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偏头痛治疗的最新进展

Recent advances in the management of migraine.

作者信息

Obermann Mark, Holle Dagny

机构信息

Center for Neurology, Asklepios Hospitals Schildautal, Seesen, Germany.

Department of Neurology and West-German Headache Center, University of Duisburg-Essen, Essen, Germany.

出版信息

F1000Res. 2016 Nov 21;5:2726. doi: 10.12688/f1000research.9764.1. eCollection 2016.

Abstract

Migraine remains one of the most disabling disorders worldwide. The high prevalence in the general population and the often-delicate treatment of patients account for that. Therapeutic management of migraine relies mainly on non-specific medical treatment and is affected by low patient adherence to the treatment regimens applied. The introduction of specific anti-migraine treatment occurred over 20 years ago when the first triptan was approved by regulatory authorities (sumatriptan, 28 December 1992). Triptan use is limited by side effects, time- and frequency-restricted application, and the risk of developing medication overuse headache. Within the past few years, new and promising drugs such as more specific 5-HT 1F receptor agonists (that is, lasmiditan) and monoclonal calcitonin gene-related peptide (CGRP) receptor antibodies entered advanced development phases while non-invasive neuromodulatory approaches were suggested to be potentially effective as non-pharmaceutical interventions for migraine.

摘要

偏头痛仍然是全球最使人丧失能力的疾病之一。这是由于其在普通人群中的高患病率以及对患者的治疗往往较为棘手。偏头痛的治疗管理主要依赖非特异性药物治疗,且受到患者对所应用治疗方案依从性低的影响。特异性抗偏头痛治疗始于20多年前,当时第一种曲坦类药物获监管机构批准(舒马曲坦,1992年12月28日)。曲坦类药物的使用受到副作用、时间和频率限制应用以及发生药物过度使用性头痛风险的限制。在过去几年中,新型且有前景的药物,如更具特异性的5-HT 1F受体激动剂(即拉米地坦)和单克隆降钙素基因相关肽(CGRP)受体抗体进入了后期研发阶段,同时非侵入性神经调节方法被认为作为偏头痛的非药物干预措施可能有效。

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