摘要
目的基于2018年中国健康与养老追踪调查(China health and retirement longitudinal study,CHARLS)数据分析中老年人群中不同头痛疼痛程度患者的治疗现状,为不同疼痛程度的中老年头痛患者提供更加精准、科学的医疗服务。方法本研究于2024年1—3月进行,通过对来源于CHARLS(2018年)的全国基线调查数据进行处理,获取4038例头痛患者的有效信息,分析其人口学特征、患病情况、治疗情况。结果按疼痛程度将4038例头痛患者分为轻度疼痛组1678例(41.56%),中度疼痛组831例(20.58%),重度疼痛组826例(20.46%),严重疼痛组703例(17.41%)。四组患者的性别、年龄、居住地、婚姻情况、受教育情况、养老依靠差异均有统计学意义(P<0.05);四组患者的健康状况自评、脑损伤、智力损害、感觉抑郁、感觉恐惧、感觉孤独、认为睡眠糟糕、对自己健康状况的满意度方面差异均有统计学意义(P<0.05);疼痛程度与健康状况自评、感觉抑郁、感觉恐惧、感觉孤独、认为睡眠糟糕、对自己健康状况的满意度呈正相关(P<0.05);疼痛程度与选择的治疗措施数量呈正相关(P<0.05);四组患者选择最多的为西药,其次为中医药;严重头痛组的针灸、推拿按摩选择率高于其他组,中度、重度头痛组其他治疗选择率高于其他组,差异均有统计学意义(P<0.05);四组患者选择的治疗措施较少,主要为西药治疗和中医药治疗,针灸、推拿按摩治疗选择占比低;有较大一部分患者未进行治疗。结论我国中老年不同疼痛程度的头痛患者在人口学、健康状况、治疗情况上存在差异,主要表现为健康情况较差、治疗率不足、治疗措施较少等问题。
Objective This study utilized the CHARLS(2018)database to analyze the current treatment status of middle-aged and elderly patients with headaches of varying degrees of pain in China,aiming to provide more precise and scientific medical services.Methods The study was conducted from January 2024 to March2024,by processing data from the national baseline survey of the China Health and Retirement Longitudinal Study(CHARLS 2018),4038 valid cases of headache were obtained.Demographic characteristics,disease prevalence,and treatment situations were analyzed.Results Of the 4038 headache patients,1678 cases(41.56%)were classified as mild pain,831 cases(20.58%)as moderate pain,826 cases(20.46%)as severe pain,and 703 cases(17.41%)as extreme pain.There were statistically significant differences among the four groups in terms of gender,age,residence,marital status,education level,and reliance on elderly care(P<0.05).There were also statistically significant differences in self-rated health status,brain injury,cognitive impairment,feelings of depression,fear,loneliness,perception of poor sleep quality,and satisfaction with their own health status(P<0.05).The degree of pain was positively correlated with self-rated health status,feelings of depression,fear,loneliness,perception of poor sleep quality,and satisfaction with their own health status(P<0.05).The degree of pain was also positively correlated with the number of treatment measures status(P<0.05).The degree of pain was also positively correlated with the number of treatment measures chosen(P<0.05).The most frequently chosen treatments by the four groups were Western medicines,followed by traditional Chinese medicine.The group with extreme headaches had a higher rate of choosing acupuncture and massage therapy than other groups,while the moderate and severe headache groups had higher rates of other treatments than other groups,all differences being statistically significant(P<0.05).The treatment measures chosen by the four groups were limited,mainly consisting of Western medicine and traditreatment measures chosen by the four groups were limited,mainly consisting of Western medicine and traditional Chinese medicine treatments,with a low proportion of acupuncture and massage therapy selected.tional Chinese medicine treatments,with a low proportion of acupuncture and massage therapy selected.A significant portion of patients did not receive any treatment.Conclusion Among middle-aged and elderly A significant portion of patients did not receive any treatment.Conclusion Among middle-aged and elderly Chinese patients with headaches of different pain severity,there are differences in demographics,health status,Chinese patients with headaches of different pain severity,there are differences in demographics,health status,and treatment situations,mainly characterized by poorer health conditions,insufficient treatment rates,and and treatment situations,mainly characterized by poorer health conditions,insufficient treatment rates,and limited treatment measures.limited treatment measures.
作者
许凯
梁江
XU Kai;LIANG Jiang(The First Clinical Medical College,Guizhou University of Traditional Chinese Medicine,Guiyang,Guizhou 550025,China;不详)
出处
《慢性病学杂志》
2024年第7期961-967,共7页
Chronic Pathematology Journal
关键词
头痛
治疗
中医治疗
老年人
Headache
Treatment
Traditional Chinese Medicine treatment
Elderly people
