성(P＞0.05).결론 만성긴장형두통여수면장애존재명현상관성,수면장애가능시만성긴장형두통최중요적병인,림상의생응중시만성긴장형두통환자수면질량,치료수면장애가능대만성긴장형두통적예방급치료유적겁작용.
Objective To study the correlation between chronic tension type headache (CTTH) and sleep disturbance,evaluate the influence of sleep disturbance and CTT'H occurring,developing and pathophysiology.Methods According to the diagnostic criteria of International Headache Society 2004 ISH-Ⅱ,we selected 141 CTTH patients from our neurology department in our hospital from April 2012 to August 2013.According to the level of headache,the patients were divided into three groups including mild,moderate and serious groups.Age,gender,sleep disturbance,headache levels were researched and analyzed respectively to understand the correlation among the aetiological agent of sleep disorders and CTTH level.Results The insomnia incidence rate of CTTH was 49.6％,statistically significant different from the incidence rate of normal people as 9.4％ from Yu Shouchen' research (x 2=153.63,P ＜ 0.001).The insomnia incidence rate of moderate and serious patients was higher than that of mild patients (x2=11.017,P ＜ 0.05).There was no correlation between insomnia and gender,family history of CTTH patients.Conclusion There is obvious correlation between CTTH and sleep disturbance.Sleep disturbance is probably the important cause of CTTH.Clinic doctors should pay attention to the sleep problems of CTTH patients.Treating sleep disturbance could probably have positive prevention and treatment effect to CTTH patients.
