中国头痛门诊建设专家共识

doi:10.3969/j.issn.1673-5765.2024.07.014

摘要/Abstract

摘要： 原发性头痛是具有高致残性的神经系统常见疾病，给患者个人、家庭及社会造成了巨大负担。目前我国的原发性头痛建设体系尚不规范，因此，在国家神经系统疾病医疗质量控制中心的指导下，国家神经系统疾病医疗质量控制中心头痛规范化建设工作委员会于2021年制定和颁布了《中国头痛门诊建设规范》。近3年来，广大医务工作者对头痛认识逐渐深入，对中国头痛门诊的规范化建设提出了更高的要求。在此背景下，我们对《中国头痛门诊建设规范》进行了全面的更新，形成了《中国头痛门诊建设专家共识》，以进一步规范我国的头痛门诊建设。

关键词: 头痛; 门诊; 管理规范

Abstract:

Primary headache is a common disease of the nervous system characterized by high disability, imposing a heavy burden on affected individuals, families, and society. Currently, the construction system of primary headaches in China is not standardized. Therefore, under the guidance of the National Center for Healthcare Quality Management in Neurological Diseases, the Headache Standardization Construction Working Committee of the National Center for Healthcare Quality Management in Neurological Diseases formulated and promulgated the The Standardization of Headache Outpatient Construction in China in 2021. Over the past three years, most medical workers have gained a deeper understanding of headaches, leading to higher demands for the standardization construction of headache outpatient in China. In this context, we have extensively revised the previous edition of The Standardization of Headache Outpatient Construction in China and formulated the Chinese Expert Consensus on the Standardization Construction of Headache Outpatient to further standardize the construction of headache outpatient in China.

Key words: Headache; Outpatient; Management standard

中图分类号:

中国卒中学会头痛分会, 中华医学会神经病学分会头痛协作组.

中国头痛门诊建设专家共识 [J]. 中国卒中杂志, 2024, 19(7): 822-832.

Chinese Stroke Association Headache Society, Headache Group of Chinese Society of Neurology.

Chinese Expert Consensus on the Standardization Construction of Headache Outpatient [J]. Chinese Journal of Stroke, 2024, 19(7): 822-832.

参考文献

[1] STOVNER L J，HAGEN K，JENSEN R，et al. The global burden of headache：a documentation of headache prevalence and disability worldwide[J]. Cephalalgia，2007，27（3）：193-210.

[2] STEINER T J，STOVNER L J，JENSEN R，et al. Migraine remains second among the world’s causes of disability，and first among young women：findings from GBD 2019[J/OL]. J Headache Pain，2020，21（1）：137[2024-03-01]. https://doi.org/10.1186/s10194-020-01208-0.

[3] DAVIES P. Medication overuse headache：a silent pandemic[J]. Pain，2012，153（1）：7-8.

[4] STEINER T J，JENSEN R，KATSARAVA Z，et al. Aids to management of headache disorders in primary care（2nd edition）：on behalf of the European Headache Federation and Lifting the Burden：the global campaign against headache[J/OL]. J Headache Pain，2019，20（1）：57[2024-03-01]. https://doi.org/10.1186/s10194-018-0899-2.

[5] ROBBINS M S，VICTORIO M C，BAILEY M，et al. Quality improvement in neurology：headache quality measurement set[J]. Neurology，2020，95（19）：866-873.

[6] ROSS S，WALL E，SCHIERMAN B，et al. Quality improvement in neurology：primary headache quality measures[J]. Neurology，2015，84（2）：200-203.

[7] SCHRAMM S，ULUDUZ D，GOUVEIA R G，et al. Headache service quality：evaluation of quality indicators in 14 specialist-care centres[J/OL]. J Headache Pain，2016，17（1）：111[2024-03-01]. https://doi.org/10.1186/s10194-016-0707-9.

