紧张型头痛与焦虑抑郁的关联机制及临床管理进展综述
Journal: Basic Medical Theory Research DOI: 10.32629/bmtr.v8i1.18596
Abstract
紧张型头痛(tension-type headache,TTH)是最常见的原发性头痛,严重影响患者的生活质量和心理健康。TTH患者中焦虑、抑郁的共病现象很常见,两者间存在复杂的双向交互影响机制。本文系统回顾了紧张型头痛与焦虑抑郁的流行病学特征、病理生理机制、临床表现及其彼此间的相互作用,分析了神经炎症、中枢敏化、人格特质与社会心理因素在这些关系中的效应。结合最新的临床研究,评述了合并焦虑抑郁的TTH患者的具体综合治疗策略,包括药物治疗、心理辅导以及非药物的治疗方法。借助对现有文献的分析总结,为临床诊疗提供理论依据与实践操作指引,从而促进TTH患者的整体管理及预后提升。
Keywords
紧张型头痛；焦虑抑郁；共病机制；治疗
Funding
课题基金号:SYKY2023020。
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[4] PORST M,WENGLER A,LEDDIN J,et al.Migraine and tension -type headache in Germany. Prevalence and disease severity from the BURDEN 2020 Burden of Disease Study [J]. Journal of health monitoring,2020,5(Suppl 6):2-24.
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[8] LYU Z,GUO Y,GONG Y,et al.The Role of Neuroglial Crosst alk and Synaptic Plasticity-Mediated Central Sensitization in Acupuncture Analgesia[J].Neural plasticity,2021,2021:888 1557.
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[12] SALMAN İ B,SERTEL BERK H.[Cognitive behavioral th erapy for tension-type headache: a case report][J].Agri : Agri (Algoloji) Dernegi'nin Yayin organidir=The journal of the Turkish Society of Algology,2017,29(4):177-84.
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[15] HASHEMI A,NAMI M T,OGHABIAN M A,et al.Etiopathophysi ological assessment of cases with chronic daily headache: A functional magnetic resonance imaging included investigation [J].Iranian journal of neurology,2012,11(4):127-34.
[16] LENAERTS M E.Post-traumatic headache:from classifi cation challenges to biological underpinnings[J]. Cephalalgia :an international journal of headache,2008,28 Suppl1:12-5.
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