新发每日持续性头痛 - 偏头痛社区

<hr/> <iframe frameborder="0" src="https://v.qq.com/txp/iframe/player.html?vid=z3506igp89v" allowfullscreen="true" width="360" height="230" scrolling="yes" align=" "></iframe> <hr/> <p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "PingFang SC"; white-space: normal; text-indent: 2em; text-align: left;"> 新发每日持续性头痛是一种慢性头痛，通过名称我们可以得知其症状。 <p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "PingFang SC"; white-space: normal; text-indent: 2em; text-align: left;"> 新发：头痛似乎无处不在，大多数患者都能够准确地记住疼痛开始的时间。 <p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "PingFang SC"; white-space: normal; text-indent: 2em; text-align: left;"> 每天：每天都会头痛，无一例外。 <p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "PingFang SC"; white-space: normal; text-indent: 2em; text-align: left;"> 持续性：尽管疼痛强度可能会有变化，但除睡觉时间外，患者会一直感到头痛，并且这种情况至少持续三个月以个。 <p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "PingFang SC"; white-space: normal; text-indent: 2em; text-align: left;"> 虽然一次头痛会持续多长时间目前尚无定论，但一些资料表明，这个平均时间是两年。 <p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "PingFang SC"; white-space: normal; text-indent: 2em; text-align: left;"> 头痛：患者的主诉症状是头部疼痛，通常被描述为轻度至重度、紧绷或压迫性疼痛，也可能是灼烧感，疼痛感或刺痛感。 <p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "PingFang SC"; white-space: normal; text-indent: 2em; text-align: left;"> 头痛可能是间歇性的，也可能是持续的，并且经常会因体力活动而加重。 <p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "PingFang SC"; white-space: normal; text-indent: 2em; text-align: left;"> 有些人可能会有类似偏头痛的症状，如恶心、畏光、畏声等，但最显著的症状是持续不间断的头痛。 <p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "PingFang SC"; white-space: normal; text-indent: 2em; text-align: left;"> 新发每日持续性头痛通常根据症状情况，并排除掉其他头痛类型后进行诊断。 <p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "PingFang SC"; white-space: normal; text-indent: 2em; text-align: left;"> 应排除的其他病因如：硬膜下血肿、脑脊髓液渗漏、脑膜炎或颅内压异常。医生可能会安排作<span style="font-size: 18px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: "Helvetica Neue";">MRI或<span style="font-size: 18px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: "Helvetica Neue";">CT，在某些情况下还可能进行腰椎穿刺手术。 <p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "PingFang SC"; white-space: normal; text-indent: 2em; text-align: left;"> 新发每日持续性头痛常被误诊为慢性偏头痛、或药物过量性头痛。其最常见病因被认为是由于压力性生活事件、病毒、手术或头部创伤等引起，它一般在20至30多岁的女性中发生，但并不排除男性也会有。 <p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "PingFang SC"; white-space: normal; text-indent: 2em; text-align: left;"> 偏头痛药物可以用于治疗新发每日持续性头痛。曲普坦通常用于紧急中断治疗，抗抑郁药和抗惊厥药常作为预防性治疗药物。其他治疗方式可能包括神经阻滞术、输注氯胺酮或类固醇、以及注射肉毒杆菌毒菌<span style="font-size: 18px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: "Helvetica Neue";">A。 <p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "PingFang SC"; white-space: normal; text-indent: 2em; text-align: left;"> 通常建议患者进行多项联合治疗，包括服用药物和各种辅助疗法，如针灸、生物反馈仪和按摩等。 <p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "PingFang SC"; white-space: normal; text-indent: 2em; text-align: left;"> 建议由头痛医生和心理医生联合治疗，这对治疗新发日常持续性头痛很有帮助。 <p style="margin-top: 0px; margin-bottom: 0px; font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-kerning: auto; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; font-size: 13px; line-height: normal; font-family: "PingFang SC"; white-space: normal; text-indent: 2em; text-align: left;"> 心理医生可以帮助通过各种技巧，处理慢性疼痛带来的情绪和心理问题，特别是因为焦虑和抑郁导致的各种精神问题，这是新发每日持续性头痛的患者普遍存在的问题。