Ferrari A, Stefani M, Sternieri S, Bertolotti M, Sternieri E
Headache Center, Toxicology and Clinical Pharmacology Department, University of Modena, Italy.
Headache. 1997 Feb;37(2):88-94. doi: 10.1046/j.1526-4610.1997.3702088.x.
To explore beliefs and behavior with respect to analgesic drug taking in headache patients. To compare episodic headache to chronic headache sufferers.
A consecutive series of 280 headache patients, newly admitted to the Headache Center of the University of Modena, all referred by their general practitioner, were asked to fill out a brief questionnaire, specially compiled for this survey. The questionnaire invited patients to indicate how they themselves thought they should best cope with their headache, and how they actually did so in practice.
The majority of our patients had a positive attitude towards the over-the-counter analgesics, which they believed to be more adequate than prescription drugs for acute treatment of their headache. They handled analgesics very carefully, believing it correct to take the drug only when the pain became unbearable, if it was not possible for them to stop work. Chronic headache patients tended to consume more prescription drugs than episodic headache sufferers. Furthermore, the majority of chronic sufferers, as opposed to episodic sufferers, took the analgesic even when not at work.
The use of over-the-counter drugs is considered the best way to treat acute headache even by subjects suffering from severe idiopathic headache and seeking professional care in specialized clinics. Prescribed analgesics are underused by patients with serious episodic headache, which is precisely the group for which they are principally intended.
探讨头痛患者在服用止痛药物方面的观念和行为。比较发作性头痛患者与慢性头痛患者。
连续选取280例新入住摩德纳大学头痛中心的头痛患者，这些患者均由其全科医生转诊而来，要求他们填写一份专门为此项调查编制的简短问卷。该问卷邀请患者指出他们自己认为应如何最好地应对头痛，以及他们在实际中是如何做的。
我们的大多数患者对非处方止痛药物持积极态度，他们认为这些药物在急性治疗头痛方面比处方药更合适。他们非常谨慎地使用止痛药物，认为只有在疼痛变得难以忍受且无法停止工作时才服用药物才是正确的。慢性头痛患者往往比发作性头痛患者服用更多的处方药。此外，与发作性头痛患者不同，大多数慢性头痛患者即使在不工作时也会服用止痛药物。
即使是患有严重特发性头痛并在专科诊所寻求专业治疗的患者，也认为使用非处方药物是治疗急性头痛的最佳方法。患有严重发作性头痛的患者对处方止痛药物的使用不足，而这些药物主要就是为这一群体准备的。
