Tepper Stewart J
Center for Headache and Pain, T33, Neurological Institute, Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, OH 44195, USA.
Curr Pain Headache Rep. 2008 Oct;12(5):379-83. doi: 10.1007/s11916-008-0064-8.
Parents frequently ask health care professionals to provide "natural" migraine care for their children and often use herbs, minerals, vitamins, and supplements to treat their children's migraines, thinking that these over-the-counter alternatives are less toxic than prescription medications. The only randomized controlled trial on any alternative treatment for pediatric migraine is for magnesium, and the results were equivocal. Results of two other uncontrolled trials of magnesium, one for migraine and one for episodic tension-type headache, were positive. There is one positive uncontrolled trial each for coenzyme Q10 and Petasites for prevention of pediatric migraine. There are no trials to indicate the safety or efficacy of riboflavin or feverfew for pediatric headache.
家长们经常要求医疗保健专业人员为他们的孩子提供“天然”的偏头痛治疗方法,并且常常使用草药、矿物质、维生素和补充剂来治疗孩子的偏头痛,他们认为这些非处方替代品的毒性低于处方药。关于小儿偏头痛任何替代疗法的唯一一项随机对照试验是针对镁的,结果并不明确。另外两项关于镁的非对照试验,一项针对偏头痛,一项针对发作性紧张型头痛,结果是阳性的。辅酶Q10和蜂斗菜用于预防小儿偏头痛各有一项阳性非对照试验。没有试验表明核黄素或小白菊对小儿头痛的安全性或有效性。