水下作业人员偏头痛患病率及相关因素调查.pdf

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1、主里墅垄查!旦笙堂箩4期ChinJContempNeurolNeurosurg，April2014，Vo1．14，No．4．335·临床研究·水下作业人员偏头痛患病率及相关因素调查潘美妍于生元何绵旺梁景耀陈小燕刘若卓胡月青【摘要】目的探讨水下作业人员偏头痛患病率、临床特征及相关影响因素。方法采用整群随机抽样方法，对某部308名水下作业人员进行头痛问卷调查，包括社会人口学资料、头痛诊断问题、生活质量和睡眠质量。结果其中73例(23．70％)水下作业人员在过去一年内罹患头痛，原发性头痛64例(年患病率20．78％)中偏头痛患者19例(年患病率6．17％)，表现为单侧(14／19)、搏动性(

2、15／19)'、中或重度头痛(18／19)，伴畏声(14／19)、畏光(12／19)。单因素和多因素Logistic回归分析显示，年龄、受教育程度、居住地、婚姻状况、工龄、身份与偏头痛患病率无关联性(均P>0．05)。结论偏头痛在水下作业人员中患病率较高，对其工作和生活质量造成严重影响。【关键词】偏头痛；工作场所；海军医学；危险因素；回归分析SurveyonprevalenceandrelatedfactorsofmigraineinunderwateroperationpersonnelinChinaPANMei-yan，YUSheng—yuan，HEMian-wang，LIANGJ

3、ing-yao，CHENXiao—yan，LIURuo—zhuo，HUYue-qingDepartmentofNeurology,ChinesePLAGeneralHospital，Betng100853，ChinaCorrespondingauthor：YUSheng—yuan(Email：yushengyuan301@yahoo．COm)【Abstract】ObjectiveToinvestigatetheprevalence，clinicalfeaturesandrelatedfactorsofmigraineinunderwateroperationpersonnelinChi

4、na．MethodsAtotalof308underwateroperationpersonnelsampledbyaclustersamplingmethodwerevisitedbydoor-to--doorcallingandsurveyedusingthestructuredquestionnaireincludings0ciodemographicdata，diagnosticquestionsonheadache，lifequalityandsleepquality．ResultsSeventy—three(23．70％)casessufferedfromheadachei

5、nthepastoneyear，amongwhom64casespresentedprimaryheadaches(20．78％)，including19casesofmigraine(6．17％)manifestingunilateralpain(14／19)，pulsatilepain(15／19)andmoderateorseverepain(18／19)．Phonophobia(14／19)andphotophobia(12／19)werethemostcommonaccompanyingsymptoms．UnivariateandmultivariateLogisticreg

6、ressionanalysisrevealedthatriskfactorsincludingage，education，residence，maritalstatus，lengthofsevieeandidentity，hadnosignificantdifferencesfrommigraineprevalence(P>O．05，foral1)．ConclusionsMigrainehasahighprevalenceinunderwateroperationpersonnelandexertsseriousimpactontheirworkandlifequality．【Keyw

7、ords】Migraine；Workplace；Navalmedicine；Riskfactors；RegressionanalysisThisstudywassupportedbySupportingProgramforScienceandTechnologyResearchofChina(No．2013BA104B00)．偏头痛为临床常见的原发性头痛，可严重影响病学调查结果表明，偏头痛年患病率约为9．30％，男患者的生活质量和工作效率h。据