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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >Introduction to the Guideline, and General Principles of Acute Migraine Management
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Introduction to the Guideline, and General Principles of Acute Migraine Management

机译：指南简介和急性偏头痛治疗的一般原则

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Objectives: To provide an overview of the objectives and target population of the guideline, and to review the general principles of acute pharmacological migraine therapy. Methods: A general literature review and several consensus groups were used to formulate an expert consensus for the general use of acute migraine medications. Results: The objective of the guideline is to assist the physician in choosing an appropriate acute migraine medication for an individual with migraine, and thereby to reduce migraine-related disability. The target population includes adults with episodic migraine (patients with migraine headache < 15 days/month). This guideline is intended primarily for physicians who treat patients with migraine. Other health professionals may also find this guideline helpful. Acute migraine therapy should be considered for the great majority of patients with migraine. A specific acute medication is chosen based on evidence for efficacy, tolerability, migraine attack severity, patient preference, and on the presence of co-existing disorders. General principles of acute migraine therapy include that the response of a patient to any given medication cannot be predicted with certainty, and that treatment early in the attack is generally more effective than treatment later once the migraine attack is fully developed. A suitable treatment approach (stratified or stepped approaches) and drug formulation (injection, tablet, wafer, powdered formulation, or nasal spray) should be chosen based on patient clinical features. Excessively frequent use of acute medications (medication overuse) should be avoided. Two or more acute medications can be combined if necessary. Conclusions: This guideline provides evidence-based advice on the use of acute medications for migraine, and should provide useful guidance for acute migraine therapy to both health professionals and patients.
机译：目标：概述指南的目标和目标人群，并回顾急性药物偏头痛治疗的一般原则。方法：使用一般文献回顾和几个共识小组来制定关于急性偏头痛药物普遍使用的专家共识。结果：该指南的目的是帮助医生为偏头痛患者选择合适的急性偏头痛药物，从而减少与偏头痛相关的残疾。目标人群包括发作性偏头痛的成年人（偏头痛<15天/月的患者）。本指南主要适用于治疗偏头痛患者的医生。其他卫生专业人员也可能会发现此指南很有帮助。绝大多数偏头痛患者应考虑急性偏头痛治疗。根据疗效，耐受性，偏头痛发作的严重程度，患者的偏爱以及存在并存疾病的证据选择特定的急性药物。急性偏头痛治疗的一般原则包括不能确定地预测患者对任何给定药物的反应，并且一般在发作初期进行治疗要比偏头痛完全发作后进行的治疗更为有效。应根据患者的临床特征选择合适的治疗方法（分层或分步方法）和药物制剂（注射剂，片剂，威化饼，粉剂或鼻喷雾剂）。应避免过度使用急性药物（过度使用药物）。如有必要，可以合并两种或多种急性药物。结论：本指南为偏头痛急性药物的使用提供了循证医学建议，并应为卫生专业人员和患者提供急性偏头痛治疗的有用指导。

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