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首页> 外文期刊>Lancet Neurology >Tension-type headache: current research and clinical management.
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Tension-type headache: current research and clinical management.

机译：紧张型头痛：目前的研究和临床治疗。

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Tension-type headache (TTH) is the most common form of headache, and chronic tension-type headache (CTTH) is one of the most neglected and difficult types of headache to treat. The pathogenesis of TTH is multifactorial and varies between forms and individuals. Peripheral mechanisms (myofascial nociception) and central mechanisms (sensitisation and inadequate endogenous pain control) are intermingled: the former predominate in infrequent and frequent TTH, whereas the latter predominate in CTTH. Acute therapy is effective for episodes of TTH, whereas preventive treatment--which is indicated for frequent and chronic TTH--is, on average, not effective. For most patients with CTTH, the combination of drug therapies and non-drug therapies (such as relaxation and stress management techniques or physical therapies) is recommended. There is clearly an urgent need to improve the management of patients who are disabled by headache. This Review summarises the present knowledge on TTH and discusses some of its moreproblematic features.
机译：紧张型头痛（TTH）是最常见的头痛形式，而慢性紧张型头痛（CTTH）是最容易被忽视和治疗的头痛类型之一。 TTH的发病机制是多因素的，并且在形式和个体之间变化。周围机制（肌筋膜痛觉）和中枢机制（敏化和内源性疼痛控制不充分）混杂在一起：前者在少见和频繁的TTH中占优势，而后者在CTTH中占优势。急性疗法对TTH发作有效，而预防性疗法（针对频繁和慢性TTH的适应症）平均而言无效。对于大多数CTTH患者，建议将药物疗法和非药物疗法（例如放松和压力管理技术或物理疗法）结合使用。显然，迫切需要改善头痛致残患者的治疗。这篇综述总结了有关TTH的当前知识，并讨论了其一些更具问题性的功能。

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