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치과임상에서 편두통 치료에 대한 제안

A proposal for management of migraine in dental clinic

  • 박연정 (연세대학교 치과대학 구강내과학교실) ;
  • 이혜진 (연세대학교 치과대학 구강내과학교실) ;
  • 김성택 (연세대학교 치과대학 구강내과학교실)
  • Park, YounJung (Department of Orofacial Pain and Oral Medicine, Yonsei University College of Dentistry) ;
  • Lee, Hye-Jin (Department of Orofacial Pain and Oral Medicine, Yonsei University College of Dentistry) ;
  • Kim, Seong Taek (Department of Orofacial Pain and Oral Medicine, Yonsei University College of Dentistry)
  • 투고 : 2019.09.10
  • 심사 : 2019.10.22
  • 발행 : 2019.12.31

초록

흔한 중증 원발 두통 질환 중 하나인 편두통의 치료법에는 두통 일기 작성, 생활습관 개선, 운동 및 이완요법, 인지행동요법, 신경자극 등을 비롯한 비약물치료와 약물치료 등 다양한 전략이 있다. 본 종설은 이 중 약물 치료를 두통의 강도와 빈도에 기반하여 급성기치료와 예방치료로 나누어 고찰하고, 약물 치료의 효과를 극대화 시키기 위한 방법 및 편두통 치료의 최신 지견을 소개하고자 한다.

Management of migraine, one of common primary headache disorders, involves the diverse strategies non-pharmacological treatment, such as headache diary, lifestyle modification, regular exercise and relaxation, cognitive behavioral therapy and neurostimulation, and pharmacological treatment. Among the treatments, this review described a pharmacologic treatment of migraine, classified into acute and preventive treatment based on the severity and the frequency of headache. It introduced the way to optimize pharmacological treatment and updated the latest treatment for migraine.

키워드

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