Sierpina Victor, Astin John, Giordano James
University of Texas Medical Center, Galveston, Texas, USA.
Am Fam Physician. 2007 Nov 15;76(10):1518-22.
Headache is one of the most common and enigmatic problems encountered by family physicians. Headache is not a singular entity, and different pathologic mechanisms are involved in distinct types of headache. Most types of headache involve dysfunction of peripheral or central nociceptive mechanisms. Mind-body therapies such as biofeedback, cognitive behavior therapy, hypnosis, meditation, and relaxation training can affect neural substrates and have been shown to be effective treatments for various types of headache. Meta-analyses of randomized controlled trials show that the use of mind-body therapies, alone or in combination, significantly reduces symptoms of migraine, tension, and mixed-type headaches. Side effects generally are minimal and transient.
头痛是家庭医生遇到的最常见且神秘的问题之一。头痛并非单一的病症，不同类型的头痛涉及不同的病理机制。大多数类型的头痛都涉及外周或中枢伤害感受机制的功能障碍。生物反馈、认知行为疗法、催眠、冥想和放松训练等身心疗法可以影响神经基质，并且已被证明是治疗各种类型头痛的有效方法。对随机对照试验的荟萃分析表明，单独或联合使用身心疗法可显著减轻偏头痛、紧张性头痛和混合型头痛的症状。副作用通常轻微且短暂。
