Migraine. II. Treatment.
Migraine. II. Treatment.
复制标题
偏头痛。
DOI：
10.1001/jama.1978.03280500076031
复制
发表时间：
1978
期刊：
影响因子：
--
通讯作者：
J. Saper
中科院分区：
文献类型：
--
作者：
J. Saper
在治疗慢性头痛患者时，最有用的治疗工具是在医生和患者之间建立信任关系。医生必须对病人的痛苦表现出真正的兴趣，给病人足够的时间来讨论他的症状，以及促进症状或因症状而产生的社会和情感中断。由于头痛患者往往是焦虑和恐惧，诊断和治疗方法的充分解释可以帮助减轻不适当的恐惧。必须避免毫无根据或过早地强调情绪因素是头痛的原因，以免它鼓励对医生的防御姿态，并阻止成功治疗所需的信心的发展。偏头痛可以被看作是一种遗传决定的生理倾向，受到各种各样的情绪，生物和体质因素的影响，
THE MOST useful therapeutic tool in the treatment of a patient with chronic headache is the establishment of a trusting relationship between physician and patient. The physician must convey a genuine interest in the patient's distress, giving the patient ample time to discuss his symptoms and the social and emotional disruptions that either promote the symptoms or arise as a result of them. Because the headache sufferer is often anxious and frightened, a full explanation of the diagnostic and treatment approach can help allay inappropriate fear. Unfounded or premature emphasis on emotional factors as a cause of the headaches must be avoided, lest it encourage a defensive posture toward the physician and prevent the development of the confidence necessary for successful treatment. NONMEDICAL TREATMENT Isolating Triggering Factors Migraine can be viewed as a genetically determined physiologic predisposition that is influenced by a wide variety of emotional, biological, and constitutional factors,