Sánchez-Rodríguez N, Millán-Vázquez M, Fernández-Panadero A, Gómez-Caminero A E, González-Oria C
Hospital Universitario Virgen del Rocío, Sevilla, España.
Rev Neurol. 2024 Sep 16;79(6):155-160. doi: 10.33588/rn.7906.2024095.
Migraine is the second most common type of primary headache disorder in Europe, accounting for 2.8% of visits to emergency departments. Some studies have shown that emergency departments may approach the disorder in ways that may be insufficient or inadequate.
A retrospective observational study was conducted of patients with migraine who were discharged from the adult emergency department of the Hospital Universitario Virgen del Rocio in 2020. Variables related to their healthcare were analysed.
73.9% were women, with a mean age of 38 years. They were not asked about the frequency of their migraines. The mean length of time patients spent in the emergency department before receiving initial medical care was 45 minutes (standard deviation: 41). Computed tomography scans were requested for 27.4% of the patients, and these were not pathological. Nonsteroidal anti-inflammatory drugs were the most commonly used treatment for the symptoms. Opioids were also used. Preventive treatments were prescribed in 6% of cases.
Management of migraines by emergency departments is limited, and as such continuous and updated training is important. The use of triptans and occipital nerve blocks should be encouraged, and the use of opioids, among other drugs, should cease.
偏头痛是欧洲第二常见的原发性头痛疾病，占急诊科就诊人数的2.8%。一些研究表明，急诊科处理该疾病的方式可能不够充分或恰当。
对2020年从罗西奥圣母大学医院成人急诊科出院的偏头痛患者进行了一项回顾性观察研究。分析了与他们医疗保健相关的变量。
73.9%为女性，平均年龄38岁。未询问他们偏头痛的发作频率。患者在接受初始医疗护理前在急诊科停留的平均时间为45分钟（标准差：41）。27.4%的患者进行了计算机断层扫描，结果无病理性异常。非甾体类抗炎药是最常用于缓解症状的治疗方法。也使用了阿片类药物。6%的病例开具了预防性治疗药物。
急诊科对偏头痛的管理有限，因此持续和更新培训很重要。应鼓励使用曲坦类药物和枕神经阻滞，应停止使用阿片类药物及其他药物。
