慢性原发性头痛伴发抑郁症的临床研究
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【摘要】目的：探讨慢性原发性头痛与抑郁症两者的关系、可能的发病机制及两者伴发时的治疗方案。方法：选择276例慢性原发性头痛患者，先用抑郁自评量表(SDS)进行初步筛查，然后应用汉密尔顿抑郁量表(HAMD)进行评定，对慢性原发性头痛诊断类型、病程、发作频率对抑郁症的影响进行相关分析。结果：276例患者中抑郁诊断标准者89例(32.2%)，抑郁的发生与头痛的诊断类型、病程无关，但与头痛的频率有明显的相关性(P<0.05)。结论：慢性原发性头痛患者中抑郁发生率较高，要注意及时予以干预治疗。
【关键词】慢性原发性头痛；抑郁；相关因素
The Clinical Research of Primary Chronic Headache with Depression/TANG xia，YU Ming-zhong，ZHANG Xiao-xia，et al.//Meclicd Innovation of China，2012，9(16)：027-029
【Abstract】Objective：To discuss the relationship between primary chronic headache and depression， the possible pathogenesis， both associated with the treatment progran.Methods：To choose 276 cases of patients with primary chronic headache，First used self-Rating Scale Depression(SDS) to conduct a preliminary screening，And then appliated HAMD for assessment，author conducted correletion amalysis on the impact of depression with the diagnosis type，duration，frequency of the primary chronic headache.Results：There were 89 cases with standard diagnosis of depression in 276 cases of patients， The occurrence of depression had nothing to do with the diagnosis type and duration of the headache，however，it had a clear correlation with the headache’s frequency.Conclusion：There have a higher incidence of depression in primary chronic headache patients，attention should be paid timely interrention treatment.
【Key word】Primary Chronic Headachel；Depression；Associated factors
First-author’s address：The People’s Hospital of Jinchang City，Jinchang 737000，China
doi：10.3969/j.issn.1674-4985.2012.16.014
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