偏头痛患者心理健康现况研究

A study on the psychological health status of migraine patients

目的探讨偏头痛患者的临床症状及心理健康状态。方法选取2022年9月14日至2023年7月30日于邢台市人民医院就诊的120例偏头痛患者,根据数字评分量表将患者分为轻度疼痛组(0~3分,51例)、中度疼痛组(4~6分,48例)和重度疼痛组(7~10分,21例)。收集患者的一般临床资料、头痛影响测试问卷(headache impact test-6,HIT-6)、患者健康问卷(patient health questionnaire-9,PHQ-9)、广泛性焦虑量表(generalized anxiety disorder,GAD-7)、匹兹堡睡眠质量指数(Pittsburgh sleep quality index,PSQI)评分。结果偏头痛患者的HIT-6评分为(56.33±11.30)分,PHQ-9评分为(3.38±1.51)分,GAD-7评分为(3.01±0.58)分,PSQI评分为(4.73±0.78)分。三组患者的发作持续时间和发作总次数比较差异均有统计学意义(P<0.05);随着头痛程度加重,头痛发作持续时间延长、发作次数增多。三组患者的HIT-6、GAD-7评分比较差异均有统计学意义(P<0.05);随着头痛程度加重,HIT-6、GAD-7评分升高。结论不同程度偏头痛患者的日常生活影响情况、焦虑状况、疼痛时间和发作次数存在差异。

Objective To investigate the clinical symptoms and psychological health status of migraine patients.Methods A total of 120 migraine patients admitted to Xingtai People’s Hospital from September 14,2022 to July 30,2023 were selected and divided into mild pain group(0-3 points,51 cases),moderate pain group(4-6 points,48 cases),and severe pain group(7-10 points,21 cases)according to numerical rating scale.General clinical data,headache impact test-6(HIT-6),patient health questionnaire-9(PHQ-9),generalized anxiety disorder(GAD-7)and Pittsburgh sleep quality index(PSQI)were collected.Results The scores of HIT-6,PHQ-9,GAD-7,and PSQI of migraine patients were(56.33±11.30)points,(3.38±1.51)points,(3.01±0.58)points,and(4.73±0.78)points,respectively.There were statistically significant differences in the duration and total number of headache attacks among three groups(P<0.05).With the aggravation of headache degree,the duration of headache attacks increased and the number of attacks increased.There were statistically significant differences in the scores of HIT-6 and GAD-7 among three groups(P<0.05),and the scores of HIT-6 and GAD-7 increased with the aggravation of headache.Conclusion There are differences in the daily life impact,anxiety,pain duration and frequency of migraine in patients with different degrees of migraine.