medalphabetМедицинский алфавитMedical alphabet2078-56312949-2807ООО «Альфмед»10.33667/2078-5631-2020-11-5-9medalphabet-1536Research ArticleСтатьиГоловная боль напряжения как самый частый и нередко ошибочный диагнозTension-type headache as most frequent and often erroneous diagnosisФилатоваЕ. Г.FilatovaE. G.

д. м. н., проф.

Кафедра нервных болезней Института профессионального образования

г. Москва

Moscow

МеркуловаД. М.MerkulovaD. M.

д. м. н., проф.

Кафедра нервных болезней Института профессионального образования

г. Москва

Moscow

ФГАОУ ВО «Первый Московский государственный медицинский университет имени И. М. Сеченова (Сеченовский университет)» Минздрава РоссииРоссияI. M. Sechenov First Moscow State Medical University (Sechenov University)Russian Federation202015072020111Неврология и психиатрия59Copyright © Филатова Е.Г., Меркулова Д.М., 20202020Филатова Е.Г., Меркулова Д.М.Filatova E.G., Merkulova D.M.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.med-alphabet.com/jour/article/view/1536

Головная боль напряжения (ГБН) является наиболее частым и в то же время наиболее труднодиагностируемым видом первичной головной боли. Клинические черты ГБН неспецифичны, и похожий фенотип может наблюдаться как при мигрени относительно легкого течения, психогенной головной боли, так и вторичных головных болях. Часто с неверно поставленным диагнозом связаны неудачи в лечении. В статье представлены три общепризнанных подхода к терапии: поведенческая терапия, средства для купирования приступов, которые имеют высокий уровень доказательности на основании рандомизированных контролируемых испытаний, а также профилактическая терапия. Определено место кетопрофена, в том числе различных лекарственных форм препарата – инъекционных, пероральных (таблетки, порошки, капсулы), что позволяет использовать его для проведения быстро- го и эффективного купирования острых приступов ГБН.

Tension-type headache (ТТН) is the most frequent and at the same time the most difficult to diagnose type of primary headache. The clinical features of TTH are nonspecific, and a similar phenotype can be observed in migraines with a relatively mild course, psychogenic headache, and secondary headaches. Often associated with a misdiagnosis is treatment failure. Three generally accepted approaches to therapy are presented in the article: behavioral therapy, acute treatment that have a high level of evidence on the basis of randomized controlled trials, as well as preventive therapy. The place of ketoprofen was determined, including various dosage forms of the drug – injectable, oral (tablets, powders, capsules), which allows it to be used to quickly and effectively relieve acute attacks of TTH.

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The authors declare that there are no conflicts of interest present.