轻度及中度偏头痛有什么常见的治疗方案？及注意事项。

<hr/><p style="text-align: center;"><iframe frameborder="0" src="https://v.qq.com/txp/iframe/player.html?vid=m3509gni8eh" allowfullscreen="true" width="360" height="230" scrolling="no" align=""></iframe></p><hr/><p></p><p class="p1" 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-variant-position: normal; font-stretch: normal; font-size: 15px; line-height: normal; font-family: &quot;PingFang SC&quot;; color: rgb(15, 15, 15); text-wrap: wrap;">在偏头痛发作时，我们通常首选使用非处方药。它在一定程度上可以解决大部分患者的问题，但是任何药物都是双刃剑，我们必须了解它们的风险。与其他偏头痛药物一样，非处方药的最佳使用时机是在偏头痛出现前驱症状阶段，而不是感到头痛时再服用。<br/></p><p class="p2" 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-variant-position: normal; font-stretch: normal; font-size: 15px; line-height: normal; font-family: &quot;Helvetica Neue&quot;; color: rgb(15, 15, 15); text-wrap: wrap;"><span class="s1" style="font-kerning: none;">===========================</span></p><p class="p1" 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-variant-position: normal; font-stretch: normal; font-size: 15px; line-height: normal; font-family: &quot;PingFang SC&quot;; color: rgb(15, 15, 15); text-wrap: wrap;"><span class="s1" style="font-kerning: none;">最常见的非处方偏头痛药物是对乙酰氨基酚和非甾体抗炎药（</span><span class="s2" style="font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;Helvetica Neue&quot;; font-kerning: none;">NSAIDs</span><span class="s1" style="font-kerning: none;">）。常见的</span><span class="s2" style="font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;Helvetica Neue&quot;; font-kerning: none;">NSAIDs</span><span class="s1" style="font-kerning: none;">包括布洛芬、阿司匹林和奈普生等。这些药物通过阻断特定酶来减轻疼痛和炎症反应，一般对轻至中度的偏头痛有效。它们有时也与处方药联用以增强疗效。</span></p><p class="p1" 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-variant-position: normal; font-stretch: normal; font-size: 15px; line-height: normal; font-family: &quot;PingFang SC&quot;; color: rgb(15, 15, 15); text-wrap: wrap;"><span class="s2" style="font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;Helvetica Neue&quot;; font-kerning: none;">NSAIDs</span><span class="s1" style="font-kerning: none;">的副作用一般包括胃肠不适、头晕、耳鸣和嗜睡。如果有胃溃疡、胃肠道出血、肾脏疾病或心血管疾病等，应谨慎使用。对乙酰氨基酚可用于缓解轻度到中度的偏头痛，副作用包括恶心、呕吐、失眠和头痛。在有肝病史的人中应谨慎使用。</span></p><p class="p2" 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-variant-position: normal; font-stretch: normal; font-size: 15px; line-height: normal; font-family: &quot;Helvetica Neue&quot;; color: rgb(15, 15, 15); text-wrap: wrap;"><span class="s1" style="font-kerning: none;">===========================</span></p><p class="p1" 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-variant-position: normal; font-stretch: normal; font-size: 15px; line-height: normal; font-family: &quot;PingFang SC&quot;; color: rgb(15, 15, 15); text-wrap: wrap;"><span class="s1" style="font-kerning: none;">还有一些复合型的非处方药和头痛药物，结合了阿司匹林、对乙酰氨基酚和咖啡因，可增强吸收效率，达到快速止痛的效果。副作用一般包括恶心、呕吐、焦虑或烦躁以及失眠。使用这些药物时应避免同时服用含有对乙酰氨基酚及其他</span><span class="s2" style="font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;Helvetica Neue&quot;; font-kerning: none;">NSAIDs</span><span class="s1" style="font-kerning: none;">的药物，同时要减少咖啡的饮用量。</span></p><p class="p2" 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-variant-position: normal; font-stretch: normal; font-size: 15px; line-height: normal; font-family: &quot;Helvetica Neue&quot;; color: rgb(15, 15, 15); text-wrap: wrap;"><span class="s1" style="font-kerning: none;">===========================</span></p><p class="p1" 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-variant-position: normal; font-stretch: normal; font-size: 15px; line-height: normal; font-family: &quot;PingFang SC&quot;; color: rgb(15, 15, 15); text-wrap: wrap;"><span class="s1" style="font-kerning: none;">不幸的是，频繁使用上述药物可能导致药物适应性头痛，也叫药物过量型头痛。