探讨头痛门诊慢性紧张型头痛患者睡眠质量及影响因素

To Explore the Sleep Quality and Influencing Factors of Migraine Patients in Headache Clinic

目的:分析头痛门诊收治慢性紧张型头痛患者的睡眠质量情况,探究影响睡眠质量的相关因素。方法:选取2018年1月至2018年12月间贵州省六盘水市人民医院神经内科收治的偏头痛患者200例作为研究对象,应用匹兹堡睡眠质量指数、疼痛视觉模拟评分量表、焦虑抑郁评分量表分析患者睡眠质量、头痛程度及负性情绪情况,分析睡眠质量的相关因素。结果:慢性紧张型头痛患者伴焦虑抑郁、头痛病程与患者PSQI指数得分相关(P <0. 05);伴焦虑、抑郁症状慢性紧张型头痛患者PSQI指数得分相比不伴焦虑抑郁患者增高(P <0. 05);慢性紧张型头痛伴睡眠障碍、焦虑、抑郁症状患者的PSQI总分、主观睡眠质量、睡眠效率、睡眠障碍相关因素对比非慢性紧张型头痛伴睡眠障碍、焦虑、抑郁症状存在显著差异(P <0. 05)。结论:对于慢性紧张型头痛患者,临床上应结合患者的共患病予以规范治疗,通过降低头痛症状的发作频率,调控患者的焦虑、抑郁症状以改善慢性紧张型头痛患者睡眠障碍症状。

Objective: To analyze the sleep quality of migraine patients in headache clinics and to explore the related factors affecting sleep quality. Methods: A total of 200 migraine patients were admitted to our hospital from January 2018 to December 2018.The Pittsburgh Sleep Quality Index,Pain Visual Analog Scale,and Anxiety and Depression Rating Scale were used to analyze the sleep quality and headache.Negative emotional conditions,analysis of factors related to sleep quality. Results: The course of migraine with anxiety,depression and headache was correlated with PSQI index( P <0.05).The score of PSQI index in patients with migraine with anxiety and depressive symptoms was higher than that without anxiety and depression( P <0.05).Migraine with sleep There were significant differences in PSQI scores,subjective sleep quality,sleep efficiency,and sleep disorders among patients with disorders,anxiety,and depressive symptoms compared with non-migraine with sleep disorders,anxiety,and depressive symptoms( P <0.05). Conclusion: For patients with migraine,clinical treatment should be combined with the patient′s comorbidity.By reducing the frequency of headache symptoms,the patient′s anxiety and depressive symptoms can be adjusted to improve the symptoms of sleep disorders in migraine patients.