Department of Neurology, the Affiliated Hospital of North Sichuan Medical College, Nanchong, 637000, Sichuan Province, China.
Department of Psychiatry, the Affiliated Hospital of North Sichuan Medical College, Nanchong, 637000, Sichuan Province, China.
Eur J Med Res. 2022 May 23;27(1):71. doi: 10.1186/s40001-022-00698-9.
As one of the most common primary headaches in clinical practice, migraine affects the learning ability and life quality of college students worldwide, posing a heavy burden on individuals and society. This study aims to investigate the incidence of migraine among Chinese medical college students and to explore its characteristics and typical triggers.
From July 2019 to July 2020, North Sichuan Medical College in Sichuan province, China preliminarily screened migraine cases using ID-Migraine through cluster sampling. College students with positive ID-Migraine results would be included in this study if they were further diagnosed with migraine by neurologists based on ICHD-3. After the ethical review, patients' personal and headache information would be collected, and the frequency, severity, onset time, and related triggers of migraine would be measured.
The preliminary screening covered 8783 college students. The overall prevalence rate of migraine is 6.57%, 5.90% in men and 6.77% in women. The prevalence rate of migraine is higher for students in the first and second grades (8.01%, 8.05%), and students with a family history of migraine are more likely to suffer from migraine (OR = 1.509, 95% CI 1.060-2.148, P = 0.022 < 0.005). Staying up late (n = 329, 57.01%), stress (n = 319, 55.29%), catch a cold (n = 313, 54.25%) and sleep disorders (n = 302, 52.34%) are the common triggers.
Migraine is common among college students in North Sichuan Medical College. The incidence is higher among lower grade students, female students, and students with a family history of migraine. Improving sleep quality and reducing stress may be effective in relieving migraines.
偏头痛作为临床实践中最常见的原发性头痛之一，影响着全球大学生的学习能力和生活质量，给个人和社会带来了沉重的负担。本研究旨在调查中国医科大学生偏头痛的发生率，并探讨其特征和典型诱因。
2019 年 7 月至 2020 年 7 月，中国四川省川北医学院采用整群抽样的方法，通过 ID-Migraine 进行偏头痛的初步筛查。对 ID-Migraine 阳性的大学生，如经神经科医生根据 ICHD-3 进一步诊断为偏头痛，则纳入本研究。经过伦理审查后，收集患者的个人和头痛信息，并测量偏头痛的频率、严重程度、发作时间和相关诱因。
初步筛查覆盖了 8783 名大学生。偏头痛的总体患病率为 6.57%，男性为 5.90%，女性为 6.77%。偏头痛的患病率在一年级和二年级学生中较高（8.01%，8.05%），有偏头痛家族史的学生更容易患偏头痛（OR=1.509，95%CI 1.060-2.148，P=0.022<0.005）。熬夜（n=329，57.01%）、压力（n=319，55.29%）、感冒（n=313，54.25%）和睡眠障碍（n=302，52.34%）是常见的诱因。
川北医学院大学生偏头痛较为常见。发生率在低年级学生、女生和有偏头痛家族史的学生中较高。改善睡眠质量和减轻压力可能对缓解偏头痛有效。
