头痛门诊偏头痛患者睡眠质量及影响因素分析  

Analysis of sleep quality and influence factors in migraine patients in headache clinic

作　　者：朱洲[1] 周冀英[1] 范小平[1] 李雪莲[1] 冉丽[1] 

机构地区：[1]重庆医科大学附属第一医院神经内科,400016

出　　处：《重庆医学》2012年第12期1145-1147,共3页Chongqing medicine

基　　金：重庆市科委资助项目(CSTC2011AC5201)

摘　　要：目的分析神经内科头痛门诊偏头痛患者睡眠质量情况,并探讨睡眠质量的影响因素。方法采用疼痛视觉模拟评分、匹兹堡睡眠质量指数和医院焦虑抑郁量表,评估偏头痛患者的头痛程度、睡眠质量及焦虑抑郁症状。利用描述性统计、χ2检验、回归分析等方法分析偏头痛患者睡眠质量及影响因素。结果在211例偏头痛患者中有130例(61.61%)患者存在睡眠质量障碍。睡眠质量主要受偏头痛病程和是否伴有焦虑抑郁症状影响。结论偏头痛患者大多伴有睡眠障碍,而且睡眠障碍有效控制率低。控制睡眠质量的影响因素,有望改善偏头痛患者的睡眠质量。Objective To investigate sleep quality of migraineurs in headache clinic and the influence factors of sleep quality.Methods We used Visual Analogue Scale（VAS）,Pittsburgh Sleep Quality Index（PSQI） and Hospital Anxiety and Depression Scale（HADS） to assess headache intensity,sleep quality,anxiety and depression symptoms.Descriptive statistics,Chi-square test,Binary logistic regression were used to analyze the sleep quality and its impact factors.Results A total of 211 subjects,130（61.61%） migraineurs had a poor sleep quality.Sleep quality mainly influenced by course of migraine and whether comorbid with anxiety and/or depression.Conclusion Over half of migraineurs comorbid with poor sleep quality,and most patients＇ poor sleep did not get effective improvement.So control influence factors of sleep quality may improve the poor sleep quality of migraineurs.

关 键 词：偏头痛 睡眠质量 焦虑 抑郁 

分 类 号：R747.2[医药卫生—神经病学与精神病学]