头痛和青少年:为什么如此多的失败在他们的管理
Giovanni Cucchiaro1, William Frye2
1Department of Anesthesiology, Johns Hopkins All Children's Hospital, 601 5Th Street South, St Petersburg, FL, 33701, USA. gcucchi1@jhmi.edu.
European journal of pediatrics
|December 3, 2024
概括
儿童和青少年的慢性头痛往往是复杂疼痛综合征的信号. 超越标准药物治疗的整体方法对于有效的管理和改善结果至关重要.
科学领域:
- 儿科疼痛管理 儿科疼痛管理
- 神经学 神经学
- 精神病学是一个精神病学.
背景情况:
- 头痛是一种高度残疾的疾病,影响多达58%的儿童和青少年.
- 传统的药理疗法在患有慢性头痛的年轻患者中经常被证明是无效的.
- 慢性头痛与儿科患者心理病理之间的相互作用需要进一步研究.
研究的目的:
- 为了调查儿科患者慢性头痛的潜在原因,请转诊到疼痛诊所.
- 评估传统药理管理的有效性与更全面的方法相比.
- 确定伴随性疾病和导致青少年慢性头痛病例的因素.
主要方法:
- 在2023年4月至2024年4月期间接受治疗的31名患有慢性头痛的儿科患者的回顾性评估.
- 分析患者病史,包括头痛持续时间,疼痛类型,处方药物和精神病诊断.
- 对治疗结果和干预后患者随访率的评估.
主要成果:
- 大多数患者 (73%) 是女性,头痛平均持续52个月.
- 观察到伴随性疾病的高患病率,包括其他疼痛状况 (94%) 和精神疾病 (71%).
- 传统的治疗方法,包括多药 (平均4.5种药物),表现出有限的成功; 61%的人接受了神经阻塞等新疗法,47%的人报告改善.
结论:
- 儿童慢性头痛经常是复杂多因素疼痛综合征的表现.
- 综合性,整体的方法,整合疼痛管理和精神病支持是必不可少的.
- 传统的药理学策略本身往往是不够的,需要替代或辅助的治疗方式.
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