主观性耳鸣患者合并头痛的相关因素分析

The Analysis of Factors Associated with Headache in Patients with Subjective Tinnitus

宋勇莉;齐柳;陈阳;查定军;

1:中国人民解放军空军军医大学第一附属医院

摘要
目的 分析主观性耳鸣患者合并头痛的特点及其影响因素。方法 回顾性分析2019年12月至2020年5月就诊于西京医院耳鼻喉科门诊的361例主观性耳鸣患者的资料,记录所有患者详细的病史和耳鸣评估,包括:性别、年龄、耳鸣起病情况、耳鸣声性质、耳鸣侧别、病程、听力下降、是否伴头痛,其它伴发疾病或症状等,同时填写耳鸣残疾量表(timnitus handicap inventory, THI)、广泛性焦虑障碍量表(generalized anxiety disorder, GAD-7)、抑郁筛查量表(patient health questionnaire, PHQ-9)及匹兹堡睡眠质量指数量表(Pittsburgh sleep scale, PSQI)等量表,所有患者均接受纯音测听及耳鸣心理声学测试;根据是否合并头痛将患者分为头痛组(140例)、无头痛组(221例),并对两组患者间各相关因素进行统计学分析。结果 361例主观性耳鸣患者中140例(38.80%,140/361)合并头痛,女性患者合并头痛的比例(61.43%,86/156)显著高于男性(38.57%,54/205)(P<0.01),其中偏头痛62例(44.29%,62/140),紧张性头痛34例(24.29%,34/140),无法分类的头痛44例(31.42%,44/140)。头痛组患者THI评分(48.85±24.68分)显著高于无头痛组(37.55±24.30分),且中度以上耳鸣患者中合并头痛的比例(48.42%)显著高于轻度耳鸣患者(28.07%),头痛组听觉过敏、耳闷、头晕/眩晕、焦虑、抑郁及睡眠障碍发生率高于无头痛组(P<0.05)。结论 主观性耳鸣患者常合并头痛,其中以偏头痛和紧张性头痛较为常见,合并头痛的患者耳鸣严重程度更高,更易合并听觉过敏、头晕/眩晕、焦虑、抑郁及睡眠障碍等。
关键词
主观性耳鸣;偏头痛;紧张性头痛;听觉过敏
基金项目(Foundation):
西京医院学科助推计划(XJZT18KL60)
作者
宋勇莉;齐柳;陈阳;查定军;
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