Рецепт. 2018; : 807-815
Профилактическое лечение хронической головной боли напряжения и хронической мигрени
Аннотация
Профилактическая терапия головной боли (ГБ) направлена на снижение частоты, длительности и тяжести приступов и показана пациентам с хронической формой головной боли напряжения (ХГБН) и хронической мигренью (ХМ), а также в случаях, когда пациент сам желает получать превентивную терапию для восстановления качества жизни. Цель работы заключается в сравнительной оценке эффективности 2 различных превентивных стратегий с использованием монотерапии амитриптилином и амитриптилина в сочетании с мягкими техниками мануальной терапии. Обследовано 35 пациентов: 24 человека с ХГБН (группа 1) и 11 с ХМ (группа 2). Пациенты обеих групп методом случайной выборки были разделены на подгруппы (подгруппы 1а, 1б, 2а и 2б), пациенты подгрупп 1б и 2б в начале превентивной терапии дополнительно получали лечение с использованием мягких техник мануальной терапии. Клини- ко-неврологическое и психометрическое обследование проводилось до и после профилактического лечения. Под влиянием обеих терапевтических стратегий отмечалась достоверная позитивная динамика в виде редукции алгического синдрома, уменьшения выраженности и частоты приступов ГБ, коморбидных нарушений, нормализовалось эмоциональное состояние пациентов. Только комплексная терапия амитриптилином в сочетании с мягкими техниками мануальной терапии привела к полному нивелированию болезненности перикраниальных мышц.
Список литературы
1. Osipova V.V., Tabeeva G.R. (2007) Pervichnie golovnie boli [Primary headaches]. Moskva: OOO “PAGRI-Print”. (in Russian)
2. Ahmadeeva L.R., Azimova Yu.E., Karakulova Yu.V. (2016) Klinicheskie rekomendatsii po diagnostike i lecheniyu golovnoi boli napryazheniya [Clinical guidelines for the diagnosis and treatment of tension headaches]. Russkii meditsinskii zhurnal, no 7, pp. 411-419.
3. Wiendels N.J., Knuistingh Neven A., Rosendaal F.R. (2006) Chronic frequent headache in the general population: prevalence and associated factors. Cephalalgia, vol. 26, no 12, pp.1434-1442.
4. Facchinetti F., Allais G., Nappi R.E., Gabellari I.C., Di Renzo G.C. (2010) Sumatriptan (50 mg tablets vs. 25 mg suppositories) in the acute treatment of menstrually related migraine and oral contraceptive-induced menstrual migraine: a pilot study. Gynecol Endocrinol., vol.26, no 10, pp. 773-779.
5. World Health Organization (WHO) (2016). Headache disorders. WHO fact sheet 277.
6. Stovner L.J., Hagen K., Jensen R., Katsarava Z., Lipton R., Scher A.I. Steiner T.J., Zwart J.-A. (2007) The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia, vol. 27, no 3, pp. 193-210.
7. Guitera V., Munoz P., Castillo J., Pascual J. (2002) Quality of life in chronic daily headache: A study in a general population. Neurology, vol. 58, no 7, pp. 1062-1065.
8. Leonardi M., Steiner T.J., Scher A.T., Lipton R.B. (2005) The Global Burden of migraine: measuring disability in headache disorders with WHO; Classification of Functioning Disability and Health (ICF). J headache Pain, vol. 6, no 6, pp. 429-440.
9. Spirin N.N., Kasatkin D.S. (2015) Sovremennie podhodi k diagnostike i lecheniyu hronicheskoi ezhednevnoi golovnoi boli [Modern approaches to the diagnosis and treatment of chronic daily headache]. Russkii meditsinskii zhurnal, no 24, pp.1459-1462.
10. Silberstein SD. (2004) Migraine. Lancet; vol. 363, no 9406, pp. 381-391.
11. Jackson JL, Shimeall W, Sessums L, Dezee KJ, Becher D, Diemer M, et al. (2010) Tricyclic antidepressants and headaches: systematic review and meta-analysis. BMJ, vol.341, p 5222. doi: 10.1136/bmj.c5222
12. Pringsheim T, Davenport W, Mackie G, et al. (2012) Canadian Headache Society guideline for migraine prophylaxis. Can J Neurol Sci, vol. 39, (2 suppl 2), pp. 1-59.
