Gaul Charly, Zaranek Laura, Goßrau Gudrun
Kopfschmerzzentrum Frankfurt, Dalbergstr. 2a, 65929, Frankfurt, Deutschland.
Klinik und Poliklinik für Kinder- und Jugendmedizin, Universitätsklinikum Dresden, Dresden, Deutschland.
Schmerz. 2023 Dec;37(6):448-460. doi: 10.1007/s00482-023-00738-1. Epub 2023 Jul 11.
In Germany, headache is one of the illnesses that most frequently leads to health impairments and to consultation with physicians. Even in children, headache is often associated with restricted activities of daily life. Nevertheless, the level of care for headache disorders is disproportionate to the medical needs. As a result, patients regularly use complementary and supportive therapeutic procedures. This review shows the procedures currently used for primary headache in childhood and adulthood, the methodological approaches and existing scientific evidence. The safety of the therapeutic options is also classified. These methods include physiotherapy, neural therapy, acupuncture, homeopathy, phytotherapy and the intake of dietary supplements. For children and adolescents with headaches, there are studies in the field of dietary supplements for coenzyme Q, riboflavin, magnesium and vitamin D, which indicate specific effects in the reduction of headaches.
在德国，头痛是最常导致健康受损并促使患者就医的疾病之一。即便在儿童中，头痛也常常与日常生活活动受限相关。然而，头痛疾病的护理水平与医疗需求并不相称。因此，患者经常使用补充和支持性治疗手段。本综述展示了目前用于儿童和成人原发性头痛的治疗手段、方法学途径以及现有的科学证据。还对治疗选择的安全性进行了分类。这些方法包括物理治疗、神经疗法、针灸、顺势疗法、植物疗法以及膳食补充剂的摄入。对于患有头痛的儿童和青少年，在辅酶Q、核黄素、镁和维生素D的膳食补充剂领域有研究表明，这些补充剂在减轻头痛方面有特定效果。
