Treatment of primary headache in children: a multicenter hospital-based study in France.

Treatment of primary headache in children: a multicenter hospital-based study in France.
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DOI:
10.1007/s10194-009-0158-7
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发表时间:
2009-12
影响因子:
7.4
通讯作者:
Vallee, Louis
Vallee, Louis
中科院分区:
医学1区
文献类型:
--
作者:
Cuvellier, Jean-Christophe;Donnet, Anne;Guegan-Massardier, Evelyne;Nachit-Ouinekh, Fatima;Parain, Dominique;Vallee, Louis

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这项为期6个月、前瞻性、多中心研究的目的是收集398例儿童和青少年原发性头痛在神经儿科治疗的数据。治疗前后进行比较。在咨询前,最常处方的急性治疗是扑热息痛(82.2%的儿童)和非甾体抗炎药治疗(53.5%); 10.3%的儿童接受了预防性治疗。急性或预防性治疗在头痛诊断方面没有差异。在神经儿科会诊后,大约四分之三的病例用非甾体抗炎药代替扑热息痛,大约四分之一的病例用曲坦代替。在转诊前和转诊之间,接受预防性治疗的儿童人数几乎翻了一番,而接受心理治疗和放松训练的人数分别增加了5倍和23倍。我们的结论是,具体的治疗未充分用于原发性头痛。
The aim of this 6-month, prospective, multicenter study of 398 children and adolescents with primary headaches was to collect data on headache treatment in neuropediatric departments. Treatments were compared before and after consultation. Prior to consultation, the acute treatments that had been prescribed most frequently were paracetamol (82.2% of children) and non-steroidal anti-inflammatory drugs treatment (53.5%); 10.3% had received a prophylactic treatment. No differences in either acute or prophylactic treatment with respect to headache diagnosis were observed. After the neuropediatric consultation, paracetamol was replaced by a non-steroidal anti-inflammatory drug in about three-quarters of cases and by triptan in about one-quarter of cases. The number of children prescribed a prophylactic treatment nearly doubled, whereas there was a 5-fold and 23-fold increase in psychotherapy and relaxation training, respectively, between pre-referral and referral. We conclude that specific treatments were underused for primary headache.
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