某部潜艇官兵紧张型头痛患病率及其影响因素

目的了解某部潜艇官兵紧张型头痛的患病率、头痛特征及其影响因素,为制定该病的防治措施提供依据。方法采用整群抽样的方法,对海军某部308名潜艇官兵进行头痛问卷调查,记录个人资料、头痛特征、睡眠情况与生活质量等,头痛诊断标准参照第二版国际头痛诊断标准(ICHD-II)。结果 73名军人(23.7%)在过去1年里患有头痛;原发性头痛64名,患病率为20.8%,紧张型头痛45名,患病率为14.6%。潜艇官兵紧张型头痛发作时以单侧(51.1%)或双侧(48.9%)、非搏动性疼痛(77.8%)、轻中度疼痛(95.5%)为多见;畏声(53.3%)是其发作时最多的伴随症状。Logistic多元回归分析显示,≥30岁AOR值为3.064(P0.05)。结论紧张型头痛在潜艇官兵中的患病率较高,年龄是影响紧张型头痛的主要因素。

SURVEY ON PREVALENCE AND RELATED FACTORS OF TENSION-TYPE HEADACHE IN SOME SUBMARINE SOLDIERS

Objective To investigate the prevalence,clinical features and related factors of tension-type headache（TTH）in some submarine soldiers,so as to provide the basis for working out the measures for prevention and treatment of this disease. Methods A total of 308 submarine soldiers from a navy force selected by cluster sampling were surveyed with the questionnaire. Results Seventy-three（23.7%） soldiers suffered from headache in the past one year. The prevalence of primary headache was 20. 8%,of tension-type headache 14.6%. Unilateral（51.1%） or bilateral（48.9%）,non-pulsating pain（77.8%）,and mild or moderate degree of pain（95.5%）were the obvious characteristics of TTH attacks in most submarine soldiers; phonophobia（53.3%）was the common accompanying symptom. Logistic multivariate regression analysis showed that the adjusted odds ratio value（AOR） of ≥30 years old subjects was 3.064（P〈0. 05）. Conclusion The prevalence of tension-type headacne was rather high in submarine soldiers. Age was the main risk factor for TTH.