13. Bendtsen L, Jensen R. (2000) Amitriptyline reduces myofascial tenderness in patients with chronic tension-type headache. Cephalalgia, vol. 20, no 6, pp. 603-610.
14. Biondi DM. (2005) Physical treatments for headache: a structured review. Headache, vol. 45, no 6, pp. 738-746.
15. Verdu B. Decosterd I., Buclin T., et al. (2008) Antidepressants for the treatment of chronic pain.
16. Drugs, vol. 68, no 18, pp. 2611-2632.
17. McQuay H.J., Carroll D., Glynn C.J., McQuay H.J. (1993) Dose-response for analgesic effect of amitriptyline in chronic pain. Anaesthesia, vol. 48, no 4, pp. 281-285.
18. Danilov A.B. (2012) Diagnostika i lechenie fibromialgii [Diagnosis and treatment of fibromyalgia].
19. Lechaschii Vrach, no 5, pp. 30-34.
20. Travell J.G., Simons J.G. (1983) Myofascial Pain and Dysfunction: The Trigger Point Manual, Baltimore/London: Williams&Wilkins.
21. Breivik H., Borchgrevink C., Allen S.M. et al. (2008) Assessment of pain. Br. J. Anaesth, vol. 101, no 1, pp. 17-24.
22. Melzack R. (1975) The McGill Pain Questionnaire: major properties and scoring methods. Pain, vol. 1, no 3, pp. 277-299.
23. Kuz’menko V.V., Fokin V.A., Sokov E.L. (1986) Psihologicheskie metodi kolichestvennoi otsenki boli [Psychological methods for quantifying pain]. Sov. Meditsina, no 10, pp. 44-48.
24. Raigorodskii D.Ya. (2004) Prakticheskaya psihodiagnostika [Practical psychodiagnostics]. Moskva: Bahrah. (in Russian)
25. Hanin Yu.L. (1978) Issledovanie trevogi v sporte [Research of anxiety in sports] Voprosi Psihologii, no 6, pp.72-75.
26. Beck A.T., Ward C.H., Mendelson M., et al. (1961) An inventory for measuring depression. Arch Gen Psychiatry, vol. 4, pp. 561-571.
27. Vein A.M., Eligulashvili T.S., Poluektov M.G. (2002) Sindrom apnoe vo sne i drugie rasstroistva dihaniya, svyazannie so snom: klinika, diagnostika, lechenie [Sleep apnea syndrome and other respiratory disorders associated with sleep: clinic, diagnosis, treatment]. Moskva: Eidos Media. (in Russian)
Recipe. 2018; : 807-815
Prophylactic treatment for chronic tension-type headache and chronic migraine
Abstract
References
1. Osipova V.V., Tabeeva G.R. (2007) Pervichnie golovnie boli [Primary headaches]. Moskva: OOO “PAGRI-Print”. (in Russian)
2. Ahmadeeva L.R., Azimova Yu.E., Karakulova Yu.V. (2016) Klinicheskie rekomendatsii po diagnostike i lecheniyu golovnoi boli napryazheniya [Clinical guidelines for the diagnosis and treatment of tension headaches]. Russkii meditsinskii zhurnal, no 7, pp. 411-419.
3. Wiendels N.J., Knuistingh Neven A., Rosendaal F.R. (2006) Chronic frequent headache in the general population: prevalence and associated factors. Cephalalgia, vol. 26, no 12, pp.1434-1442.
4. Facchinetti F., Allais G., Nappi R.E., Gabellari I.C., Di Renzo G.C. (2010) Sumatriptan (50 mg tablets vs. 25 mg suppositories) in the acute treatment of menstrually related migraine and oral contraceptive-induced menstrual migraine: a pilot study. Gynecol Endocrinol., vol.26, no 10, pp. 773-779.
