Tveritin E A, Knyazeva Y A, Sizikova E A, Konovalova D A, Khamzin D V, Deriglazova E A, Chigareva M L, Saltanova E V, Ryazanova A E, Smirnova A A, Gilev D V, Lebedeva E R
Ural State Medical University, Yekaterinburg, Russia.
Ural Federal University named after the first President of Russia B.N. Yeltsin, Yekaterinburg, Russia.
Zh Nevrol Psikhiatr Im S S Korsakova. 2023;123(5. Vyp. 2):89-94. doi: 10.17116/jnevro202312305289.
To assess the prevalence of various complaints indicating poor sleep quality and its disturbances in men and women with primary headaches.
In total 305 patients (mean age 45 years, age range 18-89 years) with primary headache disorders and complaints of poor quality of sleep were included in the study. Women prevailed among these patients (79%). The average age of men (41.6) and women (45.8) had no statistically significant differences (=0.8). The initial examination and professional face-to-face interview were initially conducted by an experienced neurologist specializing in the treatment of headaches. Within a week after that, before the start of treatment, patients were interviewed by telephone using standardized questionnaires by specially trained students and physicians.
A frequent occurrence of many complaints of sleep disturbances were found in primary headache disorders, both in men and women, they included daytime sleepiness (75.7%), lack of sleep (69.2%), difficulty in falling asleep (57.4%), sleep disruption (51.5%), early morning awakening (47.5%), snoring (18.7%). We found the predominance of these complaints in people over 50 years old. Women had these complaints more frequently than men, besides we determined sex differences in the prevalence of these complaints.
Complaints about poor sleep quality are quite common in patients with primary headache disorders and have sex and age differences. Identification of the described complaints of poor sleep quality is a simple tool for the initial analysis of sleep disorders in the practice of any specialist. We recommend paying great attention to these complaints for further diagnostics of sleep disorders and their timely treatment.
评估原发性头痛患者中表明睡眠质量差及其干扰的各种主诉的患病率。
本研究共纳入305例原发性头痛疾病且有睡眠质量差主诉的患者（平均年龄45岁，年龄范围18 - 89岁）。这些患者中女性占多数（79%）。男性（41.6岁）和女性（45.8岁）的平均年龄无统计学显著差异（P = 0.8）。初始检查和专业面对面访谈最初由一位专门治疗头痛的经验丰富的神经科医生进行。在此之后的一周内，在治疗开始前，由经过专门培训的学生和医生使用标准化问卷通过电话对患者进行访谈。
在原发性头痛疾病中，男性和女性均频繁出现许多睡眠干扰主诉，包括日间嗜睡（75.7%）、睡眠不足（69.2%）、入睡困难（57.4%）、睡眠中断（51.5%）、早醒（47.5%）、打鼾（18.7%）。我们发现这些主诉在50岁以上人群中占主导。女性出现这些主诉的频率高于男性，此外我们还确定了这些主诉患病率的性别差异。
关于睡眠质量差的主诉在原发性头痛疾病患者中相当常见，且存在性别和年龄差异。识别所描述的睡眠质量差主诉是任何专科医生在实践中初步分析睡眠障碍的一种简单工具。我们建议在进一步诊断睡眠障碍及其及时治疗时高度关注这些主诉。
