頁籤選單縮合
題名 | 老年人的頭痛=Headaches in the Elderly |
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作者姓名(中文) | 楊鈞百; 王署君; | 書刊名 | 臺灣老年醫學暨老年學雜誌 |
卷期 | 3:3 2008.08[民97.08] |
頁次 | 頁155-168 |
分類號 | 417.7842 |
關鍵詞 | 老年人; 原發性頭痛; 次發性頭痛; 憂鬱症; 自殺; Elderly; Primary headache; Secondary headache; Depression; Suicide; |
語文 | 中文(Chinese) |
中文摘要 | 原發性頭痛通常發生在50歲以前,而發生於50歲以後的頭痛, 次發性頭痛發生機率增加,比例可高達1/3。詳細的病史詢問和身體 檢查,對老年頭痛的診斷相當重要,宜先排除潛在的疾病。原發性 頭痛中,睡眠頭痛、短暫單側神經痛性頭痛發作合併結膜充血及流 淚、三叉神經痛和帶狀疱疹後疼痛常會在50歲以後發生。老年人常 常因為其他疾病服用藥物,藥物引起的頭痛也要列入考慮。治療老 年頭痛,藥物需由較低劑量用起,且增加劑量也應較慢,也同時需 注意藥物副作用與藥物間的交互作用。選擇藥物時需要注意病患本 身的其他疾病狀況或副作用。慢性每日頭痛於老年人並不少見,藥 物過度使用和憂鬱症狀是危險因子。總之,老年頭痛並不罕見,宜 小心謹慎的診斷和處理。 |
英文摘要 | Primary headache disorders usually occur before age 50, whereas secondary headache disorders are more common after age 50 with a reported prevalence up to one third. In order to exclude potential underlying diseases, a thorough history taking and physical examination are warranted when approaching elderly patients with headaches. Hypnic headache, short-lasting unilateral neuralgiform headache with injection and tearing (SUNCT) syndrome, trigeminal neuralgia and post-herpetic neuralgia are usually occurring at age more than 50, and more often in the elderly. Elderly people often need to take a variety of medications; therefore, drug-induced headaches should be considered. When treating elderly patients with headache, we should start the medications in low dose, titrate them slowly and observe closely for any adverse events and drug interactions. Side effect profile and comorbid illnesses should be taken into account when selecting medications. Chronic daily headaches are not uncommon in the elderly; medication-overuse and depressive symptoms are risk factors accompanied. In conclusion, headaches in the elderly are not uncommon, and we should be more cautious to diagnose and treat such patients. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。