Can Fam Physician. 1989 Sep;35:1835-9.
Chronic headache interrupts the lives of 10 million Americans and sends them to their physicians. The problem can be difficult to treat. Medications, for acute migraine attacks or for prevention, require careful monitoring to avoid iatrogenic headache. Most important is the history; physical examination usually shows no abnormalities. Migraine in one of its several forms accounts for two-thirds of headaches seen in doctors' offices. The International Headache Society has recently undertaken a major reclassification of headache. Dietary control, relaxation therapy, and personalized long-term care underline the breadth of treatment needed and the appropriateness of family medicine in dealing with this widespread problem.
慢性头痛困扰着 1000 万美国人的生活，使他们不得不去看医生。这个问题很难治疗。药物治疗急性偏头痛发作或预防偏头痛需要仔细监测，以避免医源性头痛。最重要的是病史；体格检查通常无异常发现。偏头痛有几种形式，其中三分之二在医生的诊室中可见。国际头痛协会最近对头痛进行了重大的重新分类。饮食控制、放松疗法和个性化长期护理强调了治疗的广泛性以及家庭医学在处理这一普遍问题中的适宜性。