[8] STEINER T J，GÖBEL H，JENSEN R，et al. Headache service quality：the role of specialized headache centres within structured headache services，and suggested standards and criteria as centres of excellence[J/OL]. J Headache Pain，2019，20（1）：24[2024-03-01]. https://doi.org/10.1186/s10194-019-0970-7.

[9] Headache Classification Committee of the International Headache Society（IHS）. The international classification of headache disorders，3rd edition[J]. Cephalalgia，2018，38（1）：1-211.

[10] British Association for the Study of Headache. Guidelines for all healthcare professionals in the diagnosis and management of migraine，tension-type，cluster and medication-overuse headache[EB/OL].（2010-09-08）[2024-04-10]. https://ihs-headache.org/wp-content/uploads/2020/06/1855_bash-management-guidelines-2010.pdf.

[11] EIGENBRODT A K, ASHINA H, KHAN S，et al. Diagnosis and management of migraine in ten steps[J]. Nat Rev Neurol，2021，17（6）：501-514.

[12] 国家神经系统疾病质量控制中心头痛规范化建设工作委员会. 中国头痛门诊建设规范[J]. 中国卒中杂志，2021，16（2）：187-193.

Headache Quality Management Committee，National Center for Healthcare Quality Management in Neurological Diseases. The standardization of headache outpatient construction in China[J]. Chin J Stroke，2021，16（2）：187-193.

[13] 中华医学会神经病学分会，中华医学会神经病学分会头痛协作组. 中国偏头痛诊断与治疗指南（中华医学会神经病学分会第一版）[J]. 中华神经科杂志，2023，56（6）：591-613.

Chinese Society of Neurology，Headache Group of Chinese Society of Neurology. Chinese practice guidelines for diagnosis and treatment of migraine（1st edition，Chinese Society of Neurology）[J]. Chin J Neurol，2023，56（6）：591-613.

[14] 中华医学会神经病学分会，中华医学会神经病学分会头痛协作组. 中国紧张型头痛诊断与治疗指南（中华医学会神经病学分会第一版）[J]. 中华神经科杂志，2023，56（6）：614-625.

Chinese Society of Neurology，Headache Group of Chinese Society of Neurology. Chinese practice guidelines for diagnosis and treatment of tension-type headache（1st edition，Chinese Society of Neurology）[J]. Chin J Neurol，2023，56（6）：614-625.

[15] 中华医学会神经病学分会，中华医学会神经病学分会头痛协作组. 中国丛集性头痛诊断与治疗指南（中华医学会神经病学分会第一版）[J]. 中华神经科杂志，2023，56（6）：626-636.

Chinese Society of Neurology，Headache Group of Chinese Society of Neurology. Chinese practice guidelines for diagnosis and treatment of cluster headache（1st edition，Chinese Society of Neurology）[J]. Chin J Neurol，2023，56（6）：626-636.

[16] LINDE K，STRENG A，JüRGENS S，et al. Acupuncture for patients with migraine：a randomized controlled trial[J]. JAMA，2005，293（17）：2118-2125.

[17] XU S B，YU L L，LUO X，et al. Manual acupuncture versus sham acupuncture and usual care for prophylaxis of episodic migraine without aura：multicentre，randomised clinical trial[J/OL]. BMJ，2020，368：m697[2024-03-01]. https://doi.org/10.1136/bmj.m697.

[18] 张忠胜，刘双凤. 养血清脑颗粒治疗紧张型头痛系统评价[J]. 中医药临床杂志，2017，29（9）：1458-1462.

ZHANG Z S，LIU S F. Systematic review of yangxue qingnao particles in treating tension-type headache[J]. Clinical Journal of Traditional Chinese Medicine，2017，29（9）：1458-1462.

[19] ROTHROCK J F. Headache diary[J]. Headache，2006，46（5）：831-832.

[20] STEINER T J，LIPTON R B. The headache-attributed lost time（HALT）indices：measures of burden for clinical management and population-based research[J/OL]. J Headache Pain，2018，19（1）：12[2024-03-01]. https://doi.org/10.1186/s10194-018-0837-3.