临床医生应重视药物过量性头痛

Clinicians should pay attention to medication-overuse headache

药物过量性头痛是继发性头痛的亚型之一,常由偏头痛、紧张型头痛患者过量频繁应用对症治疗药物引起,各种用于治疗头痛的药物均可引起本病,含咖啡因的复方止痛剂可能是我国引起药物过量性头痛的最常见制剂,药物过量性头痛的治疗目标在于戒断过量应用的药物、减轻头痛和防止戒断后的复发,提高对本病的认识、加强患者教育,增强患者对治疗的依从性,合理应用预防原发性头痛的药物是达到预期目标的重要环节。

Medication-overuse headache（MOH） is one of the subtypes of secondary headache. It usually occurs on patients previously experiencing migraine or tension-type headache with symptomatic drugs overused frequently. Drugs for headaches can cause MOH. Compound analgesics containing caffeine may be the most common drugs in China. Proper instructions,careful education,compliance-enhancing and reasonable use of medication for preventing primary headache are necessary to withdraw the overused medication and thus to relive headaches and avoid relapse.