Nappi G, Cavallini A
Centro Interuniversitario Cefalee e Disordini Adattativi, IRCCS C. Mondino, Pavia.
Ital J Neurol Sci. 1995 Nov;16(8 Suppl):29-34.
Guidelines have been recently introduced in clinical practice in order to improve the quality of patient care reducing health-care costs. In 1993 the Italian Headache Society has published the "Guidelines and recommendation for the treatment of migraine" based on a wide revision of the existing literature and a consensus conference of Italian headache experts. These guidelines include the information necessary to make a correct diagnosis and to identify the best symptomatic and/or prophylactic migraine treatment. Until now guidelines for the treatment of tension-type headache and cluster headache are not available. However we can refer to the "Treatment recommendations" proposed by the Educational Committee of the International Headache Society. These suggestions indicate common practice and give precise information about types and dosages of the drugs utilizable for the prophylaxis and for the treatment of attacks.
为了提高患者护理质量并降低医疗成本,临床实践中最近引入了相关指南。1993年,意大利头痛协会在对现有文献进行广泛修订以及意大利头痛专家共识会议的基础上,发表了《偏头痛治疗指南与建议》。这些指南包含了做出正确诊断以及确定最佳偏头痛症状治疗和/或预防性治疗所需的信息。到目前为止,紧张型头痛和丛集性头痛的治疗指南尚未出台。然而,我们可以参考国际头痛协会教育委员会提出的《治疗建议》。这些建议指出了常见做法,并给出了可用于预防和治疗发作的药物类型和剂量的精确信息。