Xiao Hong, Peng Bao-Gan, Ma Ke, Huang Dong, Liu Xian-Guo, Lv Yan, Liu Qing, Lu Li-Juan, Liu Jin-Feng, Li Yi-Mei, Song Tao, Tao Wei, Shen Wen, Yang Xiao-Qiu, Wang Lin, Zhang Xiao-Mei, Zhuang Zhi-Gang, Liu Hui, Liu Yan-Qing
Department of Algology, West China Hospital, Sichuan University, Chengdu 610041, Sichuan Province, China.
Department of Orthopedics, The Third Medical Center, General Hospital of the Chinese People's Liberation Army, Beijing 100039, China.
World J Clin Cases. 2021 Mar 26;9(9):2027-2036. doi: 10.12998/wjcc.v9.i9.2027.
Cervicogenic headache (CEH) has been recognized as a unique category of headache that can be difficult to diagnose and treat. In China, CEH patients are managed by many different specialties, and the treatment plans remain controversial. Therefore, there is a great need for comprehensive evidence-based Chinese experts' recommendations for the management of CEH. The Chinese Association for the Study of Pain asked an expert panel to develop recommendations for a series of questions that are essential for daily clinical management of patients with CEH. A group of multidisciplinary Chinese Association for the Study of Pain experts identified the clinically relevant topics in CEH. A systematic review of the literature was performed, and evidence supporting the benefits and harms for the management of CEH was summarized. Twenty-four recommendations were finally developed through expert consensus voting for evidence quality and recommendation strength. We hope this guideline provides direction for clinicians and patients making treatment decisions for the management of CEH.
颈源性头痛(CEH)已被确认为一种独特的头痛类型,诊断和治疗可能具有挑战性。在中国,CEH患者由多个不同专科进行管理,治疗方案仍存在争议。因此,迫切需要基于综合证据的中国专家对CEH管理的建议。中国疼痛学会要求一个专家小组针对CEH患者日常临床管理中的一系列关键问题制定建议。一组多学科的中国疼痛学会专家确定了CEH中与临床相关的主题。进行了文献系统综述,并总结了支持CEH管理的益处和危害的证据。最终通过专家共识投票确定了24条关于证据质量和推荐强度的建议。我们希望本指南为临床医生和患者在CEH管理方面做出治疗决策提供指导。