Golenkov A V, Orlov F V, Sapozhnikov S P, Kozlov V A
I.N. Ulyanov Chuvash State University, Cheboksary, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2018;118(1):71-74. doi: 10.17116/jnevro20181181171-74.
The aim of the present study was to investigate the connection of sleep disorders (SD) with a headache (HA) among the representative sample of population.
1115 inhabitants of Chuvashia (491 men and 624 women) aged from 18 to 70 years old have been interviewed (middle age 38.7±13.9 years old); respondents under 18 and over 70 years old were not included into the research. There were 690 city residents, and 425 residents of the rural areas. The questionnaire approved earlier in the research of HA, and also the questions directed to identification of SD were used. One-way ANOVA, Chi-square test were used to compare variables of the groups.
There were 718 (64.4%) respondents with SD and HA (the main group), 366 (23.8%) with HA without SD (comparative group), 16 (1.4%) with SD without HA, and 15 (1.3%) without SD and HA. The main group of the respondents authentically differed from other groups in older age, a larger number of women and villagers, presence of concomitant diseases in them. In the respondents with SD arose more often, pain had the combined (polymorphic) character, HA were more severe, localized in several areas of the head, but were of smaller duration. Among them there were more people with short sleep duration (<5 hours of night dream) and accepting sedative-hypnotic medications. HA without SD had a pricking character more often; the respondents more often slept in the afternoon, differed in higher level of education, and a rarer occurrence of cases of the increased arterial pressure.
SD are often connected with HA, with their frequency, expressiveness and localization. Development of SD from HA are influenced by existence of concomitant diseases, age, gender and the place a residence. SD make the current of HA more severe.
本研究旨在调查具有代表性的人群样本中睡眠障碍（SD）与头痛（HA）之间的联系。
对楚瓦什亚的1115名居民（491名男性和624名女性）进行了访谈，年龄在18至70岁之间（平均年龄38.7±13.9岁）；18岁以下和70岁以上的受访者未纳入研究。其中有690名城市居民和425名农村居民。采用了先前在HA研究中认可的问卷，以及用于识别SD的问题。使用单向方差分析、卡方检验来比较各组变量。
有718名（64.4%）受访者患有SD和HA（主要组），366名（23.8%）患有HA但无SD（比较组），16名（1.4%）患有SD但无HA，15名（1.3%）既无SD也无HA。主要组的受访者在年龄较大、女性和村民数量较多、存在合并症方面与其他组确实存在差异。患有SD的受访者中更常出现疼痛，疼痛具有混合（多形性）特征，HA更严重，局限于头部的几个区域，但持续时间较短。其中睡眠持续时间短（夜间睡眠时间<5小时）且服用镇静催眠药物的人更多。无SD的HA更常具有刺痛特征；受访者更常午睡，受教育程度较高，动脉血压升高的情况较少见。
SD常与HA相关，与它们的频率、严重程度和定位有关。HA引发SD受合并症、年龄、性别和居住地点的影响。SD使HA的病情更严重。
