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СтатьяИскать документыПерейти к записи. 2023; № 3: 61–67. DOI:10.21518/ms2023-051
Головные боли, ассоциированные с COVID-19
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Аффилированные организации
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Аннотация
Головная боль как является частым симптомом острого периода COVID-19, так и нередко персистирует длительное время после перенесенной инфекции. Среди всех неврологических проявлений COVID-19 головная боль является ведущим симптомом, а примерно у пятой части пациентов она может быть тяжелым дезадаптирующим расстройством. У пациента с COVID-19 может возникать новый тип головной боли или усугубляться паттерн имеющейся первичной цефалгии. В острый период инфекции у большинства пациентов цефалгия может рассматриваться как головная боль, связанная с острой вирусной инфекцией. Однако нередко рассматриваются и иные формы, такие как кашлевая головная боль, головная боль при физической активности и др. В этих случаях цефалгические проявления коррелируют  с другими симптомами COVID-19. Длительно персистирующие головные боли как один из наиболее частых и стойких симптомов постковидного синдрома чаще протекают по типу головной боли напряжения и мигрени и существенно чаще выявляются у лиц с предшествующим анамнезом цефалгии. Многообразие фенотипов головных болей при COVID-19 требует привлечения универсальных стратегий их лечения. Нестероидные противовоспалительные препараты (НПВП) являются наиболее изученными и часто используемыми в клинической практике средствами для облегчения боли, а также лихорадки и других симптомов инфекции. Длительный опыт применения НПВП в клинической практике, наличие клинических данных и результатов специальных исследований обусловливают возможность их применения у пациентов с COVID-19 и жалобами на головные боли. Тем не менее для эффективного и безопасного применения НПВП у этой категории пациентов требуется тщательный анализ современных данных их применения.
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Дополнительная информация
Язык текста: Русский
ISSN: 2079-701X
Унифицированный идентификатор ресурса для цитирования: //medj.rucml.ru/journal/4e432d4d4544534f5645542d41525449434c452d323032332d302d332d302d36312d3637/