这种头痛类型的发生有两种情况：</span></p><p class="p1" 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-variant-position: normal; font-stretch: normal; font-size: 15px; line-height: normal; font-family: &quot;PingFang SC&quot;; color: rgb(15, 15, 15); text-wrap: wrap;"><span class="s2" style="font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;Helvetica Neue&quot;; font-kerning: none;">1</span><span class="s1" style="font-kerning: none;">、任何一种</span><span class="s2" style="font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;Helvetica Neue&quot;; font-kerning: none;">NSAIDs</span><span class="s1" style="font-kerning: none;">或对乙酰氨基酚类药物每月使用超过</span><span class="s2" style="font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;Helvetica Neue&quot;; font-kerning: none;">15</span><span class="s1" style="font-kerning: none;">次，并持续至少</span><span class="s2" style="font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;Helvetica Neue&quot;; font-kerning: none;">3</span><span class="s1" style="font-kerning: none;">个月以上。</span></p><p class="p1" 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-variant-position: normal; font-stretch: normal; font-size: 15px; line-height: normal; font-family: &quot;PingFang SC&quot;; color: rgb(15, 15, 15); text-wrap: wrap;"><span class="s2" style="font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;Helvetica Neue&quot;; font-kerning: none;">2</span><span class="s1" style="font-kerning: none;">、如果是阿司匹林、对乙酰氨基酚和咖啡因复合型药物每月使用超过</span><span class="s2" style="font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;Helvetica Neue&quot;; font-kerning: none;">10</span><span class="s1" style="font-kerning: none;">次，持续使用</span><span class="s2" style="font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;Helvetica Neue&quot;; font-kerning: none;">3</span><span class="s1" style="font-kerning: none;">个月以上。</span></p><p class="p2" 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-variant-position: normal; font-stretch: normal; font-size: 15px; line-height: normal; font-family: &quot;Helvetica Neue&quot;; color: rgb(15, 15, 15); text-wrap: wrap;"><span class="s1" style="font-kerning: none;">===========================</span></p><p class="p1" 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-variant-position: normal; font-stretch: normal; font-size: 15px; line-height: normal; font-family: &quot;PingFang SC&quot;; color: rgb(15, 15, 15); text-wrap: wrap;"><span class="s1" style="font-kerning: none;">非处方药的优势明显，它容易获得且价格便宜。请注意，如果你一周内多次使用非处方药，建议去咨询医生，了解降低偏头痛发作频率的治疗方案，以及防止产生药物过量的措施。这并不难，你可以在我们帐号</span><span class="s2" style="font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;Helvetica Neue&quot;; font-kerning: none;">“</span><span class="s1" style="font-kerning: none;">偏头痛社区</span><span class="s2" style="font-variant-numeric: normal; font-variant-east-asian: normal; font-variant-alternates: normal; font-variant-position: normal; font-optical-sizing: auto; font-feature-settings: normal; font-variation-settings: normal; font-stretch: normal; line-height: normal; font-family: &quot;Helvetica Neue&quot;; font-kerning: none;">”</span><span class="s1" style="font-kerning: none;">的知乎或小红书主页搜索之前发表的笔记《偏头痛用药法则，三药轮换》和视频《偏头痛到天天吃药，你可能是药物适应性头痛》。</span></p><p><br/></p>