卵圆孔未闭合并偏头痛患者头痛程度影响因素的logistic回归分析  

Logistic Regression Analysis of the Influencing Factors of Headache Severityin Patients with Patent Foramen Ovale and Migraine

作　　者：张莹[1] 蒋珂[1] 刘亭 赵雨欣 周海云[1] 张植 ZHANG Ying;JIANG Ke;LIU Ting;ZHAO Yuxin;ZHOU Haiyun;ZHANG Zhi(Department of Neurology,the First People’s Hospital of Shangqiu,Shangqiu 476000,China)

机构地区：[1]商丘市第一人民医院神经内科,河南商丘476000

出　　处：《河南医学研究》2024年第7期1246-1249,共4页Henan Medical Research

摘　　要：目的分析卵圆孔未闭(PFO)合并偏头痛患者头痛程度影响因素的logistic回归分析。方法选取2022年1—12月商丘市第一人民医院就诊的100例PFO合并偏头痛患者作为研究对象,采用视觉模拟评分法(VAS)分为轻度头痛组(58例)和中重度疼痛组(42例),采用多因素logistic回归分析影响PFO合并偏头痛患者头痛程度的因素。结果单因素分析显示,轻度头痛组和中重度疼痛组吸烟史、高血压史、睡眠质量、情绪变化、PFO右向左分流量、PFO直径、PFO隧道长度及有无房间隔膨出瘤差异有统计学意义(P<0.05)。logistic多因素回归分析显示,吸烟史、高血压史、睡眠质量差、情绪变化、PFO右向左分流量大、PFO直径大、PFO隧道短及房间隔膨出瘤是影响PFO合并偏头痛患者头痛程度的影响因素(P<0.05)。结论吸烟史、高血压史、睡眠质量差、情绪变化、PFO右向左分流量大、PFO直径大、PFO隧道短及房间隔膨出瘤可影响PFO合并偏头痛患者头痛程度,临床应根据上述因素进行针对性干预,以缓解偏头痛患者头痛程度。Objective To analyze the influencing factors of headache severity in patients with patent foramen ovale(PFO)and migraine using logistic regression analysis.Methods A total of 100 patients with PFO combined with migraine treated in the First People’s Hospital of Shangqiu from January to December 2022 were selected as the study objects.They were divided into the mild headache group(58 cases)and the moderate to severe headache group(42 cases)according to the visual analogue scale(VAS)score.Univariate analysis and multivariate logistic regression analysis were conducted to identify the factors influencing the severity of headache in patients with PFO and migraine.Results Univariate analysis found that there were differences between the mild headache group and the moderate to severe headache group in terms of smoking history,hypertension history,sleep quality,emotional changes,right to left shunt of PFO,diameter of PFO,tunnel length of PFO,and the presence or absence of atrial septal aneurysm(P<0.05).Multivariate logistic regression analysis found that smoking history,hypertension history,poor sleep quality,emotional changes,large right to left shunt of PFO,large diameter of PFO,short PFO tunnel and atrial septal aneurysm were influencing factors of the severity of headache in patients with PFO and migraine(P<0.05).Conclusion Smoking history,hypertension history,poor sleep quality,emotional changes,large right to left shunt of PFO,large diameter of PFO,short PFO tunnel and atrial septal aneurysm affect the severity of headache in patients with PFO and migraine.Clinically,targeted intervention should be carried out based on the above factors to alleviate headache in patients with migraine.

关 键 词：卵圆孔未闭 偏头痛 头痛程度 LOGISTIC回归分析 

分 类 号：R747.2[医药卫生—神经病学与精神病学]