偏头痛与睡眠质量关系的研究

Study of relationship between migrain and sleep quality

目的探讨偏头痛与睡眠质量的关系。方法采用阿森斯睡眠量表(AIS)对112例偏头痛患者(偏头痛组)及112名健康体检者(正常对照组)的睡眠质量进行评分,比较两组间失眠的发生率。对偏头痛组中无睡眠障碍亚组、可疑失眠亚组和失眠亚组先兆发作率及疼痛程度进行比较,分析睡眠质量与偏头痛的关系。结果偏头痛组失眠的发生率(58.9%)明显高于正常对照组(24.1%)(P<0.001)。偏头痛各亚组间先兆发作率的差异无统计学意义;失眠亚组中、重度头痛的比例(53.0%,37.9%)明显高于无睡眠障碍亚组(23.8%,19.1%)和可疑失眠亚组(40.0%,16.0%)(均P<0.001)。相关性分析显示,偏头痛组睡眠质量与头痛程度呈负相关(P<0.001)。结论偏头痛患者睡眠质量较差,且睡眠质量越差的患者头痛程度越重,改善睡眠质量有可能减轻头痛程度。

Objective To explore the relationship between migraine and sleep quality.Methods The sleep quality of 112 migraine patients（migraine group） and 112 healthy volunteers（normal control group） were valued by Athens Insomnia Scale（AIS）.And the insomnia rates of the two groups were compared with each other.The aura attack rates and ache degrees were compared among the no insomnia sub-group,possible insomnia sub-group and insomnia sub-group in migraine group.And the relationship between sleep quality and migraine was analyzed.Results The incidence of insomnia in migraine group（58.9%） was significantly higher than that in normal control group（24.1%）（P0.001）.In the migraine group,the differences of aura attack rates were no statistical significance among the 3 sub-groups.The midrange and serious headache proportion in insomnia sub-group（53.0%,37.9%） were significantly higher than those in no insomnia sub-group（23.8%,19.1%） and possible insomnia sub-group（40.0%,16.0%）（all P0.001）.The correlation analysis showed the sleep quality was negative correlated with headache degree in migraine group（P0.001）.Conclusions The migraine patients often have worse sleep quality.And the worse sleep quality they have,the even more serious headache that will be.The headache may be lessened by improving the quality of sleep.