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題 名 | Migraine Associated with Obstructive Sleep Apnea--A Nationwide Population-Based Study=阻塞型睡眠呼吸中止症與偏頭痛相關:以全國人口為基礎之研究 |
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作 者 | 李育峻; 邱裕淳; 胡曉雲; 黃弘孟; | 書刊名 | 臺灣耳鼻喉頭頸外科雜誌 |
卷 期 | 52:3 2017.07-09[民106.07-09] |
頁 次 | 頁87-97 |
分類號 | 415.472 |
關鍵詞 | 阻塞型睡眠呼吸中止; 睡眠疾患; 頭痛; 偏頭痛; 睡眠多項呼吸生理檢查; Obstructive sleep apnea; Sleep disorder; Headache; Migraine; Polysomnography; |
語 文 | 英文(English) |
中文摘要 | 背景:利用台灣健保資料庫的資料來分析偏頭痛與阻塞型睡眠呼吸中止症的關聯性。方法:針對年齡及性別使用傾向分數(propensity score matching)配對出1 : 4比例的阻塞型睡眠呼吸中止症組為4759名(經睡眠多項呼吸生理檢查確診),非睡眠呼吸中止症組為19036名;之後再利用考克斯比例風險模式(The multivariate Cox proportional hazards model)來探討偏頭痛及阻塞型睡眠呼吸中止症之間的關係。結果:偏頭痛在阻塞型睡眠呼吸中止症組的盛行率為13.5%,非阻塞型睡眠呼吸中止症組的盛行率為10.4%,兩者在統計上有顯著差異(p < 0.001)。考克斯比例風險模式顯示阻塞型睡眠呼吸中止症組中的病人相較非阻塞型睡眠呼吸中止症組更容易有偏頭痛(hazard ratio, 1.17; 95% CI, 1.06-1.28)(p = 0.001)。結論:本篇研究發現阻塞型睡眠呼吸中止症患者有較高的風險罹患偏頭痛。不過阻塞型睡眠呼吸中止症與偏頭痛在生理學上的關聯仍須進一步的研究探討。 |
英文摘要 | BACKGROUND: We explored the association between migraine and obstructive sleep apnea (OSA) using a large nationwide population-based data set in Taiwan. METHODS: Using propensity score matching on age and sex, patients were stratified at a 1 : 4 ratio into an OSA group comprising 4759 patients, based on polysomnography, and a non-OSA group comprising 19036 patients. The multivariate Cox proportional hazards model with matching for age and sex was used to assess the possible associations between migraine and OSA among the patients. RESULTS: The prevalence of migraine was 13.5% among OSA patients and 10.4% among non-OSA patients (p < 0.001). The multivariate Cox proportional hazards model revealed patients with OSA were more likely to have migraine (hazard ratio, 1.17; 95% CI, 1.06-1.28) (p = 0.001) than patients in the non-OSA group. CONCLUSION: Patients with OSA had a higher likelihood of developing migraine than patients in the non-OSA group. Further studies of physiological patterns between OSA and migraine are needed to confirm the study findings. |
本系統中英文摘要資訊取自各篇刊載內容。