[药物过度使用性头痛]

[Medication overuse headache].

作者信息

Maksimova M Yu, Сhochlova T Yu, Mota L A

机构信息

Research Center of Neurology, Moscow, Russia; Evdokimov Moscow State Medical and Dental University, Moscow, Russia.

Evdokimov Moscow State Medical and Dental University, Moscow, Russia.

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2017;117(9):99-102. doi: 10.17116/jnevro20171179199-102.

DOI:10.17116/jnevro20171179199-102

PMID:29053129

Abstract

Rebound headache (RH) is a chronic daily headache which occurs when analgesics, triptans, ergotamines are taken frequently (more than 15 days/month for more than 3 months) to relieve headaches. The prevalence of RH is 1 to 4% in the general population. RH commonly occurs in patients with migraine and tension-type headache. The deficit of central sensitization and psychological factors play an important role in initiating and maintaining of RH. Treatment of noofen for 2 months is effective in 75% of patients with RH.

摘要

反跳性头痛（RH）是一种慢性每日头痛，当频繁（每月超过15天，持续超过3个月）服用镇痛药、曲坦类药物、麦角胺来缓解头痛时就会发生。在普通人群中，RH的患病率为1%至4%。RH常见于偏头痛和紧张型头痛患者。中枢敏化缺陷和心理因素在RH的发生和维持中起重要作用。使用诺洛芬治疗2个月对75%的RH患者有效。