颈源性头痛患者伴发焦虑、抑郁及功能残疾的危险因素分析  

Surveying the risk factors of anxiety,depression and functional disability in patients with cervicogenic headache

作　　者：唐旭 李文举[2] 任路影 李亦梅[2] Tang Xu;Li Wenju;Ren Luying;Li Yimei(Department of Anesthesiology,People's Hospital of Chongqing Banan District,Chongqing City 401320,China;Department of Pain Medicine,First Affiliated Hospital of Xinjiang Medical University,Urumqi City,Xinjiang Uygur Autonomous Region 830000,China;Department of Anesthesiology,Chongqing Banan Maternal and Child Health Hospital,Chongqing City 401320,China)

机构地区：[1]重庆市巴南区人民医院麻醉科,重庆市401320 [2]新疆医科大学第一附属医院疼痛科,乌鲁木齐市430000 [3]重庆市巴南区妇幼保健院麻醉科,重庆市401320

出　　处：《中华疼痛学杂志》2022年第5期664-669,共6页Chinese Journal Of Painology

摘　　要：目的调查颈源性头痛患者伴发焦虑、抑郁及功能残疾的发生率及危险因素。方法收集2016年6月至2018年12月在新疆医科大学第一附属医院疼痛科就诊的颈源性头痛患者150例。采用汉密尔顿焦虑量表、汉密尔顿抑郁量表、偏头痛残疾程度评估问卷对颈源性头痛患者进行问卷调查。分别对颈源性头痛患者的焦虑、抑郁、功能残疾情况及相关危险因素进行对比分析。结果颈源性头痛患者伴发焦虑的发生率为26.7%(40/150例),抑郁发生率为25.3%(38/150例),功能残疾发生率为72.7%(109/150例)。多因素回归分析显示女性、低文化程度、病程长、疼痛程度高(OR值分别是0.084、0.328、3.711、2.134,P均<0.05)是颈源性头痛伴发焦虑的危险因素;首次发病年龄大、病程长、发作频率高、疼痛程度高(OR值分别是2.320、2.254、3.305、3.086,P均<0.05)是颈源性头痛伴发抑郁的危险因素;首次发病年龄大、病程长、有伴随症状、抑郁(OR值分别是2.920、2.606、4.305、3.373,P均<0.05)是颈源性头痛伴发功能残疾的危险因素。结论颈源性头痛伴发焦虑、抑郁及功能残疾的发生率高,危险因素多。Objective To survey the incidence rate and risk factors of anxiety,depression and functional disability in patients with cervicogenic headache.Methods From June 2016 to December 2018,150 patients with cervicogenic headache were collected in Department of Pain Medicine,First Affiliated Hospital of Xinjiang Medical University.Hamilton anxiety scale,Hamilton depression scale,migraine disability assessment questionnaire and pain questionnaire were used to investigate anxiety,depression,functional disability,and the related risk factors were analyzed.Results The incidence of anxiety was 26.7%(40/150 cases),depression was 25.3%(38/150 cases),and functional disability was 72.7%(109/150 cases)in cervicogenic headache patients,which were significantly higher than those in the control group(all P<0.05).Logistic regression analysis showed that women,lower level of education,longer duration of disease and higher pain level were main risk factors for cervicogenic headache associated with anxiety(OR=0.084,0.328,3.711,2.134,respectively,all P<0.05).First onset in older age,longer duration of disease,higher frequent attacks and higher pain level were main risk factors for depression(OR=2.320,2.254,3.305,3.086,respectively,all P<0.05).First onset in older age,longer duration of disease,concomitant symptoms and depression were main risk factors for functional disability(OR=2.920,2.606,4.305,3.373,respectively,all P<0.05).Conclusion Patients with cervicogenic headache have high incidence of anxiety,depression,functional disability,and many risk factors associated with these concomitant diseases.

关 键 词：头痛 颈 焦虑 抑郁 头痛相关功能残疾 

分 类 号：R681.5[医药卫生—骨科学] R749[医药卫生—外科学]