偏头痛的住院管理。

Inpatient Management of Migraine.

机构信息

Thomas Jefferson University, Jefferson Headache Center, 900 Walnut Street #200, Philadelphia, PA 19107, USA.

Thomas Jefferson University, Jefferson Headache Center, 900 Walnut Street #200, Philadelphia, PA 19107, USA. Electronic address: https://twitter.com/JeffHeadacheCtr.

出版信息

Neurol Clin. 2019 Nov;37(4):771-788. doi: 10.1016/j.ncl.2019.07.007.

DOI:10.1016/j.ncl.2019.07.007

PMID:31563232

Abstract

Migraine is a frequently disabling neurologic condition which can be complicated by medication overuse headache and comorbid medical disorders, including obesity, anxiety and depression. Although most migraine management takes place in outpatient clinics, inpatient treatment is indicated for migraine refractory to multiple outpatient treatments, with intractable nausea or vomiting, need for detoxification from medication overuse (such as opioids and barbiturates), and significant medical and psychiatric disease. The goals of inpatient treatment include breaking the current cycle of headache pain, reducing the frequency and/or severity of future attacks, monitored detoxification of overused medications, and reducing disability and improving quality of life.

摘要

偏头痛是一种常见的致残性神经系统疾病，可由药物过度使用性头痛和共病的医疗障碍（包括肥胖症、焦虑症和抑郁症）复杂化。尽管大多数偏头痛的治疗在门诊进行，但对于对多次门诊治疗无反应、伴有难治性恶心或呕吐、需要戒除药物过度使用（如阿片类药物和巴比妥类药物）、且存在严重的医学和精神疾病的偏头痛患者，住院治疗是必要的。住院治疗的目标包括打破当前头痛疼痛的循环、减少未来发作的频率和/或严重程度、监测过度使用药物的解毒作用、以及减轻残疾程度和提高生活质量。