抗洪救灾期间官兵头痛发生情况及紧张型头痛影响因素分析  

Analysis of the incidence of headache and the influencing factors of tension-type headache in police officers and soldiers during flood rescue

作　　者：王晓辉[1] 郑金光[2] 程新辉 彭卫平[2] WANG Xiaohui;ZHENG Jinguang;CHENG Xinhui;and PENG Weiping(Department of Neurology;Office of Health Service,Department of Medical Administration,General Hospital of Chinese People＇s Armed Police Force,Beijing 100039,China;Health Team of Zhenjiang Detachment,Jiangsu Provincial Corps of Chinese People＇s Armed Police Force,Zhenjiang 212000,China)

机构地区：[1]武警总医院神经内科,北京100039 [2]武警总医院医务部卫勤办,北京100039 [3]武警江苏总队镇江支队卫生队,212000

出　　处：《中华灾害救援医学》2017年第12期661-665,共5页Chinese Journal of Disaster Medicine

基　　金：武警总医院苗圃基金(WZ20130401)

摘　　要：目的了解武警官兵在执行抗洪任务期间头痛的发生情况、特征性表现及种类,以及紧张型头痛(tension-type headache,TTH)的影响因素,为进一步制订预防和干预措施提供依据。方法采取整群抽样问卷调查的方法,对武警江苏总队镇江和常州支队参加抗洪任务的348名官兵进行头痛问卷调查,记录个人情况、头痛特性、睡眠质量及焦虑抑郁状态,并分析TTH的影响因素。结果 (1)348名官兵中,有97例患头痛,患病率27.9%(97/348),其中TTH 68例,患病率19.5%(68/348);(2)97例官兵的头痛发作以双侧、非搏动性、中度疼痛为常见,持续时间多在30 min^12 h,伴随症状以畏声最常见,其中53.6%(52/97)伴有睡眠障碍,56.7%(55/97)伴焦虑抑郁;(3)多因素二分类Logistic回归分析提示,每日工作时间≥10 h、合并有睡眠障碍、焦虑状态是TTH的危险因素(P<0.05)。结论在抗洪救灾时期,官兵头痛的患病率高,尤其以TTH常见,其中每日持续工作≥10 h,存在睡眠障碍、焦虑状态可能为TTH发病的危险因素,需引起各部门及医疗单位的高度重视。Objective The objective of this study was to investigate the prevalence, characteristics and types of headache, and the influencing factors of tension-type headache（TTH） in the People＇s Armed Police（PAP） officers and soldiers during flood rescue, and to provide evidence for further prevention and intervention measures. Methods A total sample of 348 officers and soldiers of Zhenjiang and Changzhou detachment from Jiangsu Provincial Corps of PAP were selected as study subject by using cluster sampling method. A questionnaire survey was conducted to record personal information, headache characteristics, sleep quality, anxiety, depression and factors influencing TTH were analyzed. Results（1） Of the 348 officers and soldiers, 97 suffered from headache, accounting for 27.9%（97/348）, and 68 presented with TTH, accounting for 19.5%（68/348）;（2） Headache symptoms manifested in bilateral, non-pulsatile and moderate pain, and was lasting from 30 minutes to 12 hours, of which the most common symptom was phonophobia. Among them, 53.6%（52/97） were accompanied by a sleep disorder, and 56.7%（55/97） were accompanied with anxiety and depression;（3） The binary Logistic regression analysis showed that daily working time in excess of 10 hours, accompanied with a sleep disorder and anxiety were the risk factors for developing TTH（P〈0.05）. Conclusions During the flood rescue period, the prevalence of headache, particularly TTH, in officers and soldiers was high. Daily working time in excess of 10 hours, accompanied with a sleep disorder and anxiety appear to be the main contributory factors of TTH. Departments need to pay close attention to these risk factors and make efforts to reduce them.

关 键 词：抗洪救灾 紧张型头痛 睡眠障碍 焦虑抑郁 

分 类 号：R741.04[医药卫生—神经病学与精神病学]