Regional Anesthesia and Acute Pain ManagementRegional Anesthesia and Acute Pain ManagementРегионарная анестезия и лечение острой боли1993-65082687-1394Eco-Vector4284710.17816/RA42847ArticlesСтатьиReview ArticleMANAGEMENT OF HEADACHE IN PATIENTS WITH NON-TRAUMATIC SUBARACHNOID HEMORRHAGEЛЕЧЕНИЕ ГОЛОВНОЙ БОЛИ У ПАЦИЕНТОВ С НЕТРАВМАТИЧЕСКИМ СУБАРАХНОИДАЛЬНЫМ КРОВОИЗЛИЯНИЕМ В ИНТЕНСИВНОЙ ТЕРАПИИGaneevaI. RГанееваИ. РKazan’ State Medical UniversityГАУЗ «Межрегиональный клинико-диагностический центр»15092017113VOL 11, NO3 (2017)ТОМ 11, №3 (2017)16416924082020Copyright ©; 2017, Eco-VectorCopyright ©; 2017, ООО "Эко-Вектор"2017Eco-VectorООО "Эко-Вектор"https://rjraap.com/1993-6508/article/view/42847

This review of the literature is devoted to the current state of the problem of management of headache in patients with non-traumatic subarachnoid hemorrhage (NSAH). This pathology is associated with severe and prolonged headache. Despite the huge amount of references on subarachnoid hemorrhage, a little attention is paid to headache in this pathology, so it remains largely unexplored. The article presents data on the epidemiology of the syndrome, possible mechanisms of occurrence, diagnostic methods. Details of the advantages and disadvantages of drugs for anesthesia, available in the arsenal of the clinician at the moment. The results of many previously published studies are diametrically opposed, which does not facilitate the choice of tactics for effective treatment and prevention of complications. The article also identifies the problems, the solution of which, possibly, will lead to an improvement in the results of treatment of SAH and further the quality of life of the patients. The lack of evidance data on the subject suggests that the research is relevant.

Обзор литературы посвящен современному состоянию проблемы управления головной болью у пациентов с нетравматическим субарахноидальным кровоизлиянием (НСАК). Данная патология связана с мучительной и длительной головной болью. Несмотря на огромное количество опубликованной литературы по субарахноидальному кровоизлиянию, уделяется мало внимания головной боли при этом заболевании, и она остается малоизученной. В статье представлены данные об эпидемиологии синдрома, возможных механизмах возникновения, методах диагностики и лечения. Подробно изложены преимущества и недостатки препаратов для обезболивания, имеющихся в арсенале клинициста в настоящее время. Результаты многих ранее опубликованных исследований диаметрально противоположные, что не облегчает выбор тактики эффективного лечения и профилактики осложнений. В статье также выделены задачи, решение которых, возможно, приведет к улучшению результатов лечения САК и в дальнейшем качества жизни пациентов. Отсутствие доказанных данных по этой теме свидетельствует о том, что исследование является актуальным.

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