摘要： 目的 探讨水下作业人员偏头痛患病率、临床特征及相关影响因素。方法 采用整群随机抽样方法，对某部308 名水下作业人员进行头痛问卷调查，包括社会人口学资料、头痛诊断问题、生活质量和睡眠质量。结果 其中73 例（23.70%）水下作业人员在过去一年内罹患头痛，原发性头痛64 例（年患病率20.78%）中偏头痛患者19 例（年患病率6.17%），表现为单侧（14/19）、搏动性（15/19）、中或重度头痛（18/19），伴畏声（14/19）、畏光（12/19）。单因素和多因素Logistic 回归分析显示，年龄、受教育程度、居住地、婚姻状况、工龄、身份与偏头痛患病率无关联性（均P > 0.05）。结论 偏头痛在水下作业人员中患病率较高，对其工作和生活质量造成严重影响。

关键词: 偏头痛, 工作场所, 海军医学, 危险因素, 回归分析

Abstract: Objective  To investigate the prevalence, clinical features and related factors of migraine in underwater operation personnel in China.  Methods  A total of 308 underwater operation personnel sampled by a cluster sampling method were visited by door-to-door calling and surveyed using the structured questionnaire including sociodemographic data, diagnostic questions on headache, life quality and sleep quality.  Results  Seventy-three (23.70%) cases suffered from headache in the past one year, among whom 64 cases presented primary headaches (20.78%), including 19 cases of migraine (6.17%) manifesting unilateral pain (14/19), pulsatile pain (15/19) and moderate or severe pain (18/19). Phonophobia (14/19) and photophobia (12/19) were the most common accompanying symptoms. Univariate and multivariate Logistic regression analysis revealed that risk factors including age, education, residence, marital status, length of sevice and identity, had no significant differences from migraine prevalence (P > 0.05, for all).  Conclusions  Migraine has a high prevalence in underwater operation personnel and exerts serious impact on their work and life quality.

Key words: Migraine, Workplace, Naval medicine, Risk factors, Regression analysis