紧张性头痛患者的病因和认知障碍分析

Analysis of pathogeny and cognitive impediment of tension headache

[目的]探讨紧张性头痛患者的可能病因及某些情感和认知功能障碍。[方法]对53例紧张性头痛患者的临床资料进行分组分析、整理、归类,全部病例进行头颅CT或MRI检查,以及颈部X线检查,用焦虑、抑郁自评量表(SAS、SDS),简易智能量表(MMSE)进行情感和认知评估。[结果]重大精神事件所致焦虑和/或抑郁14例(26.41%),工作紧张所致焦虑23例(43.41%),抑郁14例(26.41%),轻度认知障碍12例(22.64%)。[结论]紧张性头痛患者多半与紧张的工作与生活环境导致头颈部肌肉的持续痉挛有关,大部分患者都存在不同程度的心理障碍,部分有轻度认知障碍,男女差异无显著性(P>0.05)。建议应给予患者适当的心理治疗。

[ Objective] To probe into the possible pathogeny of tension headache （ TH ） as well as some emotion and cognitive function impediment. [ Methods ] After grouping, analyzing, arranging, classifying the clinical data of 53 cases of patients of tension headache, all patients were given coronal CT or MR/examination and cervix X - ray examination. Use Serf-Rating Anxiety Scale （SAS） ,Self-rating Depression Scale （SDS） , and Mini -Mental State Examination （MMSE） to asses emotion and cognition. [ Results ] 14 cases of vast mental events induced anxiety and/or depression （ 26.41% ） , 23 cases of work tensions induced anxiety 143.41% ） , 14 cases of work tensions induced depression 126.41% ） ; 12 cases of lightly cognitive impediment （22.64%）. [ Conclusion] Tension headache patients are mostly related with intensive work and life condition induced continued convulsion of cervical muscle. Most patients had more or less psychology impediment, some of them had lightly cognitive impediment, there was no significant difference between male and female patients （ P 〉 0.05 ）. Proper psychology treatment should be given to these patients.