现实世界对待状态偏头痛门诊治疗的方法:一项调查研究
Jennifer Robblee1, Yulia Y Orlova2, Andrew H Ahn3
1Department of Neurology, Lewis Headache Center, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona, USA.
Headache
|July 3, 2024
概括
美国头痛协会的成员通常在72小时前将严重的偏头痛发作视为状态偏头痛 (SM). 使用家庭药物,如皮质类固醇和NSAIDs的门诊管理是优先于紧急诊所的访问.
科学领域:
- 神经学 神经学
- 头痛 医学 医学 医学
背景情况:
- 状态偏头痛 (SM) 是持续超过72小时的衰弱性偏头痛发作.
- 目前还没有针对MS的标准化护理方案.
- 关于启动SM治疗的72小时门存在不确定性.
研究的目的:
- 通过美国头痛协会 (AHS) 会员在门诊患者中调查状态偏头痛 (SM) 的管理策略.
- 在开始MS治疗之前了解当前关于偏头痛发作持续时间的做法.
- 在门诊环境中确定首选的第一线治疗方法和治疗MS的药物.
主要方法:
- 2022年1月,向AHS会员分发了一份由四个问题组成的调查.
- 该调查评估了严重难治性偏头痛发作的治疗,无论持续时间,初步管理步骤,使用的顶级药物以及美国神经学子专业委员会 (UCNS) 的认证.
- 对调查答复进行了描述性统计分析.
主要成果:
- 196名AHS成员回复 (10.5%的回复率);64.3%的人获得了UCNS认证.
- 在达到72小时持续时间之前,69.4%的受访者将严重难治性偏头痛发作视为MS.
- 首选的初始治疗是门诊药物治疗 (76.0%),其次是手术 (11.2%). 最常见的药物包括皮质类固醇 (71.4%),NSAIDs (50.1%) 和神经麻醉药 (46.9%).
结论:
- 头痛专家经常在72小时的诊断标记之前开始SM治疗.
- 用家庭药物进行门诊治疗是主要的策略.
- 皮质类固醇,NSAIDs,神经乱药,三药和DHE是家庭SM管理的主要治疗方法.
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