偏头痛中重度残疾患者综合管理后预后不良的 影响因素分析
Analysis of Factors Influencing Poor Prognosis after Comprehensive Management of Migraine with Moderate and Severe Disability Patients
DOI: 10.12677/acm.2026.162480, PDF,   
作者: 王雅彬：内蒙古科技大学包头医学院中心临床医学院，内蒙古 包头；潘晓华*：包头市中心医院神经内科，内蒙古 包头；张宇宸：内蒙古医科大学包头临床医学院，内蒙古 包头
关键词: 偏头痛；综合管理；影响因素；预后不良；Migraine； Comprehensive Management； Influencing Factors； Poor Prognosis
摘要: 目的：本研究旨在评估综合管理方案对偏头痛中重度残疾患者影响预后不良的因素。方法：收集2022年9月至2024年9月包头市中心医院164例偏头痛患者资料，通过偏头痛残疾程度评估问卷(MIDAS)筛选出中重度障碍组(MIDAS > 10) 98例。收集患者社会人口学信息、头痛特征(病程、发作频率、VAS评分等)及量表数据(MIDAS, MoCA, GAD-7, PHQ-9, PSQI, HIT-6, SF-36)。患者接受综合管理(包括偏头痛日记记录、健康宣教、情绪与睡眠干预、药物治疗指导等)，6个月后复查量表，依据MIDAS得分分为预后良好组(≤10)和预后不良组(>10)，分析预后不良的影响因素。结果：结果显示，多因素logistic回归分析显示，年龄、PHQ-9量表得分、HIT-6量表得分及SF-36问卷得分与预后不良显著相关。
Abstract: Objective: This study aimed to evaluate factors of poor prognosis in patients with moderate to severe disability from migraine and the impact of a comprehensive management program. Methods: Data of 164 migraine patients from Baotou Central Hospital from September 2022 to September 2024 were collected. The Migraine Disability Assessment Questionnaire (MIDAS), 98 cases of moderate and severe disability group (MIDAS > 10) were screened out. Patients’ socio-demographic information, headache characteristics (course of disease, frequency of attacks, VAS score, etc.) and scale data (MIDAS, MoCA, GAD-7, PHQ-9, PSQI, HIT-6, SF-36) were collected. Patients received comprehensive management (including migraine diary, health education, emotional and sleep intervention, drug treatment guidance, etc.), and the scales were reexamined after 6 months. According to the MIDAS score, patients were divided into a good prognosis group (≤10) and a poor prognosis group (>10), and the factors influencing poor prognosis were analyzed. Results: The results showed that the multi-factor logistic regression analysis showed that age, PHQ-9 score, HIT-6 score and SF-36 questionnaire were significantly associated with poor prognosis.
文章引用：王雅彬, 潘晓华, 张宇宸. 偏头痛中重度残疾患者综合管理后预后不良的 影响因素分析[J]. 临床医学进展, 2026, 16(2): 1003-1011. https://doi.org/10.12677/acm.2026.162480

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