偏头痛的诊断和治疗 Diagnosis and Treatment of Migraine
青医附院神经内科 李军
A recent survey by the World Health Organization (WHO) rates severe migraine, along with quadriplegia, psychosis, and dementia, as one of the most disabling chronic disorders. This ranking suggests that in the judgment of the WHO, a day with severe migraine is as disabling as a day with quadriplegia. -- Goadsby PJ: 257 NEJM 2002,346:
偏头痛 药物治疗 目的:
1.终止发作(头痛 发生时) 2.减少发作的频率 (头痛的预防)
2个不同协会推荐的指南
美国头痛协会 U.S Headache Consortium;USHC 美国家庭医师学会和美国医师学会-美国内 科医师协会 The American Academy of Family Physicians and The American College of Physicians-American Society of internal Medicine ; AAFP/ACP-ASIM
头痛缓解期 ( headache resolution)
头痛高峰期过后出现 时间可长可短 常在睡眠中度过
恢复期 (postdrome)
头痛消散后出现 疲乏 挑食或食欲减少、 易激惹 情绪改变(抑郁或欣快)