军人实战演习条件下原发性头痛的防治

Prevention and treatment of primary headache among military personnel under circumstances of actual combat

目的探讨军人实战演习条件下原发性头痛的干预和治疗。方法实战演习前在参演某部进行《头痛症状及危险因素调查表》调查。根据2004年第二版国际头痛协会制定的相应头痛诊断标准,选取原发性头痛军人160人,其中偏头痛60例,紧张性头痛100例,采用随机数字表法平均分为4组,每组40人。A组自演习前1周开始服用盐酸氟桂利嗪,5 mg,1次/晚;B组演习前1周开始服用美利曲辛氟哌噻吨片,1片,1次/早;C组演习前1周开始服用盐酸氟桂利嗪,5 mg,1次/晚,美利曲辛氟哌噻吨片,1片,1次/早;D组为对照组,演习前1周开始服用安慰剂,5 mg,1次/早。演习结束后对各组军人进行《军人心理应激自评问卷(PSET)》《焦虑/抑郁评定量表HAD》《军人头痛残疾程度评估问卷》调查。结果联合盐酸氟桂利嗪和美利曲辛氟哌噻吨片进行干预,结果明显优于单用盐酸桂利嗪和单用美利曲辛氟哌噻吨片组,差异有统计学意义(P<0.05)。结论盐酸桂利嗪、美利曲辛氟哌噻吨片联合使用,可在战争背景下有效预防和治疗原发性头痛,提高战斗力。

Objective To study the prevention and treatment of primary headache among military personnel under the circumstances of actual combat. Methods 160 primary headache military personnel from a participant unit of military manoeuver according to the Headache Symptoms and Risk Factors Questionnaire,and then randomly divided into four groups,40 people in each. Group A took the medicine one week before the combat manoeuvre,flunarizine hydrochloride capsules 5 mg,once every night. Group B took deanxit 1 tablet every morning one week before the combat manoeuvre. Group C took the medicine one week before the combat manoeuvre,flunarizine hydrochloride capsules 5 mg,once every night and Deanxit 1 mg every morning. Group D served as the control group.After the manoeuvre finished,each group of military personnel Military Psychological Stress Self-assessment Questionnaire,Anxiety / Depression Rating Scale,Military Headache Disability Assessment Questionnaire. Relsults Using joint flunarizine hydrochloride and deanxit treatment,the results were significantly better than using the single flunarizine hydrochloride capsules and the single deanxit treatment group,with statistically significant difference（ P〈 0. 05）. Conclusions The joint flunarizine hydrochloride and deanxit treatment is effective to prevent and treat of primary headache in the circumstances of actual combat.