5. World Health Organization (WHO) (2016). Headache disorders. WHO fact sheet 277.
6. Stovner L.J., Hagen K., Jensen R., Katsarava Z., Lipton R., Scher A.I. Steiner T.J., Zwart J.-A. (2007) The global burden of headache: a documentation of headache prevalence and disability worldwide. Cephalalgia, vol. 27, no 3, pp. 193-210.
7. Guitera V., Munoz P., Castillo J., Pascual J. (2002) Quality of life in chronic daily headache: A study in a general population. Neurology, vol. 58, no 7, pp. 1062-1065.
8. Leonardi M., Steiner T.J., Scher A.T., Lipton R.B. (2005) The Global Burden of migraine: measuring disability in headache disorders with WHO; Classification of Functioning Disability and Health (ICF). J headache Pain, vol. 6, no 6, pp. 429-440.
9. Spirin N.N., Kasatkin D.S. (2015) Sovremennie podhodi k diagnostike i lecheniyu hronicheskoi ezhednevnoi golovnoi boli [Modern approaches to the diagnosis and treatment of chronic daily headache]. Russkii meditsinskii zhurnal, no 24, pp.1459-1462.
10. Silberstein SD. (2004) Migraine. Lancet; vol. 363, no 9406, pp. 381-391.
11. Jackson JL, Shimeall W, Sessums L, Dezee KJ, Becher D, Diemer M, et al. (2010) Tricyclic antidepressants and headaches: systematic review and meta-analysis. BMJ, vol.341, p 5222. doi: 10.1136/bmj.c5222
12. Pringsheim T, Davenport W, Mackie G, et al. (2012) Canadian Headache Society guideline for migraine prophylaxis. Can J Neurol Sci, vol. 39, (2 suppl 2), pp. 1-59.
13. Bendtsen L, Jensen R. (2000) Amitriptyline reduces myofascial tenderness in patients with chronic tension-type headache. Cephalalgia, vol. 20, no 6, pp. 603-610.
14. Biondi DM. (2005) Physical treatments for headache: a structured review. Headache, vol. 45, no 6, pp. 738-746.
15. Verdu B. Decosterd I., Buclin T., et al. (2008) Antidepressants for the treatment of chronic pain.
16. Drugs, vol. 68, no 18, pp. 2611-2632.
17. McQuay H.J., Carroll D., Glynn C.J., McQuay H.J. (1993) Dose-response for analgesic effect of amitriptyline in chronic pain. Anaesthesia, vol. 48, no 4, pp. 281-285.
18. Danilov A.B. (2012) Diagnostika i lechenie fibromialgii [Diagnosis and treatment of fibromyalgia].
19. Lechaschii Vrach, no 5, pp. 30-34.
20. Travell J.G., Simons J.G. (1983) Myofascial Pain and Dysfunction: The Trigger Point Manual, Baltimore/London: Williams&Wilkins.
21. Breivik H., Borchgrevink C., Allen S.M. et al. (2008) Assessment of pain. Br. J. Anaesth, vol. 101, no 1, pp. 17-24.
22. Melzack R. (1975) The McGill Pain Questionnaire: major properties and scoring methods. Pain, vol. 1, no 3, pp. 277-299.
23. Kuz’menko V.V., Fokin V.A., Sokov E.L. (1986) Psihologicheskie metodi kolichestvennoi otsenki boli [Psychological methods for quantifying pain]. Sov. Meditsina, no 10, pp. 44-48.
24. Raigorodskii D.Ya. (2004) Prakticheskaya psihodiagnostika [Practical psychodiagnostics]. Moskva: Bahrah. (in Russian)
25. Hanin Yu.L. (1978) Issledovanie trevogi v sporte [Research of anxiety in sports] Voprosi Psihologii, no 6, pp.72-75.
26. Beck A.T., Ward C.H., Mendelson M., et al. (1961) An inventory for measuring depression. Arch Gen Psychiatry, vol. 4, pp. 561-571.
27. Vein A.M., Eligulashvili T.S., Poluektov M.G. (2002) Sindrom apnoe vo sne i drugie rasstroistva dihaniya, svyazannie so snom: klinika, diagnostika, lechenie [Sleep apnea syndrome and other respiratory disorders associated with sleep: clinic, diagnosis, treatment]. Moskva: Eidos Media. (in Russian)
