Henn V
Neurologische Klinik und Poliklinik, Universitätsspital Zürich.
Schweiz Rundsch Med Prax. 1993 May 4;82(18):540-3.
The diagnosis of chronic headache can be put forward on clinical grounds, if the character of the pain did not change over several years. The most often encountered and treatable cause is a misuse of pain-killers, especially over-the-counter drug combinations. In this situation, only an inpatient treatment will have a chance of success. The basic types of medication are calcium-entry blockers, beta-blocking agents, dihydroergotamine and antidepressive medication of the tricyclic type. The main aim should be to educate the patient to develop self-responsibility instead of offering unapproved methods of treatment.
如果疼痛特征在数年中未发生变化，可基于临床依据提出慢性头痛的诊断。最常遇到且可治疗的病因是止痛药滥用，尤其是非处方复方药物。在这种情况下，只有住院治疗才有成功的机会。基本的药物类型有钙通道阻滞剂、β受体阻滞剂、双氢麦角胺和三环类抗抑郁药。主要目的应是教育患者培养自我责任感，而非提供未经批准的治疗方法。
