加德满都谷地本科医学生中偏头痛和紧张型头痛的患病率：一项横断面研究。
Prevalence of migraine and tension-type headache among undergraduate medical students of Kathmandu Valley: A cross-sectional study.
作者信息
Shrestha Oshan, Karki Sagun, Thapa Niranjan, Lal Shrestha Kabindra, Shah Aayushama, Dhakal Pramita, Pant Prashant, Dhungel Sunil, Shrestha Dhan Bahadur
机构信息
College of Medicine Nepalese Army Institute of Health Sciences Kathmandu Nepal.
Department of Critical Care Karnali Academy of Health Sciences Jumla Nepal.
出版信息
Health Sci Rep. 2022 Aug 8;5(5):e747. doi: 10.1002/hsr2.747. eCollection 2022 Sep.
BACKGROUND
Headache is the most prevalent neurological symptom which can be of a serious condition, as in brain tumor, but mostly it is a benign condition that includes primary headache such as migraine or tension-type headache (TTH). Migraine reoccurs frequently and is more severe but owing to the high prevalence of TTH, however, impaired quality of life due to TTH is greater than that of migraine at the population level. Medical students are constantly subjected to stress and in such a condition, it was necessary to find out the burden of headache among medical students. This cross-sectional study done among medical students aims to generate some data and literature which will change the outlook of stakeholders towards headache disorders among medical students.
METHODS
This cross-sectional study is based upon Headache Screening Questionnaire-English Version questionnaire based upon the ICHD-3 beta criteria. Medical students of Kathmandu valley were sampled by using convenient sampling and data were collected. Data were refined in Microsoft Excel and imported to SPSS 20 for analysis.
RESULTS
A total of 352 individuals were part of this study, out of which 229 (65.1%) were males and 123 (34.9%) were females with a mean age of 21.72 ± 1.601 years (mean ± SD). Prevalence of migraine and TTH was found to be 15.3% (95% confidence interval [CI]: 11.7%-19.3%) and 40.3% (95% CI: 34.9-45.2), respectively. Through multivariate binomial regression, it was observed that the odds of being diagnosed with migraine increased with age (adjusted odds ratio [AOR] = 1.266 [1.013-1.583], = 0.038), females had twice the odds of experiencing migraine headaches compared to males (AOR = 2.119 [1.074-4.180], = 0.03), and medical students who stayed at the hostel were at lesser odds of experiencing migraine headache (AOR = 2.772 [1.501-5.118], = 0.01).
CONCLUSION
Prevalence of migraine and TTH among undergraduate medical students was found to be 15.3% and 40.3%, respectively.
背景
头痛是最常见的神经症状，可能是严重疾病的表现，如脑瘤，但大多数情况下是良性的，包括偏头痛或紧张型头痛（TTH）等原发性头痛。偏头痛频繁复发且更为严重，但由于TTH的高患病率，在人群层面上，TTH导致的生活质量受损程度大于偏头痛。医学生经常面临压力，在这种情况下，有必要了解医学生中头痛的负担情况。这项针对医学生开展的横断面研究旨在生成一些数据和文献，以改变利益相关者对医学生头痛疾病的看法。
方法
这项横断面研究基于依据国际头痛疾病分类第3版（ICHD-3）β标准制定的头痛筛查问卷英文版。采用方便抽样的方法对加德满都谷地的医学生进行抽样并收集数据。数据在Microsoft Excel中进行整理，然后导入SPSS 20进行分析。
结果
本研究共有352人参与，其中男性229人（65.1%），女性123人（34.9%），平均年龄为21.72±1.601岁（均值±标准差）。偏头痛和TTH的患病率分别为15.3%（95%置信区间[CI]：11.7%-19.3%）和40.3%（95%CI：34.9-45.2）。通过多变量二项回归分析发现，被诊断为偏头痛的几率随年龄增加而升高（调整优势比[AOR]=1.266[1.013-1.583]，P=0.038），女性患偏头痛的几率是男性的两倍（AOR=2.119[1.074-4.180]，P=0.03），住在宿舍的医学生患偏头痛的几率较低（AOR=2.772[1.501-5.118]，P=0.01）。
结论
本科医学生中偏头痛和TTH的患病率分别为15.3%和40.3%。
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