Oude Nijhuis Jerome C, Haane Danielle Yp, Koehler Peter J
Department of Neurology, Atrium Medical Centre, Henri Dunantstraat 5, 6419 PC Heerlen, The Netherlands
Department of Neurology, Atrium Medical Centre, Henri Dunantstraat 5, 6419 PC Heerlen, The Netherlands.
Cephalalgia. 2016 Sep;36(10):970-9. doi: 10.1177/0333102415616878. Epub 2015 Nov 12.
Despite oxygen therapy being one of the foremost acute treatments for cluster headache (CH) attacks, little is known about the different techniques and systems.
In this review we will examine the efficacy of the standard non-rebreather mask (NRM) with room temperature oxygen in relieving pain in CH, and try to compare it with the diversity of other oxygen gas conditions and interfaces like partial rebreathers, simple masks, nasal cannulas, tusk masks, demand valve oxygen, hyperbaric and cooled oxygen.
We searched non-structured Pubmed, Medline, the Cochrane online database and instruction protocols from various oxygen delivery devices.
Interfaces like demand valves and tusk masks are already proving to be superior or at least similar to the standard NRM in terms of fraction of inspired oxygen (FiO2), though the demand valve only showed better results than the NRM in a single study in only four participants. Furthermore, new research shows how lower temperatures of the gas may be an essential part of effective pain relief and hyperbaric treatments show potential in preventing night time attacks.
尽管氧疗是丛集性头痛（CH）发作的主要急性治疗方法之一，但对于不同的技术和系统却知之甚少。
在本综述中，我们将研究使用室温氧气的标准非重复呼吸面罩（NRM）缓解丛集性头痛疼痛的疗效，并尝试将其与其他氧气条件和接口的多样性进行比较，如部分重复呼吸面罩、简易面罩、鼻导管、獠牙面罩、按需阀给氧、高压氧和冷氧。
我们检索了非结构化的PubMed、Medline、Cochrane在线数据库以及各种氧气输送设备的使用说明。
按需阀和獠牙面罩等接口在吸入氧分数（FiO2）方面已被证明优于或至少与标准NRM相似，尽管在仅四名参与者的一项研究中，按需阀仅显示出比NRM更好的结果。此外，新的研究表明气体的较低温度可能是有效缓解疼痛的重要组成部分，高压氧治疗在预防夜间发作方面显示出潜力。
