关于紧张型头痛患者情绪认知睡眠质量改变的研究

摘要

Objective To study the relationship between tension‐type headache (TTH) and emotion and sleep quality so as to explore the pathogenesis of TTH and guide the diagnosis and treatment.Methods 147 cases with TTH admitted to the Sec‐ond Neurology Department of Weifang People’s Hospital from July 2013 to March 2014 were considered as the TTH group. And 60 healthy people with matching gender ,age and education level and healthy family members of the inpatients were taken as the control group. The scores of Hamilton anxiety scale ,Hamilton depression scale ,MoCA scale and Pittsburgh sleep quali‐ty scale were assessed and compared in two groups. Results Scores of Hamilton anxiety scale ,Hamilton depression scale ,and Pittsburgh sleep quality scale in TTH group were higher than those in control group ,with statistical significances(P<0.05). Scores of MoCA scale were significantly lower in TTH group than those in healthy control group (P<0.05).Conclusion Anx‐iety ,depression and poor sleep quality are the important risk factors to cause and aggravate TTH ,and TTH can influence pa‐tients’ cognition.%目的：通过对紧张型头痛（tension‐type headache ，TTH ）与情绪、睡眠质量之间关系的研究，探讨紧张型头痛的发病机制以指导紧张型头痛的诊治。方法共入选147例2013‐07—2014‐03就诊于潍坊市人民医院神经内二科门诊及病房诊断为紧张型头痛患者为TTH组，入选同期60例性别、年龄及受教育程度相匹配的健康体检者及病房健康陪护家属作为对照组。测评TTH组及对照组汉密顿焦虑量表、汉密顿抑郁量表、MoCA量表、匹茨堡睡眠质量指数量表得分。结果 TTH组患者汉密顿焦虑量表得分、汉密顿抑郁量表得分、匹茨堡睡眠质量指数量表得分明显高于健康对照组，差异有统计学意义（P＜0.05）。TTH组中MoCA量表得分明显低于健康对照组，差异有统计学意义（P＜0.05）。结论焦虑抑郁情绪及睡眠质量差是造成和加重紧张型头痛的重要危险因素。TTH可能对患者认知产生影响。