Consilium MedicumConsilium MedicumConsilium MedicumConsilium Medicum2075-17532542-2170Consilium Medicum9537610.26442/20751753.2020.9.200458ArticlesСтатьиReview ArticleTension headache: clinic, diagnosis, treatmentГоловная боль напряжения: клиника, диагностика, лечениеKotovaOlga V.КотоваОльга Владимировна

канд. мед. наук, невролог, вице-президент

ol_kotova@mail.ruBelyaevAnton A.БеляевАнтон Андреевич

мл. науч. сотр.

AkarachkovaElena S.АкарачковаЕлена Сергеевна

д-р мед. наук, врач-невролог, президент Международного общества «Стресс под контролем»

International Society "Stress under Control"Международное общество «Стресс под контролем»Sklifosovsky Research Institute of Emergency MedicineГБУЗ «Научно-исследовательский институт скорой помощи им. Н.В. Склифосовского» Департамента здравоохранения г. Москвы15092020229VOL 9, NO22 (2020)ТОМ 22, №9 (2020)687028122021Copyright ©; 2020, Consilium MedicumCopyright ©; 2020, ООО "Консилиум Медикум"2020Consilium MedicumООО "Консилиум Медикум"https://creativecommons.org/licenses/by-nc-sa/4.0https://consilium.orscience.ru/2075-1753/article/view/95376

Tension headache (TH) is a neurological disorder characterized by attacks of mild to moderate headache with few associated symptoms. According to the data of 5 population studies, TH lifetime prevalence in adults is 46% (range 12-78%). The underlying cause of TH is unknown. Diagnosis is based on history and examination. Many patients self-manage their acute attacks and seek medical care when attacks become frequent or chronic. Behavioral therapy, relief of pain episodes and preventive treatment are recommended for HT treatment. Acute attacks of TH are usually treated with simple analgesics (paracetamol, acetylsalicylic acid) or non-steroidal anti-inflammatory drugs [ibuprofen, ketoprofen, naproxen]. The situation with pain relief in TH has changed with the emergence of fastacting forms of non-steroidal anti-inflammatory drugs, in particular ibuprofen, since rapidly absorbing salts of ibuprofen act significantly faster, have a more pronounced and prolonged analgesic effect.

Головная боль напряжения (ГБН) - это неврологическое расстройство, характеризующееся приступами легкой или умеренной головной боли с небольшим количеством сопутствующих симптомов. Распространенность ГБН у взрослых в течение жизни, по результатам 5 популяционных исследований, составляет 46% (диапазон 12-78%). Основная причина ГБН неизвестна. Диагноз ставится на основании анамнеза и обследования. Многие пациенты самостоятельно лечат острые приступы и обращаются за медицинской помощью, когда приступы становятся частыми или хроническими. В лечении ГБН рекомендуют поведенческую терапию, купирование болевых эпизодов и профилактическое лечение. Острые приступы ГБН обычно купируют простыми анальгетиками (парацетамол, ацетилсалициловая кислота) или нестероидными противовоспалительными препаратами [ибупрофен, кетопрофен, напроксен]. Ситуация с обезболиванием при ГБН изменилась при появлении быстродействующих форм нестероидных противовоспалительных препаратов, в частности ибупрофена, так как быстроабсорбирующиеся соли ибупрофена действуют достоверно быстрее, имеют более выраженный и пролонгированный анальгетический эффект.

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