偏头痛疾病进展的危险因素:为以患者为中心的方法进行叙事审查
Richard B Lipton1, Dawn C Buse1,2, Stephanie J Nahas3
1Department of Neurology, Albert Einstein College of Medicine, Bronx, NY, USA.
Journal of neurology
|August 24, 2023
概括
预防偏头痛进展至关重要. 识别药物过度使用和并发症等风险因素可以帮助医疗保健提供者指导患者采取预防性措施,防止偏头痛发作恶化.
科学领域:
- 神经学 神经学
- 头痛 医学 医学 医学
背景情况:
- 头痛发作的频率和严重程度会随着时间的推移而增加.
- 预防偏头痛的进展是专业头痛护理的一个关键目标.
- 在一般神经病学和初级保健中,对偏头痛进展风险因素的认识可能是有限的.
研究的目的:
- 审查偏头痛进展的定义和风险因素.
- 考虑减少偏头痛进展风险的策略.
主要方法:
- 专家医疗保健专业人员审查了关于偏头痛进展的已发表证据.
- 使用修改的AB希尔标准来评价证据强度.
- 专家意见指导疾病管理建议.
主要成果:
- 偏头痛的进展通常被定义为每月头痛日数的增加.
- 在五个领域中确定的关键风险因素包括治疗,并发病,生活方式和人口统计.
- 支持的危险因素包括药物过度使用,全发性,慢性疼痛,睡眠障碍和咖啡因摄入.
结论:
- 识别风险因素使得提供者能够推采取保护措施.
- 需要进一步的干预研究来验证风险因素和缓解策略.
相关概念视频
Atherosclerosis III: Management
12
Management of atherosclerosis involves an integrated strategy encompassing pharmacological treatment, surgical interventions, lifestyle changes, and nutrition therapy to address the multifactorial nature of the disease.Pharmacological TherapyA cornerstone of atherosclerosis management is the use of pharmacological agents. Statins, such as atorvastatin, are pivotal in inhibiting HMG-CoA reductase, an enzyme that catalyzes an initial step in cholesterol synthesis in the liver. This reduction in...
12
Mitral Valve Prolapse III: Nursing Management
16
The nursing management of Mitral Valve Prolapse, or MVP, centers around patient education, symptom monitoring, and lifestyle modifications.Patient Education on MVP Diagnosis and Heredity: Nurses should provide comprehensive education about MVP, a condition where the mitral valve does not close appropriately during heartbeats. This education often includes the condition's pathophysiology, symptoms, and potential complications, like arrhythmias or mitral regurgitation. Though not fully...
16
Coronary Artery Disease I: Introduction
20
Coronary Artery Disease (CAD): An Overview with Scientific InsightsCoronary Artery Disease (CAD), often referred to as C-A-D, is a prevalent blood vessel disorder classified under the broader category of atherosclerosis. Atherosclerosis is a pathological process characterized by the hardening and narrowing of arteries due to the accumulation of atherosclerotic plaques. These plaques are composed of cholesterol, fatty substances, inflammatory cells, calcium, and fibrin, reducing blood flow to...
20
Hypertension V: Nursing Management
11
The nursing management of hypertension involves accurately assessing symptoms, making a comprehensive nursing diagnosis, collaborating with patients to set goals, and implementing targeted interventions to mitigate the condition's impact and improve patient well-being.Comprehensive AssessmentThe initial step in nursing care for hypertension involves a thorough patient assessment. It includes evaluating symptoms such as headaches, dizziness, blurred vision, and previous hypertension episodes.
11
Tumor Progression
6.4K
Tumor progression is a phenomenon where the pre-formed tumor acquires successive mutations to become clinically more aggressive and malignant. In the 1950s, Foulds first described the stepwise progression of cancer cells through successive stages.
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
Colon cancer is one of the best-documented examples of tumor progression. Early mutation in the APC gene in colon cells causes a small growth on the colon wall called a polyp. With time, this polyp grows into a benign, pre-cancerous tumor. Further...
6.4K
Atherosclerosis IV: Nursing Management
22
Nursing management for a patient with arteriosclerosis involves a comprehensive approach focusing on lifestyle modification, disease monitoring, education, and symptomatic care. Here is an overview of effective nursing strategies:Assessment and Monitoring: Initial and ongoing assessments are crucial. Nurses must document the patient's medical history, including any hypertension, diabetes, hyperlipidemia, and other cardiovascular diseases. Assessments also cover family history and lifestyle...
22


