急诊室急性偏头痛治疗的神经科医生指南
A Neurologist's Guide to Acute Migraine Therapy in the Emergency Room.
作者信息
Gelfand Amy A, Goadsby Peter J
机构信息
Department of Neurology, Division of Child Neurology, University of California, San Francisco, CA, USA ; Department of Neurology, Division of Headache Center, University of California, San Francisco, CA, USA.
出版信息
Neurohospitalist. 2012 Apr 1;2(2):51-59. doi: 10.1177/1941874412439583.
Abstract
Migraine is a common reason for visits to the emergency room. Attacks that lead patients to come to the emergency room are often more severe, refractory to home rescue medication, and have been going on for longer. All of these features make these attacks more challenging to treat. The purpose of this article is to review available evidence pertinent to the treatment of acute migraine in adults in the emergency department setting in order to provide neurologists with a rational approach to management. Drug classes and agents reviewed include opioids, dopamine receptor antagonists, triptans, nonsteroidal anti-inflammatory drugs, corticosteroids, and sodium valproate.
摘要
偏头痛是急诊室就诊的常见原因。导致患者前往急诊室的发作往往更为严重，对家庭急救药物难治，且持续时间更长。所有这些特征使得这些发作的治疗更具挑战性。本文的目的是回顾与急诊科成人急性偏头痛治疗相关的现有证据，以便为神经科医生提供合理的管理方法。所回顾的药物类别和药物包括阿片类药物、多巴胺受体拮抗剂、曲坦类药物、非甾体抗炎药、皮质类固醇和丙戊酸钠。
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