2022年台湾关于急性和预防性治疗集群头痛的指南
Fu-Chi Yang1, Chia-Lin Tsai1, Guan-Yu Lin1
1Department of Neurology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan.
Acta neurologica Taiwanica
|July 11, 2023
概括
这项研究更新了台湾.
科学领域:
- 神经学 神经学
- 基于证据的医学基于证据的医学.
- 头痛 疾病 头痛 疾病
背景情况:
- 集群头痛的特点是严重的,短期的疼痛与自主症状.
- 台湾以前针对集群头痛的治疗指南于2011年发布.
- 剧发性集群头痛在台湾比慢性形式更为普遍.
研究的目的:
- 更新台湾针对急性和预防性集群头痛治疗的基于证据的指导方针.
- 提供关于治疗疗效,不良事件和集群头痛预防措施的共识.
主要方法:
- 基于证据的医学原则的临床试验和证据水平的评估.
- 审查国际治疗指南.
- 台湾头痛协会通过小组讨论达成共识.
主要成果:
- 推使用高流氧和三鼻喷雾作为急性第一线治疗.
- 维拉帕米尔是第一线的维持预防;,托皮拉玛酸和CGRP单克隆抗体是第二线的.
- 非侵入性迷走神经刺激是推的仪器疗法.
结论:
- 更新的指导方针强调氧气和三剂用于急性发作,维拉帕米尔用于维护.
- 像类固醇这样的过渡性治疗应该谨慎使用,并且在有限的时间内使用.
- 建议同时使用过渡性和维持性预防,并逐渐减少.
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