摘要
发作性紧张型头痛是人群中最常见的头痛类型,通常患者自己处理这种疼痛。慢性紧张型头痛具有较高的致残率,患者经常求助于各类医疗机构。遵循公认有效的诊断标准和流程,可以临床诊断紧张型头痛。发作性紧张型头痛与周围头面肌损伤有关,而慢性紧张型头痛则与中枢疼痛机制改变有关。单一止痛药物如阿司匹林是常用的急性期治疗药物,预防治疗中阿米替林、生物反馈辅助放松训练对缓解疼痛非常有效。
Episodic tension-type headache is the most common headache in the general population and is usually self managed. Chronic tension-type headache may be highly disabling and often prompts medical consultation. Diagnosis is clinical, based on widely accepted and validated criteria and algorithm. Peripheral factors are implicated in episodic tension-type headache, whereas central factors probably underlie chronic tension-type headache. Simple analgesics, such as aspirin, are used for acute treatment. Amitriptyline and biofeedback assisted relaxation training have the best evidence of effectiveness for headache prevention.
出处
《中国实用内科杂志》
CAS
CSCD
北大核心
2010年第6期500-503,共4页
Chinese Journal of Practical Internal Medicine
关键词
发作性紧张型头痛
慢性紧张型头痛
episodic tension-type headache
chronic tension-type headache
