【摘要】 目的:分析就诊于神经内科门诊的偏头痛和紧张型头痛患者中焦虑抑郁的发生率及特点,旨在提高偏头痛和紧张型头痛患者的诊疗水平。方法:对2009年6月~2010年2月来我院神经内科就诊101例偏头痛和95例紧张型头痛患者,采用汉密顿焦虑和抑郁量表进行焦虑抑郁测定,并同时对性别、年龄、职业、收入状况、病程、头痛程度、发作频率进行分析。结果:44.6%偏头痛患者和55.8%紧张型头痛患者伴发情绪障碍,两者比较无统计学差异(P>0.05)。慢性紧张性头痛患者有情绪障碍的概率较发作性紧张性头痛患者、无先兆偏头痛患者、有先兆偏头痛患者无统计学差异(P>0.05)。有焦虑症状的头痛患者出现抑郁症状显著高于无焦虑症状的患者,反之亦然。女性头痛患者伴发焦虑抑郁显著高于男性(P<0.05)。年龄<40岁患者伴发焦虑抑郁明显高于年龄>40岁患者(P<0.05)。收入<1500(元/月)的头痛患者伴发焦虑抑郁显著高于收入≥1500(元/月)。中、重度头痛患者伴发焦虑抑郁显著高于轻度头痛(P<0.05)。头痛病程>1年患者伴发焦虑抑郁显著高于病程<1年(P<0.05)。结论:偏头痛和紧张型头痛患者经常伴有焦虑抑郁。在头痛患者的诊治中,应加强对偏头痛及紧张型头痛共患焦虑抑郁的认识,提高诊治水平。更多还原

【Abstract】 Objective To improve the diagnosis and treatment of migraine and tension-type headache(TTH) patients by analyzing the incidence and feature of anxiety and depression in migraine and TTH patients received treatment in neurology clinic.Methods: We assessed the severity of anxiety and depression by Hamilton depression scale(HAMD) and Hamilton anxiety scale(HAMA),and also analyzed the gender,age,occupation,income,course of disease,headache extent and frequency in 101 cases with migraine and 95 cases with TTH received treatment in neurology clinic of The First Affiliated Hospital of Zhengzhou University from June 2009 to February 2010.Results: 44.6% of migraine patients and 55.8% of TTH patients have mood disorder,and there is no significant difference between migraine and TTH groups(P > 0.05).There is no significant difference among chronic TTH,paroxysmal TTH,migraine without aura and migraine with aura groups(P > 0.05).The incidence of depression in patients with anxiety was significantly higher than those without anxiety(P < 0.05),and vice versa.The incidence of anxiety and depression in female patients was significantly higher than those in male patients(P < 0.05).The incidence of anxiety and depression in patients less than 40-year-old was significantly higher than that in no less 40-year-old patients(P < 0.05).The incidence of anxiety and depression in patients which income less than 1500 RMB per month was significantly higher than that in no less than 1500 RMB per month(P < 0.05) The incidence of anxiety and depression in moderate to severe patients was significantly higher than that in mild patients(P < 0.05).The incidence of anxiety and depression in no less than one-year course was significantly higher than that in less than one-year course(P < 0.05).Conclusion: Migraine and TTH patients often have anxiety and depression.We should emphasize the understanding of migraine and TTH patients combined with anxiety and depression,and improve the diagnosis and treatment of patients with headache.更多还原