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背景研究表明,增加饮水量对头痛患者有正性作用,但尚未见相关随机对照试验。目的探讨增加饮水量对头痛患者的影响。方法选择接受初级卫生保健的头痛患者102例,随机分为对照组50例和干预组52例,随访3个月。两组患者每月至少有2次中度紧张性头痛或5次轻度紧张性头痛发作且总饮水量<2.5 L/d。两组均给予书面减压及改善睡眠方案,干预组增加饮水量1.5 L/d。观察指标为偏头痛相关生活质量量表(MSQOL)评分(总分为10分)和每月中度及以上头痛发作天数。结果与干预前比较,两组MSQOL评分明显改善〔OR=4.5,95%CI(1.3,7.8)〕,且干预组MSQOL中规律饮水知晓率(≥6分)高于对照组(47%vs.25%)。两组每月中度及以上头痛发作天数未见明显差异。结论鉴于可见的主观正性影响,建议头痛患者短期应用这种非侵入性干预,观察是否可改善患者症状。
Background studies have shown that increased drinking water has a positive effect on headache patients, but no relevant randomized controlled trials. Objective To explore the effect of increasing water intake on headache patients. Methods A total of 102 patients with headache who received primary health care were randomly divided into control group (n = 50) and intervention group (n = 52) for 3 months. Patients in both groups had at least 2 moderate stressful headaches or 5 mild stressful headache episodes per month with a total drinking volume of <2.5 L / d. Both groups were given written decompression and sleep improvement programs, the intervention group increased water intake 1.5 L / d. The observational indicators were the Migraine Related Quality of Life Scale (MSQOL) score (with a total score of 10) and the number of days of headache episodes with moderate or above monthly mark. Results Compared with those before the intervention, MSQOL score was significantly improved in both groups (OR = 4.5,95% CI (1.3,7.8)], and the awareness rate of regular drinking water (≥6 points) in MSQOL group was higher than that in control group (47% vs. 25%). There was no significant difference between the two groups in the number of days of moderate and severe headache each month. CONCLUSIONS In view of the perceived subjective positive effects, it is recommended that short-term use of this non-invasive intervention in patients with headache should be observed to improve the patient’s symptoms.