国际头痛疾病分类(ICHD-3)第三版将药物过度使用头痛(MOH)定义为当一个人经常过度使用急性或有症状的头痛药物(10或更多,或每月15天或更长时间,取决于药物)超过3个月的时间。即使它可能不像实际那样频繁地被报道,它平均影响约5%的普通人群。它通常发生在反复使用抗疼痛药物治疗预先存在的头痛疾病之后,比如偏头痛。对于除治疗头痛以外的已有头痛疾病的患者,也可以经常使用止痛药。如心理药物依恋。卫生部与许多疾病有关,比如焦虑,抑郁症,强迫症(OCD)。简单和复杂类型都是可能的。此外,关于如何治疗卫生部没有普遍的共识,但停药是最好的办法.使用医学主题词“药物过度使用头痛,\"\"偏头痛头痛,\"\"紧张的头痛,\"\"头痛的年历,\"和\"抗疼痛,“在PubMed上进行了全语言文献检索,谷歌学者,和Medline直到2023年3月。我们调查了流行病学,危险因素,病理生理学,临床特征,合并症,诊断,管理,和文献中MOH的预防措施。本文重点介绍了卫生部的研究主题。
The third edition of the International Classification of Headache Disorders (ICHD-3) defines medication-overuse headache (MOH) as a headache that develops when a person regularly uses acute or symptomatic headache medications excessively (10 or more, or 15 or more days per month, depending on the medication) for a period of time longer than 3 months. Even though it may not be reported as frequently as it actually is, it affects about 5% of the general population on average. It typically happens following repeated anti-pain medication use for pre-existing headache disorders, such as migraines. Anti-pains can also be used frequently in patients with pre-existing headache disorders for reasons other than treating headaches, such as psychological drug attachment. MOH is linked to a number of illnesses, such as anxiety, depression, and obsessive compulsive disorder (OCD). Both simple and complex types are possible. Additionally, there is no universal consensus on how to treat MOH, but drug discontinuation is the best course of action. Using the medical subject headings \"Medication Overuse Headache,\" \"Migraine Headache,\" \"Tension Headache,\" \"Chronification of Headache,\" and \"Antipains,\" an all-language literature search was done on PubMed, Google Scholar, and Medline up until March 2023. We looked into the epidemiology, risk factors, pathophysiology, clinical characteristics, comorbidities, diagnosis, management, and preventative measures of MOH in the literature. This article focuses on the MOH research themes.