女性偏头痛患者失眠的症状学特点研究

发布时间：2018-06-10 19:29

本文选题：女性 + 偏头痛　；参考：《石河子大学》2017年硕士论文

【摘要】：目的:探讨慢性偏头痛患者失眠的情况,评估慢性偏头痛患者失眠的症状,并进一步了解慢性偏头痛失眠患者的睡眠卫生习惯。方法:对门诊就诊的慢性偏头痛患者进行详细问诊以及头痛问卷、阿森斯失眠量表(AIS)、睡眠卫生习惯量表等问卷进行测试,比较分析慢性偏头痛伴失眠、慢性偏头痛不伴有失眠以及慢性失眠患者的失眠症状。结果:1、最后于2015年12月至2016年12月军区总医院神经内科门诊收集就诊的符合慢性偏头痛诊断的患者调查问卷总计39例,同时收集慢性失眠不伴有偏头痛患者40例。慢性偏头痛组和慢性失眠组在年龄上比较有统计学差异(P0.05);在文化程度、婚姻状况及职业等方面比较均无统计学差异(P0.05)。2、慢性偏头痛组39例患者中符合失眠诊断人数24例,不符合失眠诊断人数15例。慢性偏头痛中失眠的患病率为61.5%。3、慢性偏头痛失眠组在入睡时间、夜间觉醒、睡眠时间、睡眠质量、日间情绪、日间身体功能、日间嗜睡和AIS总分等方面得分均高于慢性偏头痛非失眠组,差异具有统计学意义(P0.01)。4、慢性偏头痛失眠组在入睡时间、夜间觉醒、早醒、睡眠时间、睡眠质量、日间情绪和AIS总分等方面得分均低于慢性失眠组,差异具有统计学意义(P0.05)。5、慢性偏头痛失眠组与偏头痛非失眠组的睡眠卫生习惯量表在睡前饥饿、服用催眠药物、睡前4h喝咖啡、睡前担心睡眠、白天担心睡眠、傍晚锻炼等方面差异具有统计学意义(P0.05)。结论:1、门诊就诊的慢性女性偏头痛患者61.5%合并有失眠。2、与门诊就诊的慢性女性失眠患者相比,慢性偏头痛患者的失眠症状较轻,突出表现在入睡时间、夜间觉醒、早醒、睡眠时间、睡眠质量、日间情绪等方面。3、与门诊慢性女性失眠患者相比,慢性偏头痛失眠患者易出现睡前饥饿、服用催眠药物、睡前4h喝咖啡、睡前担心睡眠、白天担心睡眠、傍晚锻炼等睡眠习惯。
[Abstract]:Objective: to investigate the insomnia in patients with chronic migraine, to evaluate the symptoms of insomnia in patients with chronic migraine, and to understand the sleeping hygiene habits of patients with chronic migraine insomnia. Methods: the patients with chronic migraine in outpatient clinic were tested with detailed inquiry and headache questionnaire, AIS scale, sleep hygiene habit scale, etc. The chronic migraine patients with insomnia were compared and analyzed. Chronic migraine is not associated with insomnia and chronic insomnia in patients with insomnia symptoms. Results from December 2015 to December 2016, a total of 39 patients with chronic migraine and 40 patients with chronic insomnia without migraine were collected from the Department of Neurology, Department of Neurology, General Hospital of the military region, from December 2015 to December 2016. There was significant difference in age between chronic migraine group and chronic insomnia group (P 0.05), but there was no significant difference in education level, marital status and occupation. 24 cases of chronic migraine group met the diagnosis of insomnia in 39 cases. The number of patients who did not meet the diagnosis of insomnia was 15. The prevalence of insomnia in chronic migraine was 61.5 / .3. the sleep time, night awakening, sleep time, sleep quality, daytime mood, daytime body function were observed in chronic migraine insomnia group. The scores of daytime sleepiness and AIS total score were higher than those of chronic migraine non-insomnia group, the difference was statistically significant (P 0.01). The sleep time, night awakening, early wake up, sleep time, sleep quality of chronic migraine insomnia group were significantly higher than those of chronic migraine insomnia group. The scores of daytime emotion and AIS total score were lower than those of chronic insomnia group (P 0.05). The sleep hygiene habit scale of chronic migraine insomnia group and migraine non-insomnia group were hungry before bedtime, taking hypnotic drugs and drinking coffee 4 hours before sleep. There were statistically significant differences in sleep before bedtime, sleep during the day and exercise in the evening. Conclusion: 1, 61.5% of the female patients with chronic migraine in outpatient clinic have insomnia. Compared with the patients with chronic female insomnia, the symptoms of insomnia in patients with chronic migraine are lighter than those in the outpatient department. The symptoms of chronic migraine are as follows: sleeping time, waking up at night and waking up early. Sleep time, sleep quality, daytime mood, etc. 3. Compared with outpatients with chronic female insomnia, chronic migraine insomnia patients are prone to hunger before bedtime, take hypnotic drugs, drink coffee 4 hours before bedtime, worry about sleep during the day, and worry about sleep during the day. Sleep habits such as exercise in the evening.
【学位授予单位】：石河子大学
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R747.2

【参考文献】