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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(P<0.05)。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。
Objective To understand the prevalence, headache and its influencing factors of some submarine officers and men with tension-type headache and provide the basis for the prevention and treatment of this disease. Methods A cluster sampling method was used to investigate the headache of 308 submarine officers and men in the Navy and record personal data, headache characteristics, sleep quality and quality of life. The diagnostic criteria for headache were based on the second edition of International Headache Diagnostic Criteria (ICHD-II ). Results 73 soldiers (23.7%) had headaches in the past year; 64 had primary headaches, with a prevalence of 20.8% and stressful headaches of 45, with a prevalence of 14.6%. Submarine officers with tension type headache attack were unilateral (51.1%) or bilateral (48.9%), non-beating pain (77.8%), mild to moderate pain (95.5%) were more common; phonation (53.3%) was The onset of the most accompanying symptoms. Logistic multivariate regression analysis showed that the AOR of ≥30 years old was 3.064 (P <0.05). Conclusion The prevalence of tension-type headache in submarine officers and men is high, and age is the main factor that affects tension-type headache.