神经性头痛患者疼痛程度与抑郁焦虑情绪评分的关系研究

Study on the Relationship between Pain Degree and Depression,Anxiety Emotional Scores of Patients with Neurogenic Headache

目的:探究与分析神经性头痛患者疼痛程度与抑郁焦虑情绪评分的关系.方法:选取2019年1月-2020年6月于本院就诊的80例神经性头痛患者为观察组,同时期的80例健康者为对照组.比较两组的焦虑自评量表(SAS)与抑郁自评量表(SDS)评分结果,同时比较观察组中不同疼痛程度(VAS评分)者的评估结果,分析神经性头痛患者疼痛程度与抑郁、焦虑情绪评分的关系.结果:观察组的SAS、SDS评分及焦虑、抑郁阳性率均高于对照组,差异均有统计学意义(P<0.05).观察组中VAS评分轻度与中度患者SAS、SDS评分及焦虑、抑郁阳性率比较,差异均有统计学意义(P<0.05);VAS评分轻度与重度患者SAS、SDS评分及焦虑、抑郁阳性率比较,差异均有统计学意义(P<0.05);VAS评分中度与重度患者SAS、SDS评分及焦虑、抑郁阳性率比较,差异均有统计学意义(P<0.05).Spearman秩相关分析神经性头痛患者疼痛程度与抑郁焦虑情绪评分均呈正相关(rs=0.913、0.899,P<0.05).结论:神经性头痛患者疼痛程度较重者的抑郁焦虑情绪评分相对较高,彼此之间有密切的关系,应重视对神经性头痛患者进行上述方面的防控与干预.

Objective:To investigate and analyze the relationship between pain degree and depression,anxiety emotional scores of patients with neurogenic headache.Method:A total of 80 neuropathic headache patients admitted to our hospital from January 2019 to June 2020 were selected as the observation group,80 healthy patients in the same period were selected as the control group.The self-rating anxiety scale(SAS)scores and self-rating depression Scale(SDS)scores of the two groups were compared,meanwhile,the evaluation results of patients with different pain degrees(VAS scores)in the observation group were compared to analyze the relationship between the pain degree of patients with neurotic headache and the scores of depression and anxiety.Result:SAS,SDS scores and positive rates of anxiety and depression in the observation group were all higher than those in the control group,the differences were statistically significant(P<0.05).There were statistically significant differences in SAS,SDS scores and positive rates of anxiety and depression among patients with mild and moderate VAS scores in the observation group(P<0.05);there were statistically significant differences in SAS,SDS scores and the positive rates of anxiety and depression among patients with mild and severe VAS scores(P<0.05);there were statistically significant differences in SAS,SDS scores and positive rates of anxiety and depression between moderate and severe VAS scores(P<0.05).Spearman rank correlation analysis showed positive correlation between pain degree and depression,anxiety scores in patients with neurologic headache(r_s=0.913,0.899,P<0.05).Conclusion:The scores of depression and anxiety in patients with severe pain are relatively high,which is closely related to each other,therefore,the prevention,control and intervention of the above aspects should be paid more attention.