PDF(Pubmed)
Abstract：
Migraine is a highly prevalent disorder with an enormous burden on societies. Different types of medications are used for controlling both acute attacks and prevention. This article reviews some non-pharmacological recommendations aiming to manage migraine disorder better and prevent headache attacks. Different triggers of migraine headache attacks, including environmental factors, sleep pattern changes, diet, physical activity, stress and anxiety, some medications, and hormonal changes, are discussed. It is advised that they be identified and managed. Patients should learn the skills to cope with the trigger factors that are difficult to avoid. In addition, weight control, management of migraine comorbidities, lifestyle modification, behavioural treatment and biofeedback, patient education, using headache diaries, and improving patients\' knowledge about the disease are recommended to be parts of migraine management. In addition, using neuromodulation techniques, dietary supplements such as riboflavin, coenzyme Q10 and magnesium, and acupuncture can be helpful. Non-pharmacological approaches should be considered in migraine management. Furthermore, the combination of pharmacological and non-pharmacological approaches is more effective than using each separately.
摘要：
偏头痛是一种非常普遍的疾病，给社会带来了巨大的负担。不同类型的药物用于控制急性发作和预防。本文回顾了一些非药物建议，旨在更好地控制偏头痛并预防头痛发作。偏头痛发作的不同诱因，包括环境因素，睡眠模式的变化，饮食，身体活动,压力和焦虑，一些药物,和荷尔蒙的变化，正在讨论。建议对其进行识别和管理。患者应学习应对难以避免的触发因素的技能。此外,控制体重,偏头痛合并症的管理，改变生活方式,行为治疗和生物反馈，患者教育,用头痛日记，和提高患者对疾病的知识建议偏头痛管理的一部分。此外,使用神经调节技术，膳食补充剂，如核黄素，辅酶Q10和镁，和针灸可以是有益的。在偏头痛治疗中应考虑非药理学方法。此外，药理学和非药理学方法的组合比单独使用更有效。
