本文選題：女性 + 偏頭痛��； 參考：《石河子大學(xué)》2017年碩士論文

【摘要】：目的:探討慢性偏頭痛患者失眠的情況,評估慢性偏頭痛患者失眠的癥狀,并進(jìn)一步了解慢性偏頭痛失眠患者的睡眠衛(wèi)生習(xí)慣。方法:對門診就診的慢性偏頭痛患者進(jìn)行詳細(xì)問診以及頭痛問卷、阿森斯失眠量表(AIS)、睡眠衛(wèi)生習(xí)慣量表等問卷進(jìn)行測試,比較分析慢性偏頭痛伴失眠、慢性偏頭痛不伴有失眠以及慢性失眠患者的失眠癥狀。結(jié)果:1、最后于2015年12月至2016年12月軍區(qū)總醫(yī)院神經(jīng)內(nèi)科門診收集就診的符合慢性偏頭痛診斷的患者調(diào)查問卷總計39例,同時收集慢性失眠不伴有偏頭痛患者40例。慢性偏頭痛組和慢性失眠組在年齡上比較有統(tǒng)計學(xué)差異(P0.05);在文化程度、婚姻狀況及職業(yè)等方面比較均無統(tǒng)計學(xué)差異(P0.05)。2、慢性偏頭痛組39例患者中符合失眠診斷人數(shù)24例,不符合失眠診斷人數(shù)15例。慢性偏頭痛中失眠的患病率為61.5%。3、慢性偏頭痛失眠組在入睡時間、夜間覺醒、睡眠時間、睡眠質(zhì)量、日間情緒、日間身體功能、日間嗜睡和AIS總分等方面得分均高于慢性偏頭痛非失眠組,差異具有統(tǒng)計學(xué)意義(P0.01)。4、慢性偏頭痛失眠組在入睡時間、夜間覺醒、早醒、睡眠時間、睡眠質(zhì)量、日間情緒和AIS總分等方面得分均低于慢性失眠組,差異具有統(tǒng)計學(xué)意義(P0.05)。5、慢性偏頭痛失眠組與偏頭痛非失眠組的睡眠衛(wèi)生習(xí)慣量表在睡前饑餓、服用催眠藥物、睡前4h喝咖啡、睡前擔(dān)心睡眠、白天擔(dān)心睡眠、傍晚鍛煉等方面差異具有統(tǒng)計學(xué)意義(P0.05)。結(jié)論:1、門診就診的慢性女性偏頭痛患者61.5%合并有失眠。2、與門診就診的慢性女性失眠患者相比,慢性偏頭痛患者的失眠癥狀較輕,突出表現(xiàn)在入睡時間、夜間覺醒、早醒、睡眠時間、睡眠質(zhì)量、日間情緒等方面。3、與門診慢性女性失眠患者相比,慢性偏頭痛失眠患者易出現(xiàn)睡前饑餓、服用催眠藥物、睡前4h喝咖啡、睡前擔(dān)心睡眠、白天擔(dān)心睡眠、傍晚鍛煉等睡眠習(xí)慣。
[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.
【學(xué)位授予單位】：石河子大學(xué)
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2017
【分類號】：R747.2

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本文編號：2004341