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育龄期偏头痛女性患子宫平滑肌瘤的风险增加。

Increased risk of uterine leiomyoma among women with migraine in reproductive age.

作者信息

Lee Seung-Yeon, Hong Joon-Young, Kwon Soonmin, Kim Hyungjin, Lee Yoo-Young

机构信息

Department of Family Medicine, International Healthcare Center, Seoul National University Bundang Hospital, Seongnam-si, Gyeonggi-do, Korea.

Department of Obstetrics and Gynecology, Samsung Medical Center, Sungkyunkwan University School of Medicine, 81 Irwon-ro, Gangnam-gu, Seoul, 06351, Korea.

出版信息

Sci Rep. 2025 Jul 2;15(1):23313. doi: 10.1038/s41598-025-06244-x.

Abstract

The association between uterine leiomyoma and migraine is unknown. This study aimed to explore the risk of uterine leiomyoma among women with migraine in reproductive age (i.e., 20-39 years). Using the Korean National Health Insurance Service database, a large population-based retrospective cohort of 2,559,111 women who underwent national health screening between 2009 and 2012 were analyzed. The risk of incident uterine leiomyoma according to the presence or absence of migraine was estimated using hazard ratios and 95% confidence intervals. During the mean follow‑up of 7.1 ± 1.4 years, the incidence rate of uterine leiomyoma in women with and without migraine was 9.78 and 8.50 per 1,000 person-years, respectively (n = 154,428). After adjusting for potential confounders, it was found that the risk of incident uterine leiomyoma was higher in women with migraine than in those without (adjusted hazard ratio: 1.10; 95% confidence interval: 1.07-1.13). Our findings suggest a comorbid association between migraine and uterine leiomyoma. Further studies are required to better understand the mechanisms underlying this association.

摘要

子宫平滑肌瘤与偏头痛之间的关联尚不清楚。本研究旨在探讨育龄期(即20 - 39岁)偏头痛女性患子宫平滑肌瘤的风险。利用韩国国民健康保险服务数据库,对2009年至2012年间接受全国健康筛查的2559111名女性进行了一项基于人群的大型回顾性队列分析。根据是否患有偏头痛,使用风险比和95%置信区间估计子宫平滑肌瘤发病风险。在平均7.1±1.4年的随访期间,有偏头痛和无偏头痛女性的子宫平滑肌瘤发病率分别为每1000人年9.78例和8.50例(n = 154428)。在对潜在混杂因素进行调整后,发现有偏头痛的女性发生子宫平滑肌瘤的风险高于无偏头痛的女性(调整后的风险比:1.10;95%置信区间:1.07 - 1.13)。我们的研究结果表明偏头痛与子宫平滑肌瘤之间存在共病关联。需要进一步研究以更好地理解这种关联背后的机制。

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