Freitag Frederick G, Schloemer Fallon
Department of Neurology, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA.
Department of Neurology, Froedtert Hospital, Medical College of Wisconsin, 9200 West Wisconsin Avenue, Milwaukee, WI 53226, USA.
Otolaryngol Clin North Am. 2014 Apr;47(2):221-37. doi: 10.1016/j.otc.2013.11.002. Epub 2013 Dec 19.
We review the therapies for primary headache disorders: migraine, chronic migraine, tension-type headache, and cluster headache. Recommendations follow the evidence-based treatments so far as is possible with expert opinion to give clinical guidance. Headache has 2 levels of care: acute treatments designed to stop a headache from progressing and alleviate all symptoms associated with the headache and preventive therapies for patients whose headache frequency is such that by itself produces significant disability and impact on quality of life, or where the frequency of use of acute medications, regardless of efficacy, poses risks in terms of overuse or adverse events.
偏头痛、慢性偏头痛、紧张型头痛和丛集性头痛。建议尽可能遵循循证治疗方法，并结合专家意见以提供临床指导。头痛有两级护理：急性治疗旨在阻止头痛进展并缓解与头痛相关的所有症状；预防性治疗则针对那些头痛发作频率本身就会导致严重残疾并影响生活质量的患者，或者针对那些无论急性药物疗效如何，频繁使用都存在药物滥用或不良事件风险的患者。
