CAJ | 학술논문

目的：针对神经内科门诊最常见的原发性头痛(偏头痛和紧张型头痛)患者的心理健康水平进行研究。方法选择2013年4月至2014年10月就诊于神经内科门诊的98例偏头痛和116例紧张型头痛患者，采用汉密顿焦虑(HAMA)和抑郁量表(HAMD)进行焦虑抑郁测评，用视觉模拟评分方法(VAS)里数字分级的方法来评价头痛的程度。结果1.偏头痛与紧张型头痛两种头痛患者女性发病率均高于男性(P<0.05)；2.偏头痛与紧张型头痛患者两组间年龄、头痛程度、发作频率、发作持续时间比较，P<0.05；3.偏头痛与紧张型头痛患者两组间进行汉密尔顿焦虑及抑郁量表评定，P>0.05；4.偏头痛与紧张型头痛患者的焦虑抑郁评分与头痛类型、头痛发作频率进行相关性分析显示，P>0.05；5.偏头痛患者与紧张型头痛患者的焦虑抑郁评分与性别、年龄、头痛程度、头痛发作时持续时间、头痛病程进行分析显示，P<0.05；6.偏头痛与紧张型头痛患者的的焦虑抑郁评分进行分析显示。P<0.05。结论偏头痛患者和紧张性头痛患者均可并发焦虑抑郁，两种头痛焦虑抑郁无明显差异。应及早诊断及治疗原发性头痛，减少头痛的持续时间、程度及缩短头痛的病程，重视及防治原发性头痛患者尤其女性头痛患者的心理健康水平，能明显改善原发性头痛患者的生活质量。
목적：침대신경내과문진최상견적원발성두통(편두통화긴장형두통)환자적심리건강수평진행연구。방법선택2013년4월지2014년10월취진우신경내과문진적98례편두통화116례긴장형두통환자，채용한밀돈초필(HAMA)화억욱량표(HAMD)진행초필억욱측평，용시각모의평분방법(VAS)리수자분급적방법래평개두통적정도。결과1.편두통여긴장형두통량충두통환자녀성발병솔균고우남성(P<0.05)；2.편두통여긴장형두통환자량조간년령、두통정도、발작빈솔、발작지속시간비교，P<0.05；3.편두통여긴장형두통환자량조간진행한밀이돈초필급억욱량표평정，P>0.05；4.편두통여긴장형두통환자적초필억욱평분여두통류형、두통발작빈솔진행상관성분석현시，P>0.05；5.편두통환자여긴장형두통환자적초필억욱평분여성별、년령、두통정도、두통발작시지속시간、두통병정진행분석현시，P<0.05；6.편두통여긴장형두통환자적적초필억욱평분진행분석현시。P<0.05。결론편두통환자화긴장성두통환자균가병발초필억욱，량충두통초필억욱무명현차이。응급조진단급치료원발성두통，감소두통적지속시간、정도급축단두통적병정，중시급방치원발성두통환자우기녀성두통환자적심리건강수평，능명현개선원발성두통환자적생활질량。
Objective:To study the mental health level of the patients ,who suffered from primary headache including migraine and tension-type headache (TTH) in the neurology clinic of Baogang Hospital.Methods:98 cases of migraine and 116 cases of TTH from April 2013 to October 2014,who were diagnosed according to the 2th edition diagnostic criteria of primary headache by International Classification of Headache.All the medical data including age,gender,headache frequency,degree,clinical course and duration of attack. The Hamilton Anxiety Scale (HAMA) and Hamilton Depression Scale (HAMD) were used to evaluate anxiety and depression,and digital grading methods of visual analogue scale(VAS) were used to evaluate the degree of headache.Result:The incidence of the female were higher than that of the male in both kinds of headache,while there was no difference between the gender distribution of the migraineurs and that of the TTH patients.The age,headache degree,frequency and duration of attack were also analyzed in the two groups.(P<0.05).There was no difference in the scores of HAMD and HAMA in migraineurs and TTH patients(P<0.05),which indicated that the patients with migraine and TTH were suffered from anxiety and depression.The scores of HAMA and HAMD were not correlated with the type of headache and the frequency of attack.The scores of HAMA and HDMA in migraineurs and TTH patients were correlated with the age,gender,headache degree,duration of attack and headache course(P<0.05).The scores of HAMA and the scores of HDMA in both groups were analyzed.There was a positive correlation between the scores(P<0.05).Conclusion:The migraineurs and TTH patients were accompanied by anxiety and depression.There was no difference of anxiety and depression in the migraineurs and TTH patients. primary headache should be diagnosed and treated as early as possible.Decreasing the duration of headache, the degree and course of headache, paying attention to and treat the mental health level of the patients,especially the female patients, can greatly improve the life quality of the patients of primary headache.