[儿童和青少年初级头痛预防的现代原则]
O R Esin1,2
1Kazan (Volga region) Federal University, Kazan, Russia.
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
|June 14, 2023
概括
儿科的头痛往往被误诊. 本综述探讨了导致儿童和青少年首发性头痛的不良姿势和营养缺乏等因素,提供了诊断和治疗见解.
科学领域:
- 儿科神经学 儿科神经学
- 临床医学 临床医学
背景情况:
- 头痛是儿童和青少年的重大健康问题.
- 错误诊断很常见,经常将头痛归因于脊椎,脑血管或自主性 dystonia 问题.
- 这导致治疗效率低下,并延迟了初级头痛的治疗.
研究的目的:
- 审查儿童群体中原发性头痛的发生和慢性发生的促成因素.
- 概述当前用于儿童和青少年初级头痛的诊断方法.
- 讨论儿童初级头痛的基于证据的治疗策略.
主要方法:
- 关于儿科头痛研究的文献综述.
- 分析导致初级头痛发展和持续的因素.
- 综合诊断标准和治疗方法.
主要成果:
- 确定了关键因素:低动力,姿势障碍,和维生素D缺乏,焦虑,抑郁,中心敏感化和alexithymia.
- 强调了仅基于神经或血管病理的头痛诊断的局限性.
- 强调需要多因素的诊断和治疗方法.
结论:
- 儿童的初级头痛需要一个全面的诊断方法,超越传统的神经学评估.
- 解决生活方式因素,营养状况和心理相关疾病对于有效管理至关重要.
- 准确的诊断和有针对性的治疗可以改善儿科头痛患者的结果.
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