偏头痛的管理

Management of migraine headaches.

作者信息

Graves Barbara W

机构信息

Midwifery Education Program, Baystate Medical Center, Springfield, MA 01199, USA.

出版信息

J Midwifery Womens Health. 2006 May-Jun;51(3):174-84. doi: 10.1016/j.jmwh.2006.01.002.

DOI:10.1016/j.jmwh.2006.01.002

PMID:16647669

Abstract

With 17% to 18% of women suffering from migraine headaches, clinicians will often be asked by their patients to prescribe medication. Migraine is an episodic chronic disease that is best managed with an overall treatment plan, rather than treated as an acute illness that is managed with sporadic medications. Realistic goals for the long-term management of migraine are based on patient education and an ongoing discussion between patient and provider. This article reviews the clinical presentation of migraine and recommendations for both acute and preventive treatment, including complementary therapies. "Red flags" that could be signs of more serious neurologic illness are presented. The management of migraine in pregnancy is also reviewed.

摘要

17%至18%的女性患有偏头痛，临床医生经常会被患者要求开具药物。偏头痛是一种发作性慢性疾病，最好通过全面的治疗计划进行管理，而不是当作一种用零散药物治疗的急性疾病。偏头痛长期管理的现实目标基于患者教育以及患者与医疗服务提供者之间的持续讨论。本文回顾了偏头痛的临床表现以及急性和预防性治疗的建议，包括辅助疗法。文中还列出了可能是更严重神经系统疾病迹象的“红旗”症状。本文也对孕期偏头痛的管理进行了回顾。