Murinova Natalia, Krashin Daniel
Headache Clinic, Department of Neurology, University of Washington, 1959 Northeast Pacific Street, Seattle, WA, USA.
Chronic Fatigue Clinic UW, Department of Psychiatry, Anesthesiology and Pain Medicine, University of Washington, 1959 Northeast Pacific Street, Seattle, WA, USA.
Phys Med Rehabil Clin N Am. 2015 May;26(2):375-89. doi: 10.1016/j.pmr.2015.01.001. Epub 2015 Mar 6.
Chronic daily headache (CDH) is a challenging condition to treat. CDH is often accompanied by significant comorbidities, such as chronic fatigue, depression, anxiety, and insomnia, which further complicate treatment. Unrealistic expectations of treatment goals can lead to patient frustration, and, as a result, decrease treatment adherence. Patients often desire headache-free status, but this outcome is not realistic for many patients with CDH. By contrast, an effective treatment goal starts with establishing the correct diagnosis and creating a multimodal treatment plan to improve function and well-being. With proper comprehensive treatment, the condition improves in most patients.
慢性每日头痛（CDH）是一种治疗起来颇具挑战性的病症。CDH常常伴有显著的合并症，如慢性疲劳、抑郁、焦虑和失眠，这使得治疗更加复杂。对治疗目标不切实际的期望会导致患者沮丧，进而降低治疗依从性。患者通常期望达到无头痛状态，但对于许多CDH患者而言，这一结果并不现实。相比之下，有效的治疗目标始于正确的诊断，并制定多模式治疗计划以改善功能和健康状况。通过适当的综合治疗，大多数患者的病情会有所改善。
