在急救部门管理和预防偏头痛:一篇回顾
Miguel A Cortel-LeBlanc1, Serena L Orr2, Maeghan Dunn3
1Department of Emergency Medicine, Queensway Carleton Hospital, Ottawa, ON, Canada; Faculty of Medicine, University of Ottawa, Ottawa, ON, Canada; Institut du Savoir Montfort, Ottawa, ON, Canada; 360 Concussion Care, Ottawa, ON, Canada.
Annals of emergency medicine
|July 12, 2023
概括
本综述涵盖了在急诊室 (ED) 的偏头痛诊断和管理,包括新的治疗方法,如子和神经阻塞. 它为急诊医生提供了一个框架,以处方偏头痛预防措施和管理急性并发症.
科学领域:
- 神经学 神经学
- 紧急医疗 紧急医疗
背景情况:
- 偏头痛是全球残疾的重要原因之一.
- 急性偏头痛发作经常导致急诊室 (ED) 的访问.
- 最近的进展包括神经阻塞和新药类 (吉班,迪坦).
研究的目的:
- 提供ED中偏头痛护理的全面审查.
- 讨论诊断和急性偏头痛并发症的管理.
- 为了突出基于证据的,偏头痛特异性治疗ED使用.
主要方法:
- 审查当前关于偏头痛诊断和治疗在ED的文献.
- 评估新兴疗法,包括神经阻断剂,虫和ditan.
- 在ED中为处方预防性偏头痛药物制定框架.
主要成果:
- 讨论急性并发症:偏头痛状态,偏头痛心脏病发作,没有心脏病发作的持续性光环和光环触发的发作.
- 对急性偏头痛治疗中神经阻塞的证据的评估.
- 介绍了 gepants 和 ditans 在ED偏头痛管理中的潜在作用.
结论:
- 紧急医生可以利用最新的证据来治疗和预防急性偏头痛.
- 新的药理学类别和神经阻塞对ED偏头痛治疗有希望.
- 一种结构化的方法有助于为符合条件的ED患者开处方预防药物.
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