Nater B, Dozier C
Rev Med Suisse. 2005 May 4;1(18):1209-10, 1213.
Migraine is a chronic neurological disorder of recurring and painful episodic headache. Migraine is often associated with functional impairment and leads to important costs in lost productivity. Migraine is underrecognized and undertreated. Diagnosis is based on the reporting headache characteristics and associated symptoms. The physical and neurological examinations are normal. Several drugs are used for acute migraine treatment. Non-narcotic analgesics and NSAIDs can be useful, but a new class of selective 5 HT 1B/1D agonists, known as the triptans, is now commonly prescribed. The efficacy of the treatment can be increased by early administration in an attack.
偏头痛是一种慢性神经紊乱疾病，表现为反复发作的疼痛性发作性头痛。偏头痛常伴有功能障碍，并导致生产力损失方面的重大成本。偏头痛未得到充分认识和治疗。诊断基于对头痛特征和相关症状的报告。体格检查和神经检查均正常。有几种药物用于急性偏头痛治疗。非麻醉性镇痛药和非甾体抗炎药可能有用，但现在通常会开一类新的选择性5-羟色胺1B/1D激动剂，即曲坦类药物。在发作时早期给药可提高治疗效果。
