Sleep disturbances among pregnant women with history of migraines: A cross-sectional study.
Sleep disturbances among pregnant women with history of migraines: A cross-sectional study.
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DOI：
10.1177/0333102415570493
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发表时间：
2015-10
期刊：
影响因子：
--
通讯作者：
Williams MA
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文献类型：
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作者：
Qiu C;Frederick IO;Sorensen T;Aurora SK;Gelaye B;Enquobahrie DA;Williams MA
偏头痛与男性和非孕妇的睡眠障碍有关。然而，人们对怀孕偏头痛患者的睡眠障碍知之甚少。我们调查了有或没有偏头痛病史的孕妇的睡眠障碍。这项横断面研究是在 1,324 名怀孕早期的女性中进行的。偏头痛诊断基于国际头痛疾病分类 II 标准。匹兹堡睡眠质量指数（PSQI）问卷用于评估睡眠相关特征，包括睡眠持续时间、睡眠质量、白天过度嗜睡和其他睡眠特征。使用多变量逻辑回归程序来估计调整后的比值比 (AOR) 和 95% 置信区间 (CI)。偏头痛患者比非偏头痛患者更有可能报告睡眠时间短（≤6小时）（AOR=1.47，95% CI 1.07–2.02）、睡眠质量差（PSQI>5）（AOR=1.73，95% CI 1.35–2.23）以及因嗜睡而导致的日间功能障碍（AOR=1.51，95% CI） 1.12–2.02）。偏头痛患者也比非偏头痛患者更有可能报告在怀孕期间服用安眠药（AOR=1.71，95% CI 1.20-2.42）。有或无先兆偏头痛的关联通常相似。孕前体重超重的偏头痛患者出现睡眠障碍的几率尤其升高。偏头痛和睡眠障碍是孕妇常见的合并症。
Migraine is associated with sleep disturbances in men and non-pregnant women. However, relatively little is known about sleep disturbances among pregnant migraineurs. We investigated sleep disturbances among pregnant women with and without history of migraine. This cross-sectional study was conducted among 1,324 women who were recruited during early pregnancy. Migraine diagnoses were based on the International Classification of Headache Disorders-II criteria. Pittsburgh Sleep Quality Index (PSQI) questionnaire was used to evaluate sleep-related characteristics including sleep duration, sleep quality, excessive daytime sleepiness, and other sleep traits. Multivariable logistic regression procedures were used to estimate adjusted odds ratios (AORs) and 95% confidence intervals (CIs). Migraineurs were more likely than non-migraineurs to report short sleep duration (≤6 hours) (AOR=1.47, 95% CI 1.07–2.02), poor sleep quality (PSQI>5) (AOR=1.73, 95% CI 1.35–2.23), and daytime dysfunction due to sleepiness (AOR=1.51, 95% CI 1.12–2.02). Migraineurs were also more likely than non-migraineurs to report taking sleep medication during pregnancy (AOR=1.71, 95% CI 1.20–2.42). Associations were generally similar for migraine with or without aura. The odds of sleep disturbances were particularly elevated among pre-pregnancy overweight migraineurs. Migraine headache and sleep disturbances are common co-morbid conditions among pregnant women.