KHARKIV MEDICAL ACADEMY OF POSTGRADUATE EDUCATION, KHARKIV, UKRAINE.
V.N. KARAZIN KHARKIV NATIONAL UNIVERSITY, KHARKIV, UKRAINE.
Wiad Lek. 2022;75(2):433-437.
The aim: To determine the influence of co-occurring neck pain with cervical myofascial dysfunction on the development of psychoemotional disorders and the number of analgesics taken in patients with episodic migraine.
Materials and methods: The study included 92 patients, 24 male and 68 female, mean age 42.5±15.5 years. Three groups were identify based on type headache: 1) both episodic migraine and cervicogenic headache with neck pain; 2) episodic migraine only; 3) neck pain only. Visual analogue scale (VAS) for pain syndrome, Migraine Disability Assessment (MIDAS) score, Headache Impact Test (HIT-6), Neck Disability Index, State-Trait Anxiety Inventory (STAI), Beck's Depression Inventory (BDI) and numbers days with analgesics intake were assessment.
Results: In patients, who suffered on episodic migraine combine with cervicogenic headache and neck pain number days with headache was more (p=0.000052), intensity attack was higher (p=0.003750) and number days with analgesics intake was greater (p=0.000003), compare with group with migraine only. The depression and anxiety state was more significant in patients with migraine and co-occurring neck pain comparable with migraine alone, but we found no significance differences between groups with migraine with neck pain and neck pain only. We observed significant correlation between STAI and Neck Disability Index (r=-0.5155), Neck Disability Index and HIT-6 (r=-0.4819). No correlation found between VAS for migraine, MIDAS and STAI and BDI.
Conclusions: Our study demonstrate, that co-occurring neck pain in patients with episodic migraine increasing of numbers days with headache, negatively impacts on mood disorders, daily activity and associated with greater acute analgesics use.
确定颈肌筋膜功能障碍伴发颈痛对发作性偏头痛患者精神情绪障碍发展和使用镇痛药数量的影响。
本研究纳入了 92 名患者，其中男性 24 名，女性 68 名，平均年龄 42.5±15.5 岁。根据头痛类型将患者分为三组：1）发作性偏头痛伴颈源性头痛伴颈痛；2）仅发作性偏头痛；3）仅颈痛。采用视觉模拟评分法（VAS）评估疼痛综合征，偏头痛残疾评估（MIDAS）评分，头痛影响测试（HIT-6），颈部残疾指数，状态特质焦虑量表（STAI），贝克抑郁量表（BDI）和镇痛药使用天数。
患有发作性偏头痛伴颈源性头痛和颈痛的患者头痛天数更多（p=0.000052），头痛发作强度更高（p=0.003750），镇痛药使用天数更多（p=0.000003），与仅患有偏头痛的患者相比。与仅患有偏头痛的患者相比，患有偏头痛和颈痛的患者的抑郁和焦虑状态更为明显，但在患有偏头痛和颈痛的患者与仅患有颈痛的患者之间未发现差异。我们观察到 STAI 与颈部残疾指数（r=-0.5155），颈部残疾指数与 HIT-6（r=-0.4819）之间存在显著相关性。未发现 VAS 偏头痛，MIDAS 和 STAI 与 BDI 之间存在相关性。
我们的研究表明，发作性偏头痛患者伴发颈痛会增加头痛天数，对情绪障碍、日常活动产生负面影响，并与更多急性镇痛药的使用相关。
