摘要
目的观察慢性偏头痛(CM)患者头痛影响和残疾程度,并探讨CM的相关因素与头痛影响和残疾程度的关系。方法回顾性分析778例CM和阵发性偏头痛(EM)患者临床资料,对其临床特征、头痛影响测评量表-6(HIT-6)评分、偏头痛残疾程度评估问卷(MIDAS)评分进行单因素分析和多因素回归分析,寻找偏头痛慢性化的危险因素。从HIT-6评分、MIDAS评分出发,针对偏头痛慢性化的危险因素进一步分析。结果 CM患者HIT-6评分、MIDAS评分均高于EM患者(P <0.05)。双侧疼痛、抑郁、焦虑是偏头痛慢性化的独立危险因素。存在抑郁和焦虑的CM患者HIT-6及MIDAS评分更高(P <0.05)。结论 CM患者的头痛影响更大,残疾程度更重。抑郁和焦虑与CM患者头痛影响和残疾程度存在相关性。
Objective To observe the headache impact and disability degree in chronic migraine(CM)and to investigate the relation between the related factors of CM and headache impact and disability degree.Methods A total of 778 patients with CM and episodic migraine(EM)were analyzed retrospectively. Clinical characteristics,headache impact test-6(HIT-6)score,migraine disability assessment questionnaire(MIDAS)score were statistically analyzed by univariate and multivariate logistic regression analysis to explore risk factors for migraine chronification. The risk factors were further analyzed by HIT-6 score and MIDAS score.Results The HIT-6 score and MIDAS score of CM patients were higher than those of EM patients(P < 0.05). Two-side headache,depression,and anxiety were independent risk factors for migraine chronification. CM patients with depression or anxiety had higher HIT-6 and MIDAS score(P < 0.05).Conclusions CM patients were suffering from higher level of headache impact and disability degree. Depression and anxiety were related to headache impact and disability degree in chronic migraine.
作者
杨怡尧
赵红如
陆海锋
董万利
倪健强
YANG Yiyao;ZHAO Hongru;LU Haifeng;DONG Wanli;NI Jianqiang(The First Affiliated Hospital of Soochow University,Suzhou 215006,China)
出处
《实用医学杂志》
CAS
北大核心
2018年第24期4093-4097,共5页
The Journal of Practical Medicine
基金
江苏省六大人才高峰计划项目(编号:WSW-016)
江苏省青年医学人才项目(编号:QNRC2016729)
关键词
慢性偏头痛
阵发性偏头痛
头痛影响
残疾
chronic migraine
episodic migraine
headache impact
disability
