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紧张性头痛:家庭医生面临的挑战。

Tension headaches: a challenge to the family physician.

出版信息

Can Fam Physician. 1978 Sep;24:870-3.

PMID:21301541
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2379454/
Abstract

Tension headache is a frequently encountered symptom. The skills of the family physician make him or her ideally suited to assess and manage the patient with this problem. Diagnosis depends on a thorough understanding of the nature and 'life-history' of the headache as well as knowledge of the patient as an individual and as part of his or her family and social environment. Management requires a holistic ongoing approach, employing a judicious combination of medication and physical therapy. Above all, the physician must help the patient develop different ways of dealing with anxiety and conflict.

摘要

紧张性头痛是一种常见的症状。家庭医生的技能使他或她非常适合评估和管理患有这种问题的患者。诊断取决于对头痛的性质和“生活史”的透彻了解,以及对患者作为个体以及作为其家庭和社会环境一部分的了解。管理需要采用整体的持续方法,明智地结合药物治疗和物理治疗。最重要的是,医生必须帮助患者学会用不同的方法来应对焦虑和冲突。

相似文献

1
Tension headaches: a challenge to the family physician.紧张性头痛:家庭医生面临的挑战。
Can Fam Physician. 1978 Sep;24:870-3.
2
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Trichotillomania: Bizzare Patern of Hair Loss at 11-Year-old Girl.拔毛癖:一名11岁女孩的怪异脱发模式。
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Migraine and oral contraceptives.偏头痛与口服避孕药
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6
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7
Headaches. The general practitioner's view.头痛。全科医生的观点。
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8
Management of chronic tension-type headache with tricyclic antidepressant medication, stress management therapy, and their combination: a randomized controlled trial.使用三环类抗抑郁药物、压力管理疗法及其联合治疗慢性紧张型头痛:一项随机对照试验
JAMA. 2001 May 2;285(17):2208-15. doi: 10.1001/jama.285.17.2208.
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Clinical holistic medicine: social problems disguised as illness.临床整体医学:伪装成疾病的社会问题。
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Promoting and supporting self-management for adults living in the community with physical chronic illness: A systematic review of the effectiveness and meaningfulness of the patient-practitioner encounter.促进和支持社区中患有慢性身体疾病的成年人进行自我管理:对医患互动的有效性和意义的系统评价。
JBI Libr Syst Rev. 2009;7(13):492-582. doi: 10.11124/01938924-200907130-00001.

本文引用的文献

1
Migraine and tension headaches; a clinical study of two thousand cases.偏头痛与紧张性头痛:两千例临床研究
Neurology. 1954 Oct;4(10):773-88. doi: 10.1212/wnl.4.10.773.
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Symptoms in general practice.全科医疗中的症状
J R Coll Gen Pract. 1971 Jan;21(102):32-43.
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Epidemiology of headache and migraine in women.女性头痛和偏头痛的流行病学
J Neurol Neurosurg Psychiatry. 1971 Apr;34(2):148-53. doi: 10.1136/jnnp.34.2.148.
4
EMG biofeedback and tension headache: a controlled outcome study.肌电图生物反馈与紧张性头痛:一项对照结局研究。
Semin Psychiatry. 1973 Nov;5(4):397-410.
5
Tension headache, a psychiatric study.紧张性头痛,一项精神病学研究。
Headache. 1966 Jul;6(2):47-54. doi: 10.1111/j.1526-4610.1966.hed0602047.x.
6
Content of family practice. Part I. Rank order of diagnoses by frequency. Part II. Diagnoses by disease category and age/sex distribution.家庭医疗的内容。第一部分。按频率排列的诊断顺序。第二部分。按疾病类别和年龄/性别分布的诊断。
J Fam Pract. 1976 Feb;3(1):37-68.
7
Relaxation therapy in migraine and chronic tension headache.偏头痛和慢性紧张性头痛的放松疗法。
Med J Aust. 1975 Mar 8;1(10):298-301.
8
The treatment of headaches employing acupuncture.采用针灸治疗头痛。
Am J Chin Med (Gard City N Y). 1975 Apr;3(2):181-5. doi: 10.1142/s0192415x75000207.
9
Biofeedback training: a new therapy in the treatment of migraine and tension headache?生物反馈训练:治疗偏头痛和紧张性头痛的一种新疗法?
Dan Med Bull. 1975 Mar;22(3):97-9.
10
Headache in general practice.全科医疗中的头痛
Headache. 1977 Jan;16(6):322-9. doi: 10.1111/j.1526-4610.1976.hed1606322.x.