Byrdine F. Lewis School of Nursing, Georgia State University, Atlanta, GA 30302-4019, USA.
J Midwifery Womens Health. 2011 May-Jun;56(3):282-92. doi: 10.1111/j.1542-2011.2011.00024.x.
In spite of the fact that migraines are one of the major problems seen by primary care providers, almost half of people with migraines do not obtain appropriate diagnosis and/or treatment. Migraine occurs in about 18% of women, and is often aggravated by hormonal shifts occurring around women's menses, during pregnancy, and during perimenopause. Quality of life with migraines is often greatly diminished, and many women miss work days and/or are less productive with migraines. Women's health care providers are very likely to see women with poorly managed migraines, but are often not comfortable diagnosing and treating their patients with headaches. A variety of self-care treatments, acute care prescription and non-prescription headache medications, and preventive medications are available and if used by a knowledgeable provider can provide relief for many women who might not otherwise receive appropriate care.
尽管偏头痛是初级保健医生经常遇到的主要问题之一，但几乎一半的偏头痛患者没有得到适当的诊断和/或治疗。偏头痛在女性中的发病率约为 18%，并且经常因女性月经周期、怀孕期间和围绝经期期间发生的激素变化而加重。偏头痛患者的生活质量往往大大降低，许多女性因偏头痛而缺勤或工作效率降低。女性保健医生很可能会遇到偏头痛管理不善的女性，但往往对诊断和治疗头痛患者感到不舒服。有多种自我护理治疗、急性护理处方和非处方头痛药物以及预防药物可供选择，如果由有知识的提供者使用，许多可能得不到适当护理的女性可能会得到缓解。
