摘要
目的比较紧张性头痛(tension type headache,TTH)及偏头痛(migraine headache,MH)的相关影响因素,尤其与焦虑、抑郁共病的相互关系。方法收集本院门诊原发性头痛患者的临床资料,对其头痛程度、生活质量及情绪障碍等方面进行评估。结果共收集2013年8月至2016年5月于航天中心医院就诊的312例原发性头痛患者,TTH 163例,MH 149例,其中无先兆偏头痛(migraine without aura,MO)125例,先兆偏头痛(migraine with aura,MA)24例。TTH与MH在家族史、职业、汉密顿焦虑量表评分、视觉模拟评分标尺评分、头痛影响测评量表评分等方面有显著差别(P<0.05)。而MO与MA在文化程度、汉密顿焦虑量表、汉密顿抑郁量表评分方面有显著差别(P<0.05)。结论原发性头痛中以TTH最常见,常合并焦虑、抑郁。MH中以MA型更易合并焦虑、抑郁,应注意早期识别及干预。
Objective To compare the influence factors of tension type headache（TTH） and migraine headache（MH）, especially the association of headache with anxiety and depression. Method The degree of headache, quality of life and mood disorders were assessed by the collected clinical materials of patients with primary headache in our clinic. Result 312 patients with primary headache were enrolled, including 163 cases of TTH, 149 cases of MH. Among the MH,125 cases were MO,24 cases were MA. Significant differences were found between TTH and MH in family history, career, HAMA score, VAS score and HIT-6 score. There were significant differences between MO and MA in education, HAMA and HAMD scores. Conclusion TTH is the most common primary headache, which is usually complicated by anxiety and depression. In MH, MA is more likely to be complicated by anxiety and depression. Early identification and intervention should be awared.
作者
万志荣
曾敏
孔勇
商梦晴
王凌霄
WAN Zhi-rong ZENG Min KONG Yong SHANG Meng-qing WANG Ling-xiao(Department of Neurology, Aerospace Central Hospital Beijing 100049, China Department of Oncology, Military Medical Sciences in Beijing of the Cadre＇s Sanatorium, Beijing 100039, China)
出处
《中国医刊》
CAS
2017年第1期49-52,共4页
Chinese Journal of Medicine
关键词
原发性头痛
偏头痛
紧张型头痛
焦虑
抑郁
Primary headache
Migraine headache
Tension type headache
Anxiety
Depression
