武警某部青年官兵慢性头痛临床特征及严重程度的危险因素OACSTPCD

Objective To study the clinical features and risk factors of severity of chronic headache in young officers and sol-diers of a unit of Chinese People's Armed Police Force.Methods A total of 126 headache patients admitted to the Neurology Depart-ment of Hubei Provincial Corps Hospital of Chinese People's Armed Police Force from January 2020 to September 2023 were selected,and 126 healthy soldiers who came to the hospital for physical examination during the same period were randomly selected as controls.The general clinical features of the chronic headache group were analyzed,and BMI,sleep disorder,sleep duration,anxiety and de-pression,total cholesterol,low-density lipoprotein cholesterol,and triglyceride indicators were compared between the two groups.Multi-ple logistic regression was used to identify the risk factors affecting the severity of headache.Results The average age of the headache group was(26.10±3.49)years old,with 104 males and 22 females,with a male to female ratio of 4.73:1.Chronic headache was mainly characterized by chronic tension-type headache(42.06%)and chronic migraine(30.95%).The disease occurred more often in males than in females.The headache was more often seen in the temporal region(28.57%),and the nature of headache was mainly characterized by tightness or compression(40.48%).The degree of headache was mainly mild(42.86%)and moderate(41.27%).Some officers and soldiers might experience headaches due to fatigue(25.40%)or emotional reasons(14.29%),and the headache group had significantly higher levels of sleep disorder(P<0.05),significantly shorter sleep time(P<0.05),more anxiety and depres-sion(P<0.05),and significantly higher levels of low-density lipoprotein cholesterol and triglyceride(P<0.05).There was no signifi-cant difference in BMI or total cholesterol between the two groups(P>0.05).Ordered multiple logistic regression analysis showed that sleep duration(OR=0.484,95%CI:0.266-0.881),sleep disorder(OR=3.924,95%CI:1.505-10.232),positive family histo-ry(OR=2.779,95%CI:1.003-7.702),and anxiety and depression(OR=3.644,95%CI:1.026-12.945)were the influencing factors for the degree of chronic headache.Conclusions Chronic headache in young officers and soldiers is mainly chronic tension pain,with more males involved,mainly tight or compressed suffer-ing,and mainly mild to moderate one,which is often accompanied by sleep disorder,anxiety and depression,elevated blood lipids,and a positive family history.