【摘要】 目的调查航天工作者紧张型头痛患病情况,并分析其影响因素,为制定紧张型头痛预防策略提供参考。方法 2016年3—12月,采用分层随机整群抽样法抽取中国航天科工集团6个部门,每个部门随机抽取3个分部门,共调查1 200例航天工作者。采用自制调查问卷调查航天工作者一般资料和主要临床特征,航天工作者紧张型头痛影响因素分析采用多因素Logistic回归分析。结果问卷回收有效率为92%(1 104/1 200);1 104例航天工作者中罹患紧张型头痛238例,紧张型头痛患病率为21.6%。238例紧张型头痛患者中双侧头痛者154例(占64.7%),非搏动性头痛者140例(占58.8%),轻中度头痛者215例(占90.3%),主要伴随症状为畏声者121例(占50.8%),活动不会加重头痛者190例(79.8%);主要诱因是睡眠缺乏166例(占69.7%),疲劳163例(占68.5%),压力123例(占51.7%)及女性生理周期[占29.5%(33/112)]。不同年龄、职业类型、受教育程度及睡眠质量航天工作者紧张型头痛患病率比较,差异均有统计学意义(P<0.05);不同性别、不同婚姻状况、是否吸烟、是否饮酒及不同体质指数的航天工作者紧张型头痛患病率比较,差异均无统计学意义(P>0.05)。多因素Logistic回归分析结果显示,睡眠质量差是航天工作者紧张型头痛的危险因素[OR=1.899,95%CI(1.291,2.792),P<0.05]。结论航天工作者紧张型头痛患病率较高,多表现为轻中度双侧非搏动性头痛,主要伴随症状为畏声,主要诱因为睡眠缺乏、疲劳及压力,而睡眠质量差是航天工作者紧张型头痛的危险因素。更多还原

【Abstract】 Objective To investigate the prevalence and influencing factors of tension-type headache in aerospace workers,to provide references for preventing tension-type headache in aerospace workers. Methods From March to December in 2016,stratified random cluster sampling method was used to select 6 departments of China Aerospace Science and Industry Corporation,then 3 sub-departments were selected from each department,and a total of 1 200 aerospace workers were enrolled in this survey. General information and main clinical manifestations were collected by self-made questionnaire, and the influencing factors of tension-type headache in aerospace workers were analyzed by multivariate Logistic regression analysis.Results The effective rate of questionnaire feedback was 92%( 1 104/1 200); the prevalence rate of tension-type headache was 21. 6%( 238/1 104). Of the 238 patients with tension-type headache,154 patients performed as bilateral headache( accounting for 64. 7%),140 patients performed as non-pulsatile headache( accounting for 58. 8%),215 patients were mild to moderate headache( accounting for 90. 3%),121 patients accompanied with fear of sound( accounting for 50. 8%),190 patients without exacerbation of headache after activity( 79. 8%); major precipitating factors: 166 cases due to lack of sleeping( accounting for 69. 7%),163 cases due to overwork( accounting for 68. 5%),123 cases due to pressure( accounting for51. 7%),33 cases due to menstrual cycle in the 112 female workers( accounting for 29. 5%). There were statistically significant differences of prevalence rate of tension-type headache in aerospace workers with different age, with different vocational types,with different levels of education,with different sleeping quality( P < 0. 05),while no statistically significant differences of prevalence rate of tension-type headache was found in aerospace workers with different gender,with different marital status,with smoking or not,with drinking or not,with different BMI( P > 0. 05). Multivariate Logistic regression analysis results showed that,sleeping quality was the risk factor of tension-type headache in aerospace workers [OR = 1. 899,95% CI( 1. 291,2. 792),P < 0. 05 ]. Conclusion The prevalence rate of tension-type headache is relatively higher in aerospace workers,mainly performed as mild to moderate bilateral non-pulsatile headache,accompanied with fear of sound,lack of sleeping,overwork and pressure are the major precipitating factors,while sleeping quality is the risk factor.更